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ELURU COLLEGE OF ENGINEERING AND TECHNOLOGY :: ELURU

Department of Electronics & Communication Engineering


STUDENT BIO-DATA FORM

Personal Information
Name
Regd.No
Departme
Date
of
nt
Gender
Birth
Caste
Email Id

MALE

Affix a
Recent
Color
Passport
size
Photograph

FEMALE
Religio
n

Educational Details
B.Tech
Year
10 th

Year of
Passing
%

Year of joining: %

Year of
Passing
Subject Names

Reg: R07/ R10

No of Backlogs
Inter/Diploma
(If Any)

I Year I Sem
I Year II Sem
II Year I Sem:
II Year II Sem:
III Year I Sem:
III Year II Sem:
IV Year I Sem:
IV Year II Sem:
Fathers/Guardians Name:
If Guardian type of Relationship:

Address for Communication


Line 1

Contact Details:

Line 2

Mobile Number(Parent)

Street No

Mobile Number(Parent)

City/Town

Mobile
Number(Student)

District

Land Line Number

Pin Code

Student

Faculty In-Charge

Head of the Dept