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Application Form 25011000734

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Raghu Ram cheedella
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62 views2 pages

Application Form 25011000734

Uploaded by

Raghu Ram cheedella
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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B.

TECH APPLICATION FORM 2025 (PHASE-1)


APPLICATION NO : 25011000734

Program And Campus Preference


SRMIST, MAIN CAMPUS
Campus Program COMPUTER SCIENCE AND Specialization
(KATTANKULATHUR, CYBER SECURITY
Preference 1 Preference 1 ENGINEERING Preference 1
CHENNAI)
ELECTRONICS AND VLSI AND
Campus SRM UNIVERSITY, AP, Program Specialization
COMMUNICATION EMBEDDED
Preference 2 ANDHRA PRADESH Preference 2 Preference 2
ENGINEERING SYSTEMS
COMPUTER
Campus SRM UNIVERSITY, AP, Program COMPUTER SCIENCE AND Specialization
SCIENCE AND
Preference 3 ANDHRA PRADESH Preference 3 ENGINEERING Preference 3
ENGINEERING

Personal Details
Nationality INDIAN
Category (NRI / PIO / OCI)
OCI/PIO/NRI Number
Have You Studied From India? YES
Student Aadhar No. 658548618520
Full Name (As Per The Qualifying Examination Certificate) NUNNA JAHNAVI
Mobile No. +91-8639988665
WhatsApp Mobile Number +91-7601090019
Email ID [email protected]
Alternate Email ID [email protected]
Date Of Birth 12/12/2007
Gender FEMALE

Family Details
Parent Details : FATHER
Father Mother Guardian
Title MR
Name NUNNA RAVI BABU
Mobile Number +91-9949276483
[email protected]
Email Address
OM

Address Details
Address 2-47 RUDRAVARAM Pin Code : 522403
Country Name : INDIA State : ANDHRA PRADESH District : GUNTUR City: SATTENAPALLE

Academic Details
Current Education Qualification Status : 12TH APPEARING
XII Details : X Details :
Institute Name FIITJEE OXFORD
ANDHRA PRADESH BOARD OF INTERMEDIATE
Board ANDHRA PRADESH BOARD OF SECONDARY EDUCATION
EDUCATION
Mode of Study REGULAR REGULAR
Marking Scheme PERCENTAGE
Percentage / CGPA 95
Year Of Passing 2025 2023
Hall ticket No./Registration No. 2315125415
NO.39-1-57, MG RD, BESIDE PVP MALL, OPPOSITE
Address Of School/College -
KALANJALI, LABBIPET, VIJAYAWADA, ANDHRA PRADESH
NAD ID/Digilocker ID -

Payment Details
Transaction ID 3247124457
Payment Date 20/11/2024
Mode Of Payment

Declaration
I certify that the information submitted by me in support of this application, Is true to the best of my knowledge and belief. I understand that
in the event of any information being found false or incorrect, My admission is liable to be rejected / cancelled at any stage of the program. I
undertake to abide by the disciplinary rules and regulations of the institute.

I hereby declare that I have gone through the eligibility criteria as given in the link below. I am fully aware that, If I do not meet the eligibility
criteria, any provisional admission given to me during the counselling period will be forfeited.
For more information , check - https://www.srmist.edu.in/admission-india/engineering

Applicant Name : NUNNA JAHNAVI


Parent Name : NUNNA RAVI BABU
Date : 20/11/2024

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