Zone/Scrutiny GATE 2017

7OB R522Y51
R522Y51 (Enrollment ID)

Mathan Kumar
(Full Name of the Applicant)

21 Jun 1992 Male OBC No

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

Indian National +919865677691 K Masidurai

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

Communication Address GATE Exam Details

10/422,VALPARAI ROAD,ANGALAKURUCHI GATE Paper Code
POLLACHI
COIMBATORE
Tamil Nadu 642007
+919489431682 (Mobile No.)
ME
(Mechanical Engineering)
mathan21.mech@gmail.com Coimbatore, TN
(Exam City 1)

Qualification Details Chennai, TN

(Exam City 2)
B.E.
Mechanical Engg. Erode, TN
(Exam City 3)
Graduated: Yes; Year of Graduation: 2013
PA COLLEGE OF ENGINEERING Zonal GATE Office Contact
POLLACHI Chairperson GATE
Tamil Nadu 642001 Indian Institute of Technology Madras
Chennai 600036
Payment Details
Online Rs. 1500.00
Payment Ref. No.: CP60956425
09/10/2016

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 2017 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 2017. 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 2017 score/marks is liable to be
cancelled.

Digital
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