DAMISETTY SRINIVASA NAIDU (D.S.

Naidu) EDUCATIONAL SOCIETY NH-5, Near Industrial Estate, DS Naidu Nagar, SPSR Nellore (Dt)

Presents

DBS INSTITUTE OF TECHNOLOGY, KAVALI Student Information Date:

1. Name of the Student 2. Father Name 3. Occupation 4. Mother Name 5. Address for Communication : : : : :

6. Phone Number (R) 7. Caste 8. Mother Tongue 9. Seat Category 10. Date of Birth 11. Marks Identification 12. EAMCET 13. Branch Looking for CSE ECE

: : : : : : : Hall Ticket No : : EEE CIVIL

Mobile Numbers Sub Caste Nationality

: : :

Rank :

MECHANICAL

14. Inter Marks / Group Marks / per : 15. REFERENCE Person : : Fee structure and college norms are accepted

Fee Details
I - Year II - Year III - Year IV - Year

Signature of the Student

Signature of the Parent