Application Form

Zone/Scrutiny Code

8GE T477U91

T477U91 (Enrollment ID)

SUMIT
(Full Name of the Applicant)

12 Jul 2000 Male GEN

(D.O.B) (Gender) (Category)

Indian +91-9466549054 BIJENDER KUMAR

National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details

Vill. Mundlana GATE Paper Code
Gohana
Haryana 131306
+91-8168519572 (Mobile No.)
thesumitlathwal@gmail.com
AR
(Architecture and Planning)

Qualification Details
Exam City 1 : Hamirpur (HP)
B. Arch
Exam City 2 : Ambala (HR)
Architecture / Architectural Engg.
Graduated: No; Year of Graduation: 2024 Exam City 3 : Kurukshetra (HR)
NATIONAL INSTITUTE OF TECHNOLOGY, HAMIRPUR
Hamirpur Zonal GATE Office Contact
Himachal Pradesh 177005 GATE Office
Indian Institute of Technology Roorkee
Roorkee 247667
Payment Details
gate@iitr.ac.in, 01332-284531

Payment Mode Transaction Ref. No Transaction Date Amount Payment For

Unified Payments 113036247171 10/7/23, 10:12 AM 1800.00 Application Fee

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information
Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 examination as detailed in
the Information Brochure. I confirm that the information provided by me in this form is correct. I also confirm that I am NOT filling more than one Application
Form for myself.
If any of the information provided by me is found to be incorrect later, I understand that my candidature for GATE 2024 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2024 Examination Body’s decision will be final and legally binding on me.
I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission, scholarship,
or a job. GATE 2024 Examination Body shall NOT be liable for any legal obligations arising out of this matter.
I am aware that the data provided by me during the application process as well as my GATE results may be shared for admission or recruitment purposes.

e-Signature : SUMIT
Digital Fingerprint : aebd1462f2ef08bbd49e5f2692295ae9