|
COURSE OFFERED
1.
ELECTRICAL & ELECTRONICS
ENGINEERING
2.
ELECTRONICS & COMMUNICATION
ENGINEERING
3.
COMPUTER SCIENCE & ENGINEERING
4.
INFORMATION TECHNOLOGY
5.
MASTER OF COMPUTER APPLICATION
|
 
1.
______________________________________________________
2.
______________________________________________________
3.
______________________________________________________
4.
______________________________________________________ |
| |
Name of the Candidate |
: ______________________________________ |
| |
(Block Letters)
(As in S.S.C./ Equivalent)
|
|
| |
Fathers Name
(Block Letter) |
:
______________________________________ |
| |
Date of Birth
(DD/MM/YY) |
DD ___________ MM
_________ YY___________ |
| |
Place Birth
|
:
______________________________________
City/Town State
Country |
| |
|
|
| |
Sex (Male /
Female) |
:
______________________________________
|
| |
Case &
Category
|
:
______________________________________
|
| |
Address for
Communication and Telephone Number |
:
______________________________________ |
| |
|
|
| |
Permanent
Address |
:
______________________________________
: ______________________________________
: ______________________________________
: ______________________________________ |
| |
|
|
| |
Identification
Marks |
1. :
______________________________________
2. : ______________________________________ |
| |
|
|
| |
|
|
| |
Community
|
:
______________________________________ |
| |
|
|
| |
Nationality
|
|
| |
|
|
| |
Mother Tongue
|
|
| |
|
|
| |
Do you belong
to which: |
|
| |
|
|
| |
Are you seeking
admission Under NRI/Local/Non-Local |
|
| |
|
|
| |
|
|
| |
Details of Father /
Guardian |
|
| |
|
|
| |
a)
Name |
|
| |
|
|
| |
b)
Relationship |
|
| |
|
|
| |
c)
Educational Qualification
|
|
| |
|
|
| |
d)
Name of the organization work
place |
|
| |
|
|
| |
e)
Designation |
|
| |
|
|
| |
f)
Total Annual Income
(From All Sources) |
|
| |
|
|
| |
|
|
16.
Academic Details:
|
Class |
School /
College where studied |
Year of
passing |
Division |
Total marks
obtained |
Date of
Joining |
Date of
Leaving |
Duration of
study |
|
Inter / 10+2 |
|
|
|
|
|
|
|
|
S.S.C or Equivalent |
|
|
|
|
|
|
|
|
IX |
|
|
|
|
|
|
|
|
VIII |
|
|
|
|
|
|
|
|
VII |
|
|
|
|
|
|
|
|
VI |
|
|
|
|
|
|
|
DECLARATION BY THE CANDIDATE
I do here by solemnly and
sincerely affirm and state that:
-
The particulars furnished above are
true to the best of my knowledge and belief.
-
No information has been suppressed
either willing or unwilling
-
Rules and regulations of the
Institution will be followed scrupulously without any reservation
-
Under no circumstances I will act
against the interest of the Institution and her objectives
-
I will keep away my self from any
political activities what so ever may be.
Date:
Signature of the candidate
XI. List
of Applicants
Admission will be made by the CONVENOR
EAMCET-AC(SW-II). So there will be not be any list of applicants at
institutional level.
XII. Results
of Admission:
As per Rank obtained in EAMCET the Convenor will give admission
|