UG Application Form - 2022

Application No: WOU/2022/B.Tech/33990

Basic Details and Preferences

Course Details
B.TECH - CSE
Course Applying (ARTIFICIAL
B.TECH Specialization
For INTELLIGENCE AND
MACHINE LEARNING)
Personal Details
MUDELLA HARSHINI
Title MISS. Full Name Primary Email ID HARSHINIMUDELLA0810@GMAIL.COM
SAI
Candidate’s Alternate Mobile
Alternate Email ID HARSHINIM2318@GMAIL.COM +91-8309640959 +91-9000510269
Mobile Number Number
Gender FEMALE Date of Birth 08/10/2004 Birth City VISAKHAPATNAM
Disability NO Category OBC Loan Required NO
Intake 2022
Address for Correspondence
Country INDIA State TELANGANA District HYDERABAD
FLAT NO 501, A-
City HYDERABAD Address Line 1 Address Line 2 GOTHICS PRIDE, KUKATPALLY
BLOCK
Is Permanent
Address Same As
Pincode 500090 YES
Address For
Communication?
Permanent Address
Country INDIA State TELANGANA District HYDERABAD
FLAT NO 501, A-
City HYDERABAD Address Line 1 Address Line 2 GOTHICS PRIDE, KUKATPALLY
BLOCK
Pincode 500090
Identity Detail
Identity Type AADHAAR CARD Identity Number 695628756643
Parents details
MUDELLA ANIL
Father's Salutation MR. Father's Name Father's Email ID ANILK1800@GMAIL.COM
KUMAR
Father's Mobile Father's Father's Emp.
+91-8886701244 MBA SELF EMPLOYED
Number Qualification Status
Father's Father's Father's
SOFTWARE ENGINEER
Occupation Designation Organization
Mother's MUDELLA LEELA
MRS. Mother's Name Mother's Email ID LEELACHOKI@GMAIL.COM
Salutation PRASANNA
Mother's Mobile Mother's Mother's Emp.
+91-9000510269 DEGREE NOT APPLICABE
Number Qualification Status
Mother's Mother's Mother's
Occupation Organization Designation
Did you attend a coaching institute to prepare for your UG education? If yes, which one?
Did You Take Any Coaching Institute
NO City
Coaching? Name
Area
Other Details
Consultancy
How did you know Woxsen TAZEEN JAMAL
COLLEGEDUNIA name/Coaching
about us? Representative SIDDIQUI
class
Have you ever
been suspended,
dismissed or put
on academic NO
probation/warning
in your school or
college?

Please provide reasons

Have you ever
been
charged/convicted
of any disciplinary NO
crime at work
place (or) any
court of law?

Please Provide Reasons

Academics & Entrance Test Score

Entrance Test Score
Woxsen Aptitute Test
Test Status TEST YET TO BE TAKEN Test Type WOXSEN JEET Test Date
Registration
33990 Test Score Overall Percentile
Number
Academic Information
Higher Secondary Academic Details

School/Institute Name Board Year of Passing Marking Scheme Obtained Percentage / CGPA
COUNCIL OF INDIAN SCHOOL CERTIFICATE
10th ST ANN'S HIGH SCHOOL 2020 PERCENTAGE 77
EXAMINATION (CISCE/ICSE)

Senior Secondary Academic Details

School/Institute Name Board Stream Year of Passing Marking Scheme Obtained Percentage / CGPA
12th SRI CHAITANYA JUNIOR COLLEGE OTHER|SSC SCIENCE 2022 PERCENTAGE 63

Upload Details
Upload Details

Upload Your Recent

Upload 10th Marksheet Upload 12th Marksheet
Passport Size YES YES
: :
Photograph :

SOP(Statement of Entrance Exam Test

YES NO Upload Portfolio : NO
Purpose) : Score Card/Marksheet :

Declaration
Declaration
I HEREBY DECLARE THAT THE INFORMATION PROVIDED HEREIN AND IN THE DOCUMENTS APPENDED HEREWITH, IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND NOTHING HAS
BEEN FALSELY STATED OR CONCEALED THEREIN. I UNDERSTAND THAT IF THE SAID INFORMATION AS GIVEN BY ME IS PROVED TO BE FALSE, MY APPLICATION OR ADMISSION WILL BE REVOKED.

Applicant Name MUDELLA HARSHINI SAI Parent Name MUDELLA ANIL KUMAR Date 27/07/2022
checkbox I AGREE