Zone/Scrutiny

GATE 2016

8GE
B433B41

B433B41

(Enrolment ID)

Avinash Kumar
(Full Name of the Applicant)

20 Oct 1993

Male

GEN

No

(D.O.B)

(Gender)

(Category)

(PD Status)

Indian National

9837459447

Devendra Kumar

(Parent's Mobile Number)

(Name of the Parent)

Communication Address
VILLAGE - ISHMILPUR
POST - DHANSINI
NAJIBABAD
NAJIBABAD
Uttar Pradesh 246763

95681 20341 (Mobile No.)

avinashbaliyan131093@gmail.com

Qualification Details
M.Sc/M.A./MCA
Chemistry
Graduated: Yes; Year of Graduation: 2015
G.K.V. HARIDWAR
HARIDWAR
Uttarakhand 249404

Payment Details

GATE Exam Details

GATE Paper Code

CY
(Chemistry)

Roorkee-Muzaffarnagar , UK
(Exam City 1)

Dehradun , UK
(Exam City 2)

Meerut , UP
(Exam City 3)

Zonal GATE Office Contact

Chairperson GATE
Indian Institute of Technology Roorkee
Roorkee 247667

Rs. 1500.00

Online

Payment Ref. No.: CP29559114

25/09/2015
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.

Digital
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