Application Form

Zone/Scrutiny Code

7OB T222E92

T222E92 (Enrollment ID)

ROHITH K R
(Full Name of the Applicant)

13 Sep 2002 Male OBC-NCL

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

Indian +91-9388552599 RAJESH K B

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

Communication Address GATE Exam Details

KANNAMMURY HOUSE,KANNAMMURY JUNCTION GATE Paper Code1 GATE Paper Code2
Edapally North.,Ernakulam
Kerala 682024
+91-7736865058 (Mobile No.)
rohithkr441@gmail.com
ME NM
(Mechanical Engineering) (Naval Architecture and
Marine Engineering)

Exam City 1 : Aluva-Ernakulam (KL)

Qualification Details Exam City 2 : Kottayam (KL)
B. Tech Exam City 3 : Muvattupuzha (KL)
Mechanical Engg.
Graduated: No; Year of Graduation: 2024 Zonal GATE Office Contact
COCHIN UNVIERSITY OF SCIENCE & TECHNOLOGY GATE Office
Kannady West.,Alappuzha Indian Institute of Technology Madras
Kerala 688504
Chennai 600036
gate@iitm.ac.in, 044-22578200
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 : dd0396dba6d7f5960774ef0abae3ae1f

PROVISIONAL APPLICATION SUBJECT TO PAYMENT