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PREVIEW APPLICATION FORM

Basic Details

Medium * :

NOTE :

Course/Medium Opted * :

Question Paper Medium * :

Qualification * :

Aadhar Number :

Name of the applicant (Only as in SSC): * :

Mother's Name * :

Father's Name * :

Date of Birth * (dd/mm/yyyy) :

Mobile Number * :

Community *

Gender * :

Minority or Non - Minority* :

If differently abled (Yes or No)* :

Identification Marks 1 in SSC Certificate * :

Do you belongs to Telangana state * :

House No (or) C/O * :

Village/Street/Locality * :

Mandal/Town/City * :

District* :

State* :

Pin Code * :

Email* :

Nationality* :

Do you belongs to NCC Type* :

Do you belongs to Defence Personnel* :

Do you belongs to Level Of Game/Sports* :

Do you belongs to Scouts and Guides* :

Educational Details (Regular)

4th (Class) Residence 1st Year* :

5th (Class) Residence 2nd Year* :

6th (Class) Residence 3rd Year* :

7th (Class) Residence 4th Year* :

8th (Class) Residence 5th Year* :

9th (Class) Residence 6th Year* :

Secondary School Certificate(SSC)* :

Local University you belongs* :

Educational Qualifications :

1.SSC or it's Equivalent Qualification Passed :

Board* :

Medium* :

Date Of Passing * :

Hall Ticket Number * :

2.Intermediate or its Equivalent Qualification - Passed :

Appearing / Passed* :

Board* :

Medium* :

Hall Ticket Number * :

Center Preference :

Center Preference No. 1* :

Center Preference No. 2* :

Center Preference No. 3* :

Photo & Signature *

Declaration:- I here by declare that, all the information furnished by me in this application is true and correct. I undertake to produce the original documents at any point of time, failing which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me apart from cancelling my candidature as it amounts to cheating. I am alone responsible, if any wrong entries are made by me in the application form.