Admission Form 2017-18

Applicant Name *   Father's Name *   Mother's Name *   Telephone No. *   Date of Birth *   Place of Birth & District *

Seeking Admission In B.A B.Com BBA B.Sc Address for Communication*   Occupation of Parent/Guardian   Annual Income   Wish to join Hostel    Yes No Adhar Number

Upload Photo * Religion (if Catholic enclose Baptismal Certificate)   Community S.C S.T B.C O.C Other Mother Tongue   Email Id

Intermediate Details

College Name Class Obtained March/September

Marks Obtained Year Registration No.

Jr. Inter Sr. Inter

Year-Month

Part I (English)

Part II (Tel/Hin)

Part III Physics Th     Pr     MAT/BOT Th Pr CHE Th     Pr     ZOO Th Pr

Grand Total

First Language :   English Second Language :   Telugu Hindi Sanskrit

Medium :   Telugu English

Combination wanted under Part III : B.Sc (Maths, Physics & Chemistry) / English & Telugu Medium B.Sc(Chemistry, Botony & Zoology) / English & Telugu Medium B.Sc(Home Science) / English & Telugu Medium B.Sc(Maths, Physics & Computer Science) / English Medium B.Sc(Chemistry, Botony & Industrial Microbiology) / English Medium B.Sc(Maths, Statistics & Computer Science) / English Medium B.Sc(Maths, Electronics & Computer Science) / English Medium B.Sc(Maths, Computer Science, Fashion Designing) / English Medium B.Sc(Maths, Computer Science, Analytical Chemistry) / English Medium B.Com(General) / English & Telugu Medium B.Com(Computer Applications) / English Medium B.A(HPSpl.Telugu) / English & Telugu Medium B.A(HPSpl.English) / English & Telugu Medium B.A(HPEconomics) / English & Telugu Medium B.A(Economics, Spl.Telugu, Travel & Tourism Management) / English Medium

All Degree Students must enroll themselves in one of the three major Co-curricular programmes Give your preference below : 1. N.S.S. National Service Scheme 2. Extra Curricular Activities in School : i) FINE ARTS & LITERARY ACTIVITIES Music Dance Debates Elocution Essay Writing Drama ii) SPORTS & GAMES Atheletics Kho-Kho Badminton Shuttle Basket Ball Tennis Khabadi Volley Ball

Give the names of relatives, if any, of past and present students and Employees of this College.

Name Year Present Position Relationship Present Address with Phone Number

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