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SRI SAI DEGREE COLLEGE - BOBBILI

ANDHRA UNIVERSITY STUDENT ENROLMENT FORM 2016 - 17


Aadhar Card Number
SSC Hall Ticket Number
Student Name [As per SSC]
Father Name [As per SSC]
Mother Name [As per SSC]
Gender [MALE / FEMALE] Date of Birth
1.
Moles:
2.
Religion Nationality
Caste Category [SC/ST/BC-A/BC-B/BC-C/BC-D/BC-E/OC]

Physically Challenged [YES / NO] Type [OH/VH/HH]

Foreign Student [YES / NO ] Special Quota [NCC/Sports]


Address for Communication:
Door No/Street: Village
District State
Pin Code E-Mail ID
Medium [TM / EM] Land Line No:
Mobile No: Second Language TELUGU
Course Type [BSc | B.Com | BA] Group [MPC/MPCS/MSCS/BZC]
10th 10th
10th Board [SSC/CBSE/ICSE/Others]
Percent Year
Inter Board Inter Inter
[BIEAP/CBSE/ICSE/Others] Percent Year
Office Use Only [Write the Temporary
Registration Number]

PHOTO

Sign In The Below


Box With Black
Ball Point Pen