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APPLICATION FORM

Student name : S Chinmay kumar

Mobile number : 8977497535

Email : chinmykumaar@gmail.com

Date of birth : 24-05-2006

Aadhaar card : 100010001001

Gender : Male

Father name : S Nagarjun

Father mobile number : 9948398557

State / District / Office / Pincode : Telangana , Hyderabad , Hyderabad , 500089

Application Amount Payment Exam Date and


Course Exam State and Center
# (Rs) date Slot

Telangana
B.Tech. Computer Science and 07-01-2024
2024006283 1200 04-01-2024 GITAM Hyderabad -
Engineering 10.00 AM
Campus

VISAKHAPATNAM | HYDERABAD | BENGALURU | GIMSR

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