APPLICATION FORM

 

  1. RollNo(Block Letters):*

  2. EAMCET Hall Ticket No:*

  3. EAMCET Rank:*

  4. Name of the Student (Block Letters):*
  5. (as per S.S.C. / Matriculation)

  6. Father's Name (Block Letters):*

  7. Mother's Name (Block Letters):*


CURRENT ADDRESS

STATE

 

PHOTO

H.No/Plot No

Nationality

Street

Religion

Village/Post

Category

Mandal

Sub cast

District

Any Other

State

Management seat


  • Permanent Address:*

  • Student Mobile No:*

  • Father Mobile No:*

  • Mother Mobile No:*

  • Student E-mail:*

  • Father E-mail:*

  • Aadhar No:*

  • Occupation of Parent / Guardian: *

  • Details of Institutions where studied and examinations passed:

  • Examination

    Year of Passing

    Institution Attended

    Board / Univ.

    % of Marks

    S.S.C.

    Intermediate / +2


  • Date of Birth:

  • Branch:

  • Gender(M/F):

  • Hostel Facility: