D101W32ApplicationForm PDF

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Zone/Scrutiny GATE 2020

6GE D101W32
D101W32 (Enrollment ID)

DEBAJANI SARANGI
(Full Name of the Applicant)

03 Jul 1998 Female GEN


(D.O.B) (Gender) (Category)
Indian +91-9937730937 BHABANI SANKAR SARANGI
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details


GAYATRI COLONY GATE Paper Code
MANGALPUR
Odisha 755011
+91-7606060539 (Mobile No.)
debjani.sarangi@gmail.com
ME
(Mechanical Engineering)
Bhubaneswar, OR
(Exam City 1)
Qualification Details Cuttack, OR
B.Tech (Exam City 2)
Mechanical Engg. Balasore, OR
Graduated: No; Year of Graduation: 2020 (Exam City 3)
COLLEGE OF ENGINEERING AND TECHNOLOGY Zonal GATE Office Contact
Baramunda Colony
Chairman, GATE
Odisha 751003
Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details
Online Rs. 750.00
Payment Ref. No.: CPU6177068 Txn Date:2019-09-12

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 2020 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 2020. 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 2020 score/marks is liable to be
cancelled.

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