ICET - 2014

INTEGRATED COMMON ENTRANCE TEST

Conducted by Kakatiya University, Warangal on behalf of APSCHE

Application Number

82913
8291327

Filled In Online Application Form.

andidate Details KANCHERA SITHA : MAHA LAKSHMI :KANCHERA KASIMA KANCHERA :VENKATESWARA RAO :30 / 07 / 1994 :Female :ANDHRA PRADESH :Krishna : 1) A MOLE ON RIGHT :HAND SECOND FINGER 2) A MOLE ON RIGHT : ARM

Photo and Signature

andidates Name

Mothers Name

athers Name

ate of Birth ender irth State irth District adhar Card Number/ nrollment No. :

dentification Marks

Qualifying :B.Com. xamination ear of Passing/App. the :Appearing ualifying Exam all Ticket Number of : ualifying Exam ercentage of Marks : lace of study of Degree :Urban r Equivalent egional Center for :35-Vijayawada ppearing the test ategory :BC-A ocal Area Status :AU SC or Equivalent SC Board :AP SSC - Regular SC Hall Ticket No :0913122351 SC Year of Passing :03 / 2009 SC Place of Study :Rural on-Minority / Minority :Non-Minority pecial Category : nnual Income Of the :Below one Lakh

arents ddress for orrespondence

:D NO 1-73-1 GOLLANA PALLI GANNAVARAM KRISHNA 521101 ANDHRAPRADESH :9014282752

Mobile No. and line with STD ode -Mail rangakodali@gmail.com Maths in Intermediate / : egree ntermediate Place of :Rural tudy ayment Details mount Paid :Rs.250.00 ayment made through :mee Seva (e-Seva) ransaction ID :E060360464 Help Line Centres refered Help Line VIJAYAWADA, entre KRISHNA District