Zone/Scrutiny GATE 2016

6GE B118X46
B118X46 (Enrolment ID)

Kaustuv Bhattacharyya
(Full Name of the Applicant)

29 Oct 1994 Male GEN No

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

Indian National 9431877008 Raghunath Bhattacharyya

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

Communication Address GATE Exam Details

C/O-KRISHNANATH BHATTACHARYYA GATE Paper Code
VILLAGE AND P.O.-RAYAN(PURBAPARA)
BARDDHAMAN
West Bengal 713101
81165 21729 (Mobile No.)
CE
(Civil Engineering)
kaustuvbesu2012@gmail.com Kolkata , WB
(Exam City 1)

Qualification Details Hooghly, WB

(Exam City 2)
B.E.
Civil/Civil & Environmental/Structural Engg./ Bhubaneswar , OR
(Exam City 3)
Graduated: No; Year of Graduation: 2016
IIEST Shibpur Zonal GATE Office Contact
HOWRAH Chairperson GATE
West Bengal 711103 Indian Institute of Technology Kharagpur
Kharagpur 721302
Payment Details
Online Rs. 1500.00
Payment Ref. No.: CP28716909
14/09/2015

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 2016 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 2016. 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 2016 score/marks is liable to be
cancelled.

Digital
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