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    Eamcet Application

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    kjsr1330

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    © All Rights Reserved
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    Eamcet Application

    Uploaded by

    kjsr1330
    3 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    3 views1 page

    Eamcet Application

    Uploaded by

    kjsr1330

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    1. Stream # : Engineering & Pharmacy


    2. (a) Qualifying Examination : INTERMEDIATE (REGULAR) REGISTRATION NO. :
    (b) Qualifying Exam Hall Ticket No.(Latest) # : 2414222027 A1410998514F
    (c) Year of App./Passing the Qualifying Exam : 2024
    (d) Medium of Instruction at Qualifying Exam : English
    (e) Urdu Translation : NO
    (f) Place of Study - Intermediate or Equivalent : Urban
    (g) Bridge Course Hall Ticket No. (if any) :

    3. (a) Candidate's Name # : KOTHA JASWANTH SAI REDDY


    (b) Father's Name # : KOTHA ANJI REDDY
    (c) Mother's Name : KOTHA RENUKA DEVI
    (d) Date of Birth (as per SSC or Equivalent) # : 30/10/2006
    (e) Gender : MALE
    4. Category # : OC
    5. Local Area : AU
    6. (a) Non-Minority / Minority : Non-Minority
    (b) Minority Category : N.A
    7. Annual Income of the Parents (Rs.) : Below Rs 1 Lakh
    8. (a) Study Details :

    Class-6 Palnadu Class-7 Palnadu


    Class-8 Palnadu Class-9 Palnadu
    Class-10 Palnadu Inter 1st year / Equivalent Krishna
    Inter 2nd year / Equivalent Guntur
    (b) 10+2 Studies : OTHER PRIVATE JUNIOR COLLEGES
    (c) Place of Study - SSC or Equivalent : Urban
    (d) SSC Hall Ticket Number & Year of Passing : 2214118288 , April - 2022
    9. (a) Address for Correspondence : 4-62, CHEEKATIGALAPALEM,
    VINUKONDA, Palnadu,
    ANDHRA PRADESH, 522647
    (b) Contact Telephone Number (Mobile) : 7013676204 (c) E-Mail Id : [email protected]
    (d) Aadhar Card number / Enrolment number : 982512209868
    10. Test Centre Preferences
    Preference - 1 Preference - 2 Preference - 3
    GUNTUR - Guntur PALNADU - Narasaraopeta PRAKASAM - Ongole
    Preference - 4 Preference - 5 Preference - 6
    PRAKASAM - Markapuram BAPATLA - Chirala BAPATLA - Bapatla
    11. (a) Fee particulars - Payment through : ONLINE (c) Amount (in Rs.) : 617.70
    (b) Payment Reference Id. : P14119475946
    # These fields CANNOT be edited by candidate. It will be done by Convener, AP EAPCET - 2024 Office (email to [email protected]), subject to thorough verification of the Valid Documents and Approval by the
    Committee.
    Remaining fields can be edited by the candidate during the permitted period.

    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 malpractise or illegal activities in
    the entrance test. In case, I have furnished any false information or involved in any malpractise or illeagal activities, I am liable for punishment as per the existing law.
    2) I am responsible for the corrections of the above details filling by me and the CONVENER AP EAPCET - 2024 is not responsible in anyway.
    Date : 21/03/2024 12:01 PM

    SIGNATURE and LEFT HAND THUMB impression of the candidate to be done in the presence of the Invigilator on the day of
    Examination in the Examination Hall
    Affix a recent color photograph SIGNATURE OF THE CANDIDATE
    (3.5 cmX3.5 cm) and get attested in the presence of the Invigilator
    by a Gazetted Officer or the Left Thumb Impression
    Principal of the College where
    studied (Well in advance
    BEFORE EXAMINATION)

    Note : 1) The candidate has to submit this form in the Examination Hall to the Invigilator.
    2) Candidates are not allowed into the Examination Hall even if they are LATE BY A MINUTE.
    3) The candidate does not have option of choosing specific date / session to appear for the AP EAPCET - 2024 entrance examination. This information is known to
    him / her only after downloading Hall Ticket. For any reason if the candidate fails to appear in the given slot, he/she is treated as absent.
    4) This is computer Generated sheet and does not require the signature of the CONVENER, AP EAPCET - 2024

    1 of 1 3/21/2024, 12:02 PM

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