Application Form

Zone/Scrutiny Code

7EW T288B71

T288B71 (Enrollment ID)

DEGAM SAIKRISHNA
(Full Name of the Applicant)

25 Mar 2004 Male GEN-EWS

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

Indian +91-9949710106 DEGAM SRINIVAS

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

Communication Address GATE Exam Details

Lingala,Regonda,Jayashankar Bhupalpally GATE Paper Code
Lingal.,Jayashankar bhupalapally
Telangana 506348
+91-9642799998 (Mobile No.)
degamsaikrishna7@gmail.com
EC
(Electronics and
Communication
Engineering)

Qualification Details
Exam City 1 : Warangal (TS)
B. E.
Exam City 2 : Karimnagar (TS)
Electronics & Communication.
Graduated: No; Year of Graduation: 2025 Exam City 3 : Khammam (TS)
CHAITANYA BHARTI INSTITUTE OF TECHNOLOGY
Zonal GATE Office Contact
Kokapet.,Ranga reddy GATE Office
Telangana 500075 Indian Institute of Technology Madras
Chennai 600036
Payment Details gate@iitm.ac.in, 044-22578200

Payment Mode Transaction Ref. No Transaction Date Amount Payment For

Unified Payments 113020394436 9/24/23, 4:04 PM 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 : DEGAM SAIKRISHNA

Digital Fingerprint : 5940604b28a8fbaa180228fdf3dbba6e