Layout Parent's :

Text in a Box

STUDENT ADMISSION FORM

Note :

Application is to be filled by the candidate.
Read the Prospectus befiore filling up the application.
Application which are incomplete, Wrongly Filled and received after the last date will be rejected.
Strike off whichever is not applicable.

Photo Upload

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera

Group Applied for : (copy)

Medium Applied for :

Second Language Applied for :

Name of Candidate in Block Letters (as entered in SSC/or Equivalent Certificate :

Name of the Mother in Block Letters (as entered in SSC/or Equivalent Certificate : (copy)

Name of the Father / Guardian in Block Letters (as entered in SSC/or Equivalent Certificate : (copy) (copy)

Present Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Permanent Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone/Cell No.

Parent's Occupation :

Family Annual Income Rs :

Date of Birth :

Sex :

Religion :

If others any Specify

Caste :

Caste Category :

Reservation Claim Under Special :

Details of Qualifying Examination :

Examination Passed :

If any other Specify :

Passed as :

Passed in the Month & Year :

Total GPA Obtained :

Medium Passed :

School Last Studied :

Transfer Certificate No :

Date of Transfer Certificate :

Grade Points Details :

Telugu

English

Maths

Science

Social

Hindi

Other

GPA

Identification od Marks :

Aadhar Card No :

Ration Card No :

Bank Details :

Bank Name :

Bank Account No :

IFSC Code :

DECLARATION BY THE APPLICANT

I declare that the particulars stated herein are correct. i solemnly affirm that, if admitted, i will abide by the Rules and Regulations of the College.

Place :_____________________

Date:______________________

Signature of the Applicant

DECLARATION BY THE PARENT / GUARDIAN

I declare that the particulars stated herein are correct. i solemnly affirm that, if admitted, i will abide by the Rules and Regulations of the College.

Place :_____________________

Date:______________________

Signature of the Parent / Guardian