APLAWCET & APPGLCET - AY oo
Rory Conducted by SRI KRISHNADEVARAYA UNIVERSITY on behalf of APSCH!
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1. Canvteate Details (As Per SSC oF Equtvalnt Exam
Candidates Name
Gs por Ton class Reccras)
haters Weme
Faners Namie
(Gener 10h Clase Reccrds)
sue efath bey |Mort [year .
Gs por TO ciass RercraS)
nore Nae Female
aevoogee AT
pera eo wiaeeety
‘aua Exam Plate Munsipalty Corporation
ofetioy
Intermediateti a2)
Rual
ee
Ss
House No. (on of0
Skeets Loca iloae
Mandal (Town Ci
Disrit
Pincade
Ste
Contact Teleahone Number nate)
Telephene Number (Lardine)
Emal
(Read the User guide thoroughly before filling the application)
“tnacatos Maresatory Font
APPOLEETEniranve Test 01
admission into 2year CLAM
Course)
APLANOET-SYearstEnirsnes test for
admission inte 5 year 2LILLE. Course)
APLANCET-S YearstEntrsnes test or
admission into 3 year 2 LILLE. Course)
5. Regional Center for
fine
5.Cateuony
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BCA BoA
Bee} Caco BCE
80 st
7, Seeking Aslmissir
Catewory
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Hairtiekoine
Passed Monn |
and Year l
SSC Place or stuey,
unsipainscomoration
Rural
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HalTibwiNo
‘Appoarng
Passa
Passed Nonth
and year
Intermediate Prace at stuty
wuncipaltys Corporation
Rural
Photo & Signaturo
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visual Handicepoed
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tne Haraicapoed
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the Parents in fs)
Belew ane Lakh
Between ane Lakh
angie Lakne
ove tanto Lakhs
‘have earefuty gone th ough the mstvuction booklet anv arn conversant anv shall bide Uy the eighalty corattions and oxhar regulations to be Sasa for
appearing at the entrance test and amission nto course prescribed. lassure that | wil nt involve in any malpractice o legal actatyin the entrance test. In
case, have furnished any false information or involved in ary malpractice or iledal activ, know that, Lam liable for ermal action as ner the existing lav.
Further, adenission if made on the basis ofthe fase infurration provided by me stands cancelled and Iam kale fr legal proceedings.
accep the Terms & Conctions.
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