ICET - 2013

INTEGRATED COMMON ENTRANCE TEST

Conducted by Kakatiya University, Warangal on behalf of APSCHE

Filled In Online Application Form.

1.Candidate Details
Candidate s Name
Mother s Name
Father s Name
Date of Birth
Gender
Identification Marks
2.Qualif ing E amination
Year of Passing/App. the qualifying Exam
Hall Ticket Number of Qualifying Exam
Percentage of Marks
Place of study of Degree or Equivalent
3.Regional Center for appearing the test
4.Category
5.Local Area Status
6.SSC or Equivalent
SSC Board
SSC Hall Ticket No
SSC Year of Passing
SSC Place of Study
7.Non-Minority / Minority
8.Special Category
9.Annual Income Of the Parents
10.Address for Correspondence

Mobile No.
Land line with STD Code
E-Mail
11.Maths in Intermediate / Degree
Intermediate Place of Study
12.Pa ment Details
Amount Paid
Payment made through
Transaction ID

This is not a Hall Ticket

Preserve Registration Number for all
future correspondance...

Registration No : 123789
: NANDYALA KRISHNA VAMSI
: N BHARATHI
: N SUBRAMANYAM
: 23 / 08 / 1993
: Male
: 1) A MOLE ON THE LEFT TEMPLE
: 2) A MOLE ON THE LEFT ARM
: B.Sc.
: Appearing
:
:
: Urban
: Kurnool
: BC-D
: SVU
: AP SSC - Regular
: 0665889
: 03 / 2008
: Urban
: Non-Minority
:
: Below one Lakh
: 29/178/29-2-A-16
SBI COLONY
NANDYAL
KURNOOL
518502
ANDHRA PRADESH
: 8099430726
krishnavamsi467@gmail.com
: Yes
: Urban
: Rs.250.00
: Credit / Debit Card
: 2020458170000

12.Photo and Signature