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(Enrolment ID) G133N23

Zone/Scrutiny
Payment Details
Rs. 1500.00
6GE
(D.O.B)
Qualification Details
(Exam City 1)
Jampana Shivaramakrishna
(Full Name of the Applicant)
06 Mar 1991 Male
Indian National
GEN No
B.Tech
Jampana Sreenu
Andhra Pradesh 533103
RIET RAJAHMUNDRY
Communication Address
Graduated: Yes; Year of Graduation: 2013
Electrical Engg./Electrical and Electronics Engg.
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 2015 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 2015. 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 2015 score/marks is liable to be
cancelled.
Digital
Fingerprint:
Online
Payment Ref. No.: IGZ1049501
DOOR NUMBER 85-1-27,RAJU GARI THOTA,
ALLURI GARDENS,MODEL COLONY ROAD,
VL PURAM,RAJAHMUNDRY.
RAJAHMUNDRY
Andhra Pradesh 533101
90309 21598 (Mobile No.)
shivaramakrishna0227eee@gmail.com
Zonal GATE Office Contact
Chairperson GATE
Kharagpur 721302
d8a52293948d5220742874e98db12208
GATE Exam Details
(Exam City 2)
04/09/2014
RAJAHMUNDRY
GATE 2015
(Exam City 3)
(Gender)
(Category) (PD Status)
GATE Paper Code
9908405086
EE
Rajahmundry , AP
Kakinada , AP
Visakhapatnam , AP
Indian Institute of Technology Kharagpur
(Parent's Mobile Number) (Name of the Parent)
G133N23

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