sei2019 ‘Admissions 2019 - RGUKT Basar Rajiv Gandhi University of Knowledge Technologies - Basar Application for Admission into 6-Year Integrated B.Tech Program - 2019 Personal and Family Details Application 1D: | RGU2019TSB001630 | Hall Ticket No: | 1911110044 Full Name: | BOLLA BINDHU Date of birth: 2003-06-13 Father's Name:|BOLLA PRABHAKAR | Mother's Name: | BOLLA SUNITHA | Gender: | Female Category: | BC-D Mobile: | 9866963139 Email: | bollaprabhakar79@mallicom Local Area: | Telangana State: | Telangana Address: District: | Warangal Rural Mandal: | Nekkonda 314-523 Mother Tongue: | Telugu Religion: | Indian - Hindu VINAYAKNAGAR LANE 1, Are you a Physically | No Reservation |No KUC ROAD, Hendicapped(P#) under HANAMKONDA, Person: CAP(Childern of TELANGANA, armed 506001 Personnel) Reservation under | No Reservation |No Sports under NCC? Whether your application consider under unfilled seats of Global Category? : Yes X Standard School Details Whether SSC or | Yes Board: | TSSSC equivalent exam, attempted first time? ‘School Management: | Government School Type: | Residential Residential X class district: | Warangal (Rural) ‘School Name: | TS RESIDENTIAL SCHOOL GIRLS NEKKONDA DECLARATION [hereby declare that al the particulars furnished in this application are true, correct and complete to the best of my knowledge and belief, In the event of any information being found false or incorrect or ineligibility, action can be initiated against me by the RGUKT - Basar. sd/- BOLLA BINDHU 2019-05-02 List of Certificates to be enclosed: ‘A copy of this printout along with the following attachments : Should be posted to : > TS/AP Online payment receipt / Online payment receipt ‘The convener, > Copy of X class HallTicket, Study Certificates from IV to X class and Residence UG Admissions 2019, certificate RGUKT, Basar, > Copy of Income certificate (if eligible) Nirmal District, > Copy of Caste reservation certificate (if eligible) ‘Telangana State - 504107 > Copy of Special Categories (PH/CAP/NCC/Sports) certificates (if eligible)