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The document is an application form for the PGLCET LL.M. 2-Years Course, detailing the candidate's personal information, educational background, and examination details. The candidate, Madiraju Sireesha, has a qualifying examination percentage of 55% and is registered under the BC_D category. The application includes payment information and preferences for regional test centers in Hyderabad.

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0% found this document useful (0 votes)
16 views

Download

The document is an application form for the PGLCET LL.M. 2-Years Course, detailing the candidate's personal information, educational background, and examination details. The candidate, Madiraju Sireesha, has a qualifying examination percentage of 55% and is registered under the BC_D category. The application includes payment information and preferences for regional test centers in Hyderabad.

Uploaded by

Snehitha manda
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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1. Stream/Course : PGLCET LL.M. 2-YEARS COURSE


2. (a) Qualifying Examination : LL. B. (3 YDC) REGISTRATION NO. : 2512951623
(b) Qualifying Exam Hall Ticket No # : 512174601071
(c) Year of Appearance/Passing the Qualifying Exam : 2015
(d) Medium of Instruction at Qualifying Exam : English PAYMENT REFERENCE ID. :
(e) Percentage Of Qualifying Exam : 55.00 TGP251610141C6
(f) Name of the University/Board : DNR COLLEGE ASSOCIATION
(g) Mode of Study : REGULAR
3. Medium of Test : English
4. (a) Candidate's Name # : MADIRAJU SIREESHA
(b) Father's Name # : MADIRAJU MANGAPATHI RAO
(c) Mother's Name # : MADIRAJU VARALAXMI
(d) Date of Birth (as per SSC or Equivalent) # : 23/06/1986
(e) Gender : FEMALE
5. (a) Category # : BC_D
(b) EWS(Economically Weaker Section) : NA
(c) EWS Certificate Number : NA
6. (a) Special Reservation Category : NA
(b) PH (Physically Challenged) : NO
(i) a) Blindness and low vision : NO
(ii) b) Deaf and hard of hearing : NO
(iii) c) Locomotor disability including cerebral : NO
palsy, leprosy cured,dwarfism, acid attack
victims and muscular dystrophy
(iv) d) Autism, intellectual disability, specific : NO
learning disability and mental illness
(v) e) Multiple disabilities from amongst persons : NO
under ;clauses (a) to (d) including deaf-
blindness in the posts identified for each
disabilities
(c) Scribe : NA
(d) Sadaran No : NA
: Local ( OU Area i.e, Telangana State)
7. Area of Reservation
8. (a) Non-Minority / Minority : NON-MINORITY
(b) Minority Category : N.A
9. Annual Income of Parents Rs (Latest Certificate) : Below One Lakh
10. (a) Study Details
Class-6 BHADRADRI KOTHAGUDEM Class-7 BHADRADRI KOTHAGUDEM
Class-8 BHADRADRI KOTHAGUDEM Class-9 BHADRADRI KOTHAGUDEM
Class-10 BHADRADRI KOTHAGUDEM Inter 1st year / Equivalent BHADRADRI KOTHAGUDEM
Inter 2nd year / Equivalent BHADRADRI KOTHAGUDEM Degree OTHER STATE
LLB OTHER STATE
(b) SSC Hall Ticket Number & Year of Passing # : 0714924 , June - 2002
(c) Inter Hall Ticket Number & Year of Passing # : 071978505 , June - 2007
11. (a) Address for Correspondence : FLAT NUMBER 207, SECOND FLOOR TNR VAISHNOVI
MAANAS APARTMENT, SAROOR NAGAR ROAD,
KRISHNA NAGAR COLONY, BAHADURGUDA LB
NAGAR,,
OPPOSITE TO RAGHAVENDRA TIFFINS, LB NAGAR,
HYDERABAD, RANGA REDDY,
TELANGANA, 500074
(b)Contact Telephone Number (Mobile)# : 6302576147 (c) E-Mail Id : [email protected]
(d) Aadhaar Card number : 743711984508
12.Regional Test Centre Preferences
Preference - 1 Preference - 2 Preference - 3
Hyderabad East(I) Hyderabad South East (III) Hyderabad West (IV)
13. (a) Fee particulars - Payment through : ONLINE
(b) Payment Reference Id. : TGP251610141C6
(c) Amount (in Rs.) : 1100.00
(d) Payment Date and Time : 14/04/25 11:56AM
(e) Application Submission Date and Time : 14/04/25 1:13PM

# - These Fields CANNOT be edited by the candidate, but request can be made to the CONVENER, TG LAWCET & TG PGLCET-2025 via email to [email protected] by attaching
Application Form and necessary proofs. The remaining fields can be edited by the candidate during the permitted period. For any details, Contact 9908021100.
Declaration : I have carefully gone through the detailed notification, 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 malpractice or illegal
activities in the entrance test. In case, I have furnished any false information or involved in any malpractice or illegal activities, I am liable for punishment as per the
existing law. I am responsible for the correctness of the above details filled in by me and the CONVENER, TG LAWCET & TG PGLCET - 2025 is not responsible in any
way. Mere appearing for the entrance examination does not confer any right for me to take admission.

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14/04/2025 01:13 PM
Date :
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
Thumb Impression
Affix a recent color photograph
(3.5 cmX3.5 cm) and get attested by a Gazetted SIGNATURE OF THE CANDIDATE in the
Officer or the Principal of the College where presence of the Invigilator
studied
(Well in advance BEFORE EXAMINATION)

Note : 1) ALL the candidates have 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) This is computer Generated sheet and does not require the signature of the CONVENER, TG LAWCET & TG PGLCET-2025

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