Gate Application Form

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Zone/Scrutiny

GATE 2016

4GE
B289B25

B289B25

(Enrolment ID)

Arpan Mukherjee
(Full Name of the Applicant)

16 May 1994

Male

GEN

No

(D.O.B)

(Gender)

(Category)

(PD Status)

Indian National

8900596605

Nirmal Kumar Mukherjee

(Parent's Mobile Number)

(Name of the Parent)

Communication Address
AASHIRBAD,RIVER VIEW COLONY
RIVERSIDE ROAD,PO-BURNPUR
ASANSOL
West Bengal 713325

78727 87405 (Mobile No.)


[email protected]

GATE Exam Details


GATE Paper Code

EC
(Electronics and Communication Engineering)

Asansol-Durgapur, WB
(Exam City 1)

Qualification Details
B.Tech
Electronics & Comm./Electronics Engg./Comm.
Graduated: No; Year of Graduation: 2016
ASANSOL ENGINEERING COLLEGE
ASANSOL
West Bengal 713304

Payment Details

Dhanbad , JH
(Exam City 2)

Kolkata, WB
(Exam City 3)

Zonal GATE Office Contact


Chairperson GATE
Indian Institute of Technology Guwahati
Guwahati 781039

Rs. 1500.00

Online

Payment Ref. No.: IG0ARYTJE4


18/09/2015
I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and
belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. The
responsibility of following the GATE 2016 website and meeting various deadlines lies with me. In the event of
suppression or distortion of any fact in my application form, I understand that I will be denied the opportunity
to appear in GATE 2016. Further, if any suppression or distortion of facts is found after appearing in the
exam, any admission/degree/benefit acquired on the basis of GATE 2016 score/marks is liable to be
cancelled.

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