Zone/Scrutiny GATE 2019

5GE C107V75
C107V75 (Enrollment ID)

HASAN MOHMMAD
(Full Name of the Applicant)

10 Dec 1995 Male GEN

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

Indian +91-7080447836 MUFEEDUL HASAN

National (Mobile Number of Parent/Guardian) (Name of Parent/Guardian)

Communication Address GATE Exam Details

M.H KHAN HOUSE GATE Paper Code
NEAR HANUMAN MANDIR SARWAN NAGAR
BIJNOUR
LUCKNOW
Uttar Pradesh 226002
CE
(Civil Engineering)
+91-6386188371 (Mobile No.)
Lucknow, UP
hmk00750@gmail.com (Exam City 1)

Qualification Details Kanpur, UP

(Exam City 2)
B.Tech
Civil Engg. Allahabad, UP
(Exam City 3)
Graduated: Yes; Year of Graduation: 2017
BABU BANARASI DAS NORTHERN INDIA Zonal GATE Office Contact
LUCKNOW Chairperson, GATE
Uttar Pradesh 226028 Indian Institute of Technology Kanpur
Kanpur 208016
Payment Details
Online Rs. 1500.00
Payment Ref. No.: NHMP6683759894 15/09/2018

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 2019 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 2019. 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 2019 score/marks is liable to be
cancelled.

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