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    Application FORM 2019

    Uploaded by

    Kishore Tadinada
    1) The document is an application form for 2019 from Mr. Ratna Kishore Tadinada, who is an Indian national with 40% speech and hearing disability. 2) His educational qualifications include 10th grade from Delhi Public School Agra in 2014 with 6.8 CGPA and 12th grade from SRM Junior College Hyderabad in 2017 with 65.3%. 3) His preference for specialization is BTech in ECE with specialization in instrumentation engineering, and his campus preference is SRM IST, Main Campus in Kattankulathur, Chennai.

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    Application FORM 2019

    Uploaded by

    Kishore Tadinada
    55 views2 pages
    1) The document is an application form for 2019 from Mr. Ratna Kishore Tadinada, who is an Indian national with 40% speech and hearing disability. 2) His educational qualifications include 10th grade from Delhi Public School Agra in 2014 with 6.8 CGPA and 12th grade from SRM Junior College Hyderabad in 2017 with 65.3%. 3) His preference for specialization is BTech in ECE with specialization in instrumentation engineering, and his campus preference is SRM IST, Main Campus in Kattankulathur, Chennai.

    Original Description:

    S R M ADMISIION FORM

    Original Title

    srm

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    1) The document is an application form for 2019 from Mr. Ratna Kishore Tadinada, who is an Indian national with 40% speech and hearing disability. 2) His educational qualifications include 10th grade from Delhi Public School Agra in 2014 with 6.8 CGPA and 12th grade from SRM Junior College Hyderabad in 2017 with 65.3%. 3) His preference for specialization is BTech in ECE with specialization in instrumentation engineering, and his campus preference is SRM IST, Main Campus in Kattankulathur, Chennai.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views2 pages

    Application FORM 2019

    Uploaded by

    Kishore Tadinada
    1) The document is an application form for 2019 from Mr. Ratna Kishore Tadinada, who is an Indian national with 40% speech and hearing disability. 2) His educational qualifications include 10th grade from Delhi Public School Agra in 2014 with 6.8 CGPA and 12th grade from SRM Junior College Hyderabad in 2017 with 65.3%. 3) His preference for specialization is BTech in ECE with specialization in instrumentation engineering, and his campus preference is SRM IST, Main Campus in Kattankulathur, Chennai.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION

    FORM 2019
    APPLICATION
    NO:19010437362

    Personal Details :
    Name MR RATNA KISHORE TADINADA
    Mobile No. **************
    Nationality INDIAN
    Social Status GENERAL
    Blood Group AB+
    Email Address ***************@GMAIL.COM
    Date Of Birth 19/10/1998
    Gender MALE
    Alternate Email Address
    Nature Of Deformity : SPEECH AND
    Are you Differently Abled ? YES Percentage Of Deformity : 40 %
    HEARING DISABILITY

    Preference Details
    # Specialization Preference Campus Preference Test City Preference
    B TECH - ECE W/S IN INSTRUMENTATION
    1 SRM IST, MAIN CAMPUS (KATTANKULATHUR, CHENNAI) GHAZIABAD
    ENIGNEERING
    B TECH - ECE W/S IN INSTRUMENTATION
    2 SRM UNIVERSITY, AP, AMARAVATI
    ENIGNEERING
    3

    Address Details:
    Address 14-40-1/2 BANK COLONY Pin Code : 534101
    Country Name : INDIA State : ANDHRA PRADESH District : WEST GODAVARI Town/City: TADEPALLIGUDEM

    Family Details:
    Father Mother
    Name T K V PRASAD T V V SAVITHRI
    Mobile Number
    Email Address

    Educational Details:
    SSC Details (10th) HSC Details (12th) : 12TH COMPLETED
    Institute Name DELHI PUBLIC SCHOOL AGRA S R M JUNIOR COLLEGE HYDERABAD
    Board CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) TELANGANA BOARD OF INTERMEDIATE EDUCATION
    Scheme CGPA OUT OF 10 PERCENTAGE
    Percentage / CGPA 6.8 65.3
    Year Of Passing 2014 2017
    Registration No. 5106927 1761315007

    Payment Details
    Transaction ID 929109918524
    Payment Date 24/04/2019
    Mode Of Payment DD
    Declaration
    I certify that the information submitted by me in support of this application is true to the best of my knowledge and belief. I understand that
    in the event of any information being found false or incorrect, my admission is liable to be rejected/ cancelled at any stage of the program. I
    undertake to abide by the disciplinary rules and regulations of the institute.

    RATNA KISHORE TADINADA

    24/04/2019

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