Bed Applicationform

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4/21/23, 7:21 PM about:blank

1. Test Medium : ENGLISH & TELUGU


2. (a) Qualifying Examination# : BA REGISTRATION NO. : 3311243072
(b) Qualifying Exam Hall Ticket No # : 0991544047
(c) Year of App./Passing the Qualifying Exam : 2019

3. (a) Candidate's Name # : M MOUNIKA


(b) Father's Name # : M SHEKAR
(c) Mother's Name # : M KRISHNAVENI
(d) Date of Birth (as per SSC or Equivalent) # : 15/07/1996
(e) Birth State, Birth District : TELANGANA - MAHABUBNAGAR
(f) Gender : Female
4. (a) Category # : BC_D
(b) EWS(Economically Weaker Section) : NO
(c) EWS Certificate Number : NA
5. Local Area : Osmania University(OU)
6. (a) Non-Minority / Minority : Non-Minority
(b) Minority Category : NA
7. Special Reservation Category
(a) National Cadet Corps (NCC) : NO
(b) Children of Armed Personnel (CAP) : NO
(c) Sports & Games : NO
(c) Physically Challenged(PH) # : NO
(d) Visually Handicapped (VH) : NO
(e) Hearing Impaired (HI) : NO
(f) Orthopedically Handicapped (OH) : NO
(g) Do you Require Scribe : NO
(h) Sadaram No : NA
8. Annual Income of the Parents (Rs.) : Below One Lakh
9. (a) Study Details
Class-6 WANAPARTHY Class-7 WANAPARTHY
Class-8 WANAPARTHY Class-9 WANAPARTHY
Class-10 WANAPARTHY Inter 1st year / Equivalent WANAPARTHY
Inter 2nd year / Equivalent WANAPARTHY Degree WANAPARTHY
PG NA
(b) SSC Hall Ticket Number & Year of Passing : 1140112950 May - 2011
(c) Inter Hall Ticket Number & Year of Passing : 1317215296 May - 2013
(d) Percentage Of Qualifying Exam : 68.00
(e) Do you have PG Degree : NO
(f) Percentage Of PG Degree :
10. (a) Address for Correspondence : HNO 2-84, KESHAMPET,
REVALLI, WANAPARTHY,
TELANGANA, 509206
(b) Candidate's/Students's Mobile.No. # : 8019484838
(c) e-mail Id # : [email protected]
(d) Aadhaar Card number : 523025035296
11. Regional Test Centre
Preference - 1 Preference - 2 Preference - 3 Preference - 4
Hyderabad South East (3) Hyderabad North (2) Hyderabad East (1) Warangal
12. (a) Fee particulars - Payment through : ONLINE (c) Amount (in Rs.) : 750.00
(b) Payment Reference Id. : TSP331246340B3
# - These Fields CANNOT be edited by the candidate, but written request can be made to the CONVENER of TS Ed.CET 2023 or email to [email protected]
Remaining fields can be edited by the candidate during the permitted period. For any details contact at 9666684011 / 6281583046.
Declaration : 1) I have carefully gone through the instruction booklet and I am conversant with the instructions. I shall abide by the eligibility conditions and other regulations to
be satisfied for appearing at the entrance test and admission into any course prescribed. Further, I assure that, I will not involve in any malpractice or illegal
activities in the entrance test. In case, I have furnished any false information or involved in any malpractice or illegal activities, I am liable for punishment as per
the existing law.
2) I am responsible for the corrections of the above details filled by me and the CONVENER TS Ed.CET-2023 is not responsible in anyway.
Date : 21/04/2023 07:21 PM
Note : 1) This is computer generated sheet and does not require the signature of the CONVENER, TS Ed.CET-2023

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