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G441 R55 Application Form

This document is an application form for the GATE 2026 examination submitted by Ashutosh Gupta, who is a male applicant from the GEN-EWS category. It includes personal details, communication address, qualification information, and GATE exam details, along with a confirmation of eligibility and compliance with the examination's code of conduct. The application also states the payment details for the application fee and includes a digital signature and fingerprint for verification.

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ashutoshguptamzp12345
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3 views1 page

G441 R55 Application Form

This document is an application form for the GATE 2026 examination submitted by Ashutosh Gupta, who is a male applicant from the GEN-EWS category. It includes personal details, communication address, qualification information, and GATE exam details, along with a confirmation of eligibility and compliance with the examination's code of conduct. The application also states the payment details for the application fee and includes a digital signature and fingerprint for verification.

Uploaded by

ashutoshguptamzp12345
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Application Form

Zone/Scrutiny Code

5EW G441R55

G441R55 (Enrollment ID)

ASHUTOSH GUPTA
(Full Name of the Applicant)

28 Oct 2003 Male GEN-EWS


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

Indian +91-7355633960 AWADESH KUMAR GUPTA


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

Communication Address GATE Exam Details


PANSARI TOLA ,DANKEENGANJ,MIRZAPUR 231001 GATE Paper Code
Mirzapur
Uttar Pradesh 231001
+91-9140896367 (Mobile No.)
DA
ashutoshguptamzp12345@[Link] (Data Science and Artificial
Intelligence)

Qualification Details Exam City 1 : Varanasi (UP)


B. Tech. Exam City 2 : Prayagraj (UP)
Computer Science & Information Technology Exam City 3 : Lucknow (UP)
Graduated: No; Year of Graduation: 2026
VEER BAHADUR SINGH PURVANCHAL UNIVERSITY Zonal GATE Office Contact
Jaunpur
Uttar Pradesh 222003
GATE Office
Indian Institute of Technology Kanpur
Kanpur 208016
Payment Details gate@[Link], 0512-2596962
Payment Mode Transaction Ref. No Transaction Date Amount Payment For
Unified Payments 113955802358 9/27/25, 4:56PM 2000.0 Application Fee

I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2026) examination. I have read the Information
Brochure and filled up the GATE 2026 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2026 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 2026 may be cancelled, before, during, or
after the examination, including the time after generation of my GATE 2026 Score Card. Further, I understand that I may be liable for legal action for
providing false information. GATE 2026 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 2026 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 : Ashutosh Gupta


Digital Fingerprint : fb0642c851f7e6924c5988dbd516b3b8

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