Application Form Zone/Scrutiny Code 6EW T397M99 T397M99 (Enrollment ID) SOWMYA YARRAMSETTI (Full Name of the Applicant) 16 Apr 2004 Female GEN-EWS (D.O.B) (Gender) (Category) Indian National +91-9700504131 YARRAMSETTI VEERA VENKATESWARA RAO (Parent/Guardian's Mobile Number) (Parent/Guardian's Name) Communication Address GATE Exam Details new anjanya swamy temple street,balaji nagar Vijayawada Andhra Pradesh 520013 +91-9494526965 (Mobile No.) sowmyayarramsetti07@gmail.com GATE Paper Code CE (Civil Engineering) Exam City 1 : Vijayawada (AP) Exam City 2 : Kakinada-Surampalem (AP) Qualification Details B. Tech Civil Engg. Graduated: No; Year of Graduation: 2025 KONERU LAKSHMAIAH EDUCATION FOUNDATION Atmakuru.,Guntur Andhra Pradesh 522302 Exam City 3 : Rajamahendravaram (Rajahmundry AP) Zonal GATE Office Contact GATE Office Indian Institute of Technology Kharagpur Kharagpur 721302 gateonline@adm.iitkgp.ac.in, 03222-282091 DECLARATION I confirm that I fulfil the eligibility criteria to appear for the Graduate Aptitude Test in Engineering (GATE 2024) examination. I have read the Information Brochure and filled up the GATE 2024 Application Form myself. I agree to strictly comply with the code of conduct for GATE 2024 examination as detailed in the Information Brochure. I confirm that the information provided by me in this form is correct. I also confirm that I am NOT filling more than one Application Form for myself. If any of the information provided by me is found to be incorrect later, I understand that my candidature for GATE 2024 may be cancelled, before, during, or after the examination, including the time after generation of my GATE 2024 Score Card. Further, I understand that I may be liable for legal action for providing false information. GATE 2024 Examination Body’s decision will be final and legally binding on me. I also understand that GATE is NOT an admission ensuring examination, and qualifying in GATE examination does NOT guarantee admission, scholarship, or a job. GATE 2024 Examination Body shall NOT be liable for any legal obligations arising out of this matter. I am aware that the data provided by me during the application process as well as my GATE results may be shared for admission or recruitment purposes. e-Signature : null Digital Fingerprint : 8f09386c358261e02f90f20da415f326 PROVISIONAL APPLICATION SUBJECT TO PAYMENT