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Fresh Application 2023-24 (B.tech)

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Mouli Sai prasad
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23 views

Fresh Application 2023-24 (B.tech)

Uploaded by

Mouli Sai prasad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SWARNANDHRA

COLLEGE OF ENGINEERING & TECHNOLOGY


Seetharampuram, NARSAPUR – 534 280, W.G.Dist., Passport Size
Photo
(SWRN-A2) –B.TECH
JVD FRESH APPLICATION 2023-2024
1. SSC HALL TICKET NO :___________________________________________PASS
YEAR______________
2. NAME OF THE STUDENT (As Per SSC):______________________________________________________________

3. STUDENT AADHAR NO : _____________/_______________/_____________________________________


4. RELIGION : _____________CASTE :_____________ SUB CASTE :_________________________________
5. PARENT OCCUPATION : ___________________________________________________________________
6. STATE : _____________________________DISTRICT :___________________________________________
MANDAL:_________________________________ VILLAGE:_____________________________________
LOCATION: _________________________________________________________WARD No.____________
STREET :______________________________D.No : _______________PIN CODE:_____________________

7. NEAR SACHIVALAYAM PLACE :_________________________________________SACHIVALAYAM CODE:________________

8. MOTHER AADHAR NO : ___________________/_________________/______________________________


9. FATHER AADHAR NO : __________________/_________________/_______________________________
10. STUDENT MOBILE NO: ___________________________ PARENT MOBILE NO _____________________
11. EMAIL ID : _______________________________________________________________________________

12. INTERMEDIATE PERCENTAGE __________________________________ COURSE YEAR : I B.TECH

13. ADMISSION NO: 23A21A BRANCH: ______________________ SECTION(A/B)_________

14. EAPCET HT NO :_____________________________RANK :_______________________________________

15. DATE OF ADMISSION: ______/______/2023 SCHOLARSHIP TYPE : DAY/CAH_________________

16. SACHIVALAYAM CASTE BARCODE NO ____________________________________________________

17. SACHIVALAYAM INCOME BARCODE NO: __________________________________________________


18. MOTHER BANK DETAILS:

NAME OF THE BANK:_____________________________________________________________________

BANK IFSC CODE: ________________________________________________________________________

BANK A/C NO: ____________________________________________________________________________

PLACE OF BANK: _________________________________________________________________________

19. STUDENT SIGNATURE : ____________________________________________________________

*Enclosures (All A4 Size Xerox):1).SSC 2). ALLOTMENT ORDER 3). CASTE & INCOME CERTIFICATE( Sachivalayam only)
4). RICE CARD 5).STUDENT AADHAR & PARENTS AADHAR, 6). MOTHER BANK PASS BOOK

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