Zone/Scrutiny GATE 2017

7SC R123Z36
R123Z36 (Enrollment ID)

Kondamudi Jagadish Chandra Bose

(Full Name of the Applicant)

20 Jun 1989 Male SC No

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

Indian National +918096340080 K Ravi Babu

(Parent's Mobile Number) (Name of the Parent)

Communication Address GATE Exam Details

D No 122/2 GATE Paper Code
ANGALAKUDURU POST
TENALI MANDAL
GUNTUR
Andhra Pradesh 522211
ME
(Mechanical Engineering)
+919550174790 (Mobile No.)
Guntur, AP
kjcbose777@gmail.com (Exam City 1)

Qualification Details Vijayawada, AP

(Exam City 2)
Int. M.E/M.Tech/Dual Degree (after 10+2 or
Mechanical Engg. Rajahmundry, AP
(Exam City 3)
Graduated: Yes; Year of Graduation: 2013
RVR AND JC COLLEGE OF ENGG Zonal GATE Office Contact
GUNTUR Chairperson GATE
Andhra Pradesh 522019 Indian Institute of Technology Madras
Chennai 600036
Payment Details
Online Rs. 750.00
Payment Ref. No.: CP58070197
15/09/2016

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 2017 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 2017. 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 2017 score/marks is liable to be
cancelled.

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