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1. Stream #
: Engineering (E)
2. (a) Qualifying Examination
(b) Qualifying Exam Hall Ticket No.(Latest) #
(c) Year of App./Passing the Qualifying Exam
(d) Medium of Instruction at Qualifying Exam
(e) Urdu Translation
(f) Place of Study - Intermediate or Equivalent
(g) Bridge Course Hall Ticket No. (if any)
3. (a) Candidate's Name #
(b) Father's Name #
(c) Mother's Name
(d) Date of Birth (as per SSC or Equivalent) #
(e) Birth State, Birth District
4. Category #
5. Local Area
6. (a) Non-Minority / Minority
(b) Minority Category
7. Annual Income of the Parents (Rs.)
8. (a) Study Details
VISHNUBHOTLA SRIRAMA KUMAR
VISHNUBHOTLA LAKSHMI NARASIMHA MURTHY
ANDHRA PRADESH - GUNTUR
More than Two Lakhs
REGISTRATION NO. :
Inter 1st year / Equivalent
Inter 2nd year / Equivalent
(b) 10+2 Studies
(c) Place of Study - SSC or Equivalent
(d) SSC Hall Ticket Number & Year of Passing
9. (a) Address for Correspondence
(b) Contact Telephone Number (Mobile)
(d) Aadhar Card number / Enrolment number
10. Test Centre Preferences
OTHER PRIVATE JUNIOR COLLEGES
1612108018 , March - 2016
DOOR NO. 23-33-15, VANAPALAVARI STREET, NEAR AMALI
ANDHRA PRADESH, 520011
(c) E-Mail Id : firstname.lastname@example.org
Preference - 1
Preference - 2
11. (a) Fee particulars - Payment through
(b) Payment Reference Id.
Preference - 3
(c) Amount (in Rs.) : 559.00
# These fields CANNOT be edited by candidate. It will be done by Convener, AP EAMCET - 2018 Office (email to email@example.com), subject to thorough verification of the Valid Documents and Approval by the
Remaining fields can be edited by the candidate during the permitted period (i.e 08.04.2018 to 12.04.2018). For any details contact 0884-2340535 (or) 2356255
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 EAMCET-2018 is not responsible in anyway.
09/04/2018 07:10 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
(3.5 cmX3.5 cm) and get attested
by a Gazetted Officer or the
Principal of the College where
studied (Well in advance
SIGNATURE OF THE CANDIDATE
in the presence of the Invigilator
Left Thumb Impression
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 EAMCET-2018 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 EAMCET-2018
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