Application Form

Zone/Scrutiny Code

6OB T343W63

T343W63 (Enrollment ID)

VENKATA RAMA GOWRI BOBBILI

(Full Name of the Applicant)

06 Jul 1988 Female OBC-NCL

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

Indian +91-9985742615 MVS PREM SAGAR

National (Parent/Guardian's Mobile Number) (Parent/Guardian's Name)

Communication Address GATE Exam Details

Flatno 504 Lotus Heights Apartments GATE Paper Code
DNO 2-116/8-20 Nr Boyapalem junction
paradesipalem
Visakhapatanam
Andhra Pradesh 531163
EC
+91-9963174243 (Mobile No.) (Electronics and
Communication
gowri610.bobbili@gmail.com
Engineering)

Exam City 1 : Visakhapatnam (AP)

Qualification Details Exam City 2 : Vizianagaram (AP)
B. Tech Exam City 3 : Rajamahendravaram (Rajahmundry
Electronics & Communication. AP)
Graduated: Yes; Year of Graduation: 2009 Zonal GATE Office Contact
RAGHU ENGINEERING COLLEGE GATE Office
Visakhapatanam Indian Institute of Technology Kharagpur
Andhra Pradesh 531162
Kharagpur 721302
gateonline@adm.iitkgp.ac.in, 03222-282091

DECLARATION
I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information
Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 examination as detailed in
the Information Brochure. I confirm that the information provided by me in this form is correct. I also confirm that I am NOT filling more than one Application
Form for myself.
If any of the information provided by me is found to be incorrect later, I understand that my candidature for GATE 2024 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2024 Examination Body’s decision will be final and legally binding on me.
I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission, scholarship,
or a job. GATE 2024 Examination Body shall NOT be liable for any legal obligations arising out of this matter.
I am aware that the data provided by me during the application process as well as my GATE results may be shared for admission or recruitment purposes.

e-Signature : null
Digital Fingerprint : 68e475656737d2b243a1de48481aeb8f

PROVISIONAL APPLICATION SUBJECT TO PAYMENT