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Indian Institute of Technology Delhi: Form "A" Application

This document contains an application form for GANNAVARAPU SUHAS ASHOKA VARDHAN to the Indian Institute of Technology Delhi. The form includes personal details such as name, date of birth, contact information, as well as academic details including degrees earned and percentages/scores. It also lists family details for parents including contact information. The applicant declares that all information provided is true and correct.

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184 views2 pages

Indian Institute of Technology Delhi: Form "A" Application

This document contains an application form for GANNAVARAPU SUHAS ASHOKA VARDHAN to the Indian Institute of Technology Delhi. The form includes personal details such as name, date of birth, contact information, as well as academic details including degrees earned and percentages/scores. It also lists family details for parents including contact information. The applicant declares that all information provided is true and correct.

Uploaded by

Suhas Avg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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INDIAN INSTITUTE OF TECHNOLOGY DELHI

FORM "A" APPLICATION

Personal Details

Name of Student GANNAVARAPU SUHAS ASHOKA Entry Number 2019SMT6669


VARDHAN
Date of Birth 24-08-1995 Gender Male (M)
Blood Group O+ Adhaar Number 277473984332
PAN Number BKYPG3593B Nationality India
Person with No Email [email protected]
Disability
Mobile No. 9490012233 Full/ Part Time Full-Time
Bank Account No Emergency 8008001819
(SBI,IITD) Contact No.

Emergency 8-4-300/3, 3/1 & 3/A/Tower - Guardian's


Address 2/2203, Name
Vasavi Brindavanam, Erragadda,
Hyderabad, Telangana 500018
Status Code OTH (Others)

Correspondence Address Permanent Address

Address 8-4-300/3, 3/1 & 3/A/Tower - Address 8-3-167/R/101/T1, Surabhi


2/2203, Nest,
Vasavi Brindavanam, Erragadda Rajeev Nagar, Yousufguda
Post
Country India Country India
State Telengana State Telengana
City Hyderabad City Hyderabad

Parent's Personal Details

Father's Name Occupation Aadhaar No. PAN No. Contact Email Office Address
G Subba Rao Private 800800181 100gsr@gmai
Employee 9 l.com

Mother's Name Occupation Aadhaar No. PAN No. Contact Email Office Address
G Sandhya Rani Homemaker 994908289 msrani35@g
6 mail.com
Academic Record

Degree Institute Name Discipline Name Exam Percen score Max


Year tage Score
ME/MTech - Master JNTUH College of Signal 2018 78.15 1016 1300
of Engineering Hyderabad Processing
Engineering/Techn
ology
BE/BTech/BArch - JNTUH College of ECE 2018 79.92 3936 4925
Bachelor of Engg. Engineering Hyderabad
/Tech./Arch
Higher Secondary Sri Chaitanya Co-Op Science (MPC) 2013 93.80 938 1000
(10+2) or Education Junior Kalasala
equivalent
Good Samaritan High SSC 2011 87.67 526 600
School
Hostel Related Information

First Preference : On-Campus Accommodation

Employment Details

Organization Designation From Period To Period Roles Total Pay

I GANNAVARAPU SUHAS ASHOKA VARDHAN Entry No. 2019SMT6669 hereby declare that the information
completed by me on this form is true and correct to the best of my knowledge. I also undertake that in case the
information and documents submitted by me is/are found to be incorrect, my candidature/admission is liable to
be cancelled.

Student Signature

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