Application Form

Zone/Scrutiny Code

8GE T225E91

T225E91 (Enrollment ID)

SAMVIT SAHOO
(Full Name of the Applicant)

19 Jun 2001 Male GEN

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

Indian +91-9437293613 SANTOSH KUMAR SAHOO

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

Communication Address GATE Exam Details

Zenith Youth Hostel, Bidholi GATE Paper Code
Arkediagrant.,Dehradun
Uttarakhand 248007
+91-9178757965 (Mobile No.)
samvitsahoo19@gmail.com
PE
(Petroleum Engineering)

Exam City 1 : Dehradun (UK)

Qualification Details Exam City 2 : Saharanpur (UP)
B. Tech Exam City 3 : Roorkee (UK)
Petroleum Engg./Technology
Graduated: No; Year of Graduation: 2024 Zonal GATE Office Contact
UNIVERSITY OF PETROLEUM AND ENERGY STUDIES GATE Office
Arkediagrant.,Dehradun Indian Institute of Technology Roorkee
Uttarakhand 248007
Roorkee 247667
gate@iitr.ac.in, 01332-284531
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 : null
Digital Fingerprint : 449e8efcfb65f46bcb352b7b9a98fdf4

PROVISIONAL APPLICATION SUBJECT TO PAYMENT