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Appr
ovedbyAI
CTE,
,
Aff
il
iat
edt
oJNTU,
Hyder
abad)
Chi
lku(
vil
l
age),
Moinabad(Mandal)
RRDi
st-
501504
Phone:
9490773777,9492221222

APPLI
CATI
ONFORM FORBCATEGORYADMI
SSI
ON
Your
B.
TECH /MBA phot
o
ACADEMI
CYEAR2017-
18

Cour
seappl
iedf
or.:

APPLI
CATI
ONNO.KGRCET/
Admi
n/ /
2017-
18

1.
NAMEOFTHECANDI
DATE

2a)
.FATHERNAME

b)Mot
herName

3.DATEOFBI
RTH(ASPERSSCMEMO)

4.ADDRESS:

5.PHONENO: ,
RES:

6EMAI
LID:

7.B.
TECH/MBA BRANCHOPTED

8.JEE/
EAMCETHTNO JEE/
EAMCETRANK

9.
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CETRANKNO

10.I
NTER/DEGREEPERCENTGE SSC/
CBSEPERCENTGE

DATE:

Signat
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gnat
ureofpar
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NOTE:APPLICATI
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DOCUMENTSREQUI
REDFORADMI
SSI
ONI
NTOB.
TECH/MBA

FOR B.
TECH MBA

1.SSC MARKSMEMO 1.
SSC MARKSMEMO

2.I
NTERMARKSMEMO 2.I
NTERMARKSMEMO

3.6thTO10th BONAFI
DE 3.6thTO10th BONAFI
DE

4.I
NTERTC &BONAFI
DE 4.I
NTERBONAFI
DE

5.EAMCETHTNO&RANKCARD 5.I
CCET/
PGECETHTNO&RANKCARD

6. JEERANK/SCORECARD 6.DEGREEMARKSMEMO

7.EQUI
VALENCYCERTI
FICATE 7.DEGREEPROVI SONAL&
8.DEGREETC

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FOROFFI
CEUSE

APPLI
CATI
ONNO-KGRCET/
Admi
n/ /
2016-
17 DT

NAMEOFTHECANDI
ATE S/
O

B.
TECH/MBA BRANCHOPTED

D.
DNO AMOUNT BANK DT

AUTHORI
ZEDSI
GNATURE

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