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Https Sche.ap.Gov.in EAPCET Eapcet EAPCET PrintApplicationForm.aspx Flag=KhCnKuHe6g4zVfXjuGluNoK660W59afA8bBQHVoJ a0NvevPGso4kLpLSV47FM58I5sQDCHB3vP6iF05E6mnvT1rZOkYLUnAcTpKphcmLGxdANF5H8GHQWrbe4MxKN0M

1. This document contains the application form for the AP EAPCET 2021 entrance exam for Devireddy Venkata Mukesh Babu. 2. It provides his personal details like name, father's name, date of birth, category, address, contact details, education history and preferences for exam center locations. 3. He is applying for the Agriculture & Pharmacy stream, has paid the application fee of Rs. 606.37 online and provided his signature, photo and left thumb impression as required for the application.

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Ramu Kakumanu
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118 views1 page

Https Sche.ap.Gov.in EAPCET Eapcet EAPCET PrintApplicationForm.aspx Flag=KhCnKuHe6g4zVfXjuGluNoK660W59afA8bBQHVoJ a0NvevPGso4kLpLSV47FM58I5sQDCHB3vP6iF05E6mnvT1rZOkYLUnAcTpKphcmLGxdANF5H8GHQWrbe4MxKN0M

1. This document contains the application form for the AP EAPCET 2021 entrance exam for Devireddy Venkata Mukesh Babu. 2. It provides his personal details like name, father's name, date of birth, category, address, contact details, education history and preferences for exam center locations. 3. He is applying for the Agriculture & Pharmacy stream, has paid the application fee of Rs. 606.37 online and provided his signature, photo and left thumb impression as required for the application.

Uploaded by

Ramu Kakumanu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1.

Stream # : Agriculture & Pharmacy


2. (a) Qualifying Examination : INTERMEDIATE (REGULAR) REGISTRATION NO. :
(b) Qualifying Exam Hall Ticket No.(Latest) # : 2112228437 A11124911745
(c) Year of App./Passing the Qualifying Exam : 2021
(d) Medium of Instruction at Qualifying Exam : English
(e) Urdu Translation : NO
(f) Place of Study - Intermediate or Equivalent : Urban
(g) Bridge Course Hall Ticket No. (if any) :

3. (a) Candidate's Name # : DEVIREDDY VENKATA MUKESH BABU


(b) Father's Name # : DEVIREDDY VENKATA SURESH BABU
(c) Mother's Name : DEVIREDDY VENKATA SUDHA
(d) Date of Birth (as per SSC or Equivalent) # : 11/01/2004
(e) Birth State, Birth District : ANDHRA PRADESH - YSR KADAPA
(f) Gender : Male
4. Category # : OC
5. Local Area
: SVU
6. (a) Non-Minority / Minority : Non-Minority
(b) Minority Category : N.A
7. Annual Income of the Parents (Rs.) : Below One Lakh
8. (a) Study Details

Class-6 YSR KADAPA Class-7 YSR KADAPA


Class-8 YSR KADAPA Class-9 YSR KADAPA
Class-10 YSR KADAPA Inter 1st year / Equivalent YSR KADAPA
Inter 2nd year / Equivalent YSR KADAPA
(b) 10+2 Studies : OTHER PRIVATE JUNIOR COLLEGES
(c) Place of Study - SSC or Equivalent : Urban
(d) SSC Hall Ticket Number & Year of Passing : 1922114016 , March - 2019
9. (a) Address for Correspondence : H NO 8-2-207, VENKATAIAH NAGAR,
BADVEL, CUDDAPAH,
ANDHRA PRADESH, 516227
(b) Contact Telephone Number (Mobile) : 9490444939
(c) E-Mail Id
:
[email protected]

(d) Aadhar Card number / Enrolment number : 658060649234


10. Test Centre Preferences
Districts Preference - 1 Preference - 2 Preference - 3
YSR KADAPA Kadapa Proddatur Rajampet
11. (a) Fee particulars - Payment through : ONLINE
(c) Amount (in Rs.)
:
606.37

(b) Payment Reference Id. : P1114415758E


# These fields CANNOT be edited by candidate. It will be
done by Convener, AP EAPCET - 2021 Office (email to [email protected]), subject
to thorough verification of the Valid
Documents and Approval by the Committee.

Remaining fields can be edited by the candidate during the permitted period.

Declaration : 1) I have carefully gone through the instruction booklet and I am conversant with
the instructions. I shall abide by the eligibility conditions
and other regulations
to be satisfied for appearing at the entrance test and admission into any course
prescribed. Further, I assure that, I
will not involve in any malpractise or illegal
activities in the entrance test. In case, I have furnished any false information
or involved in
any malpractise or illeagal activities, I am liable for punishment
as per the existing law.
2) I am responsible for the corrections of the above details filling by me
and the CONVENER AP EAPCET-2021 is not responsible in
anyway.

Date : 25/07/2021 09:59 AM

SIGNATURE and LEFT HAND THUMB impression of the candidate to be done in the presence
of the Invigilator on
the day of Examination in the Examination Hall
Affix a recent color
photograph (3.5 cmX3.5 cm)
SIGNATURE OF THE CANDIDATE
and get attested by a
in the presence of the Invigilator
Gazetted Officer
or the Left Thumb Impression
Principal of the College
where studied (Well in
advance BEFORE
EXAMINATION)

Note : 1) The candidate has to submit this form in the Examination Hall to the Invigilator.
2) Candidates are not allowed into the Examination Hall even if they are LATE BY A MINUTE.
3) The candidate does not have option of choosing specific date / session to appear for the AP EAPCET-2021 entrance examination. This
information is known to him / her only after downloading Hall Ticket. For any reason if the candidate fails to appear in the given slot,
he/she is treated as absent.
4) This is computer Generated sheet and does not require the signature of the CONVENER, AP EAPCET-2021

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