Zone/Scrutiny GATE 2020

1OB D473F67
D473F67 (Enrollment ID)

SHRINIVAS A BHUSANNAVAR
(Full Name of the Applicant)

30 Sep 1998 Male OBC-NCL

(D.O.B) (Gender) (Category)
Indian +91-9611539485 ADIVEPPA
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details

Hno.49, Shanti sagar galli GATE Paper Code
Kanabargi
Belgaum
Karnataka 590001
+91-8904370672 (Mobile No.)
EC
(Electronics and Communication Engineering)
shrinivasdada97@gmail.com Belagavi (Belgaum), KA
(Exam City 1)
Qualification Details Hubballi (Hubli), KA
B.E. (Exam City 2)
Electronics & Communication Goa, GA
Graduated: No; Year of Graduation: 2020 (Exam City 3)
ANGADI INSTITTUTE OF TECHNOLOGY AND MANAGEMENT Zonal GATE Office Contact
Belgaum Chairman, GATE
Karnataka 590001 Indian Institute of Science Bangalore
Bengaluru 560012
Payment Details
Online Rs. 1500.00
Payment Ref. No.: CPU9441022 Txn Date:2019-09-24

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.

Digital
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