Application Form
Zone/Scrutiny Code
5OB T156G78
T156G78 (Enrollment ID)
SONAM VISHWAKARMA
(Full Name of the Applicant)
03 May 1999 Female OBC-NCL
(D.O.B) (Gender) (Category)
Indian +91-8085048829 LAKHAN VISHWAKARMA
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)
Communication Address GATE Exam Details
Prem nagar colony Udaipura GATE Paper Code
Ward no 7 Udaipura
Udaipura ,Raisen
Madhya Pradesh 464770
+91-8085048829 (Mobile No.)
CS
sonamudp@gmail.com (Computer Science and
Information Technology)
Qualification Details
Exam City 1 : Bhopal (MP)
B. Tech
Exam City 2 : Jabalpur (MP)
Information Technology.
Graduated: Yes; Year of Graduation: 2022 Exam City 3 : Sagar (MP)
TECHNOCRATS INSTITUTE OF TECHNOLOGY
Zonal GATE Office Contact
SOS BALGRAM.,Bhopal GATE Office
Madhya Pradesh 462022 Indian Institute of Technology Kanpur
Kanpur 208016
Payment Details
gate@iitk.ac.in, 0512-2596962
Payment Mode Transaction Ref. No Transaction Date Amount Payment For
Unified Payments 113009134027 9/13/23, 9:54 PM 900.00 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 : Sonam Vishwakarma
Digital Fingerprint : a5991f9260af4e8b00dbf4ba743133f5
