(Enrolment ID)G239G21

Zone/Scrutiny

Payment DetailsRs. 750.00

8GE

(D.O.B)

Qualification Details

(Exam City 1)

Tanu Gupta(Full Name of the Applicant)

20 Mar 1987 Female

Indian National

GEN No

M.Sc/M.A./MCA

Jitendra Gupta

Uttar Pradesh 201307

CDAC NOIDA

Communication Address

Graduated: Yes; Year of Graduation: 2011Computer Applications

I hereby declare that all the particulars stated in this application form are true to the best of my knowledge andbelief. I have read the Information Brochure and I shall abide by the terms and conditions therein. Theresponsibility of following the GATE 2015 website and meeting various deadlines lies with me. In the event ofsuppression or distortion of any fact in my application form, I understand that I will be denied the opportunityto appear in GATE 2015. Further, if any suppression or distortion of facts is found after appearing in theexam, any admission/degree/benefit acquired on the basis of GATE 2015 score/marks is liable to becancelled.

DigitalFingerprint:

OnlinePayment Ref. No.: 1100135136

129 AVAS VIKAS COLONYBEHIND VAISHALI MANDAPAMROORKEEUttarakhand 24766790456 02625 (Mobile No.)

tanugupta.100109@gmail.com

Zonal GATE Office ContactChairperson GATE

Roorkee 247667

314d9b74d57878fdc29f3df2071e6c12

GATE Exam Details

(Exam City 2)

26/09/2014

NOIDA

GATE 2015

(Exam City 3)

(Gender) (Category) (PD Status)

GATE Paper Code

9758003382

CSRoorkee-Muzaffarnagar , UK

Saharanpur, UP

Dehradun , UK

Indian Institute of Technology Roorkee

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

G239G21