Zone/Scrutiny Code

1ST
K405A61 (Enrollment ID) K405A61

BHARGAVI J
(Full Name of the Applicant)

03 Dec 2000 Female ST

(D.O.B) (Gender) (Category)
Indian +91-9535412231 JAGADEESH S R
National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details

D/o Jagadeesh S R Chaya nilaya 6th cross GATE Paper Code
2nd main
ashoka nagar
Ashok Nagar shimoga
Karnataka 577201
CE
(Civil Engineering)
+91-9972243843 (Mobile No.)
bhargavinayak708@gmail.com
Qualification Details Exam City 1: Shivamogga (Shimoga KA)
Exam City 2: Manipal (KA)
B.E.
Civil Engg. Exam City 3: Mangaluru (KA)
Graduated: No; Year of Graduation: 2022
JAWAHARLAL NEHRU NATIONAL COLLEGE OF
ENGINEERING Zonal GATE Office Contact
Navale
Chairperson, GATE
Karnataka 577204
Indian Institute of Science Bangalore
Payment Details Bengaluru 560012

Payment Mode Transaction Ref. No Transaction Date Amount Payment For

Online order_I2RrxARe2UJ2mv 9/27/21 3:29 PM INR 750.00 Registration

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2022) examination and I, myself have filled up the
entire form in the portal. I have fully understood each and every point in the form and filled up the details accordingly. I agree to strictly comply with the code
of conduct for GATE 2022 examination as detailed in Appendix B of the Information Brochure. I confirm that the information provided by me in this form is
correct in all respect. I also confirm that I am NOT filling more than ONE form for myself.

If any of the information provided by me is found to be incorrect at any time later, my candidature for GATE 2022 will be cancelled. This cancellation of my
candidature can happen either before, during or after the examination, including the time after generation of my GATE 2022 score card, if any.

I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission / scholarship /
job. GATE 2022 committee is NOT liable for any legal obligations related to admission / job.

I shall be liable for legal action for providing any type of false information. GATE 2022 committee's decision will be final and legally binding on me.

e-Signature: Bhargavi J
Digital Fingerprint: d201f45250c900efa3c1835fd92a2f40