4/15/13

Ed. CET -2013

Apply Online

( Read the User guide thoroughly before filling the application)

* Indicates Mandatory Field 2. Methodology Mathematics (as per 10th Class Records) Physical Sciences Biological Sciences Social Studies (as per 10th Class Records) Day : Month : Year : (as per 10th Class Records) Male Female English 3. Photo & Signature

1. Candidate Details (As Per SSC or Equivalent Examination) Candidate's Name Mother's Name Father's Name Date of Birth Gender

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For Upload Photo 4. Test Medium English

5. Qualifying Examination (Click the appropriate Circle) B.A. B.Sc. B.Sc.Home Science Year of Passing B.Com. BBM BCA P.G.in relavent subject Other Degree Qua.Exam. Place of Study Hall Ticket No. of Qualifying Exam. % of Marks Secured Muncipality / Corporation Rural Appearing Passed

Telugu Urdu

For Upload Signature

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8. Local Area Status 6. City Center for appearing the test

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AU OU 7. Category OC BC-C SC BC-A BC-D ST BC-B BC-E 9. Minority Non-Minority Minority 11.Seeking Admission under Special Category PH NCC Visual Hearing Ortho CAP Sports SVU Non-Local

10. Address for Correspondence House No. (or) C/o Street / Locality / Village Mandal / Town / City District Pin Code State Contact Telephone Number (mobile) Telephone Number (Landline) Email

12. Annual Income of the Parents in (Rs) Below one Lakh Between one Lakh and two Lakhs More than two Lakhs

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13. SSC or Equivalent (10th Class) SSC Board Hall Ticket No. Passed Year SSC Place of Study Muncipality / Corporation Rural

14. Declaration I have carefully gone through the instruction booklet and I am conversant and 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 activity in the entrance test. In case, I have furnished any false information or involved in any malpractice or illegal activity, I know that, I am liable for criminal action as per the existing law.. I accept the Terms & Conditions.

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Ed. CET -2013

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