Application Form

Zone/Scrutiny Code

6EW T286K97

T286K97 (Enrollment ID)

TANMAY GHOSH
(Full Name of the Applicant)

27 Sep 1995 Male GEN-EWS

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

Indian +91-8116193174 RANJIT GHOSH

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

Communication Address GATE Exam Details

VILLAGE-CHAKDAHA, POST-MORAH ,P.S-TARAKESWAR GATE Paper Code
TARAKESWAR
West Bengal 712403
+91-6295656537 (Mobile No.)
tgbabai95@gmail.com
CE
(Civil Engineering)

Qualification Details
Exam City 1 : Hooghly (WB)
B. Tech
Exam City 2 : Kolkata (WB)
Civil Engg.
Graduated: Yes; Year of Graduation: 2021 Exam City 3 : Howrah (WB)
SUPREME KNOWLEDGE FOUNDATION GROUP OF
INSTITUTIONS Zonal GATE Office Contact
Mankundu GovtColony.,Hooghly GATE Office
West Bengal 712139 Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details
gateonline@adm.iitkgp.ac.in, 03222-282091

Payment Mode Transaction Ref. No Transaction Date Amount Payment For

Debit Card 113026002301 9/29/23, 8:15 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 : Tanmay Ghosh

Digital Fingerprint : cfc3c0667c8cbdc0aee6501a2700a5a4