Zone/Scrutiny GATE 2018

8SC G445U49
G445U49 (Enrollment ID)

AJAY KHANNA
(Full Name of the Applicant)

16 May 1994 Male SC

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

Indian +91-9896477630 SURESH KUMAR

National (Parent's Mobile Number) (Name of the Parent)

Communication Address GATE Exam Details

ELLENABAD DIST-SIRSA HARYANA GATE Paper Code
WARD NO 12 GOVIND VIHAR
ELLENABAD
ELLENABAD
Haryana 125102
CE
(Civil Engineering)
+91-8288951149 (Mobile No.)
Mohali, PB
ajaykhanna16@gmail.com (Exam City 1)

Qualification Details Ambala, HR

(Exam City 2)
B.Tech
Civil Engg. Patiala, PB
(Exam City 3)
Graduated: Yes; Year of Graduation: 2017
GIAN JYOTI GROUP OF COLLEGES Zonal GATE Office Contact
SHAMBHU KALAN Chairman, GATE
Punjab 140417 Indian Institute of Technology Roorkee
Roorkee 247667
Payment Details
Online Rs. 750.00
Payment Ref. No.: JPMP5698123246
30/09/2017

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 2018 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 2018. 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 2018 score/marks is liable to be
cancelled.

Digital
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