GOVERNMENT OF TELANGANA TELANGANA STATE COMMON ENTRANCE TEST ONLINE APPLICATION FORM-TSDEECET-2023

Payment Reference No #

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1. Medium 2. Course/Medium Opted 3. Question Paper Medium 4. Optional language for Part II b of the DEECET Paper 5. Qualification

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Preserve the Registration Number for all future correspondence. REGISTRATION NO :

6. Name of the Applicant (As in SSC) 7. Mother's Name 8. Father's Name 9. Date of Birth (SSC or Equivalent) 10.Mobile Number 11. Gender 12. Community 13.If Differently Abled 14(a).If Differently Abled Category 14(b).If Differently Abled Percentage 15(a).Do You Need Scribe 16(a) Non-Minority / Minority 16(b) Minority Category

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17. Identification marks 1 in SSC Certificate	:		17. Identification marks 2 in SSC Certificate	:
18.Do you belongs to Telangana State	:		19. (a) District	:
19. (b) Mandal	:		19. (c) Village/Street/Locality	:
19. (d) House No	:		19. (e) Mandal/Town/City	:
19. (f) District	:		19. (g) State	:
19. (h) Pincode	:		19. (i) Email Id	:
20.Nationality	:		21(a). Do you belongs to NCC Type	:
22. (b) NCC Type Category	:		22. (c) NCC Type Sub Category	:
22. (d) NCC Type Certificate	:		23(a). Do you belongs to Defence Personal	:
23.(b) Defence Personal	:		23.(c) Defence Personal Category	:
23.(d) Defence Personal Sub Category	:		24. Do you belongs to Scouts and Guides	:
25. Scouts and Guides	:		26.Do you belongs to Level Of Game/Sports	:
27.(a)Level Of Game/Sports	:

Note:

28.Educational Details (Regular) :

4th (Class) Residence 1st year 4th (Class) Residence District 1st year 5th (Class) Residence 2nd year 5th (Class) Residence District 2nd year 6th (Class) Residence 3rd year 6th (Class) District 3rd year 7th (Class) Residence 4th year 7th (Class) Residence District 4th year 8th (Class) Residence 5th year 8th (Class) Residence District 5th year 9th (Class) Residence 6th year 9th (Class) Residence District 6th year SSC SSC District Local University You Belongs

28 (1).SSC or it's Equivalent Qualification Passed :

Board Medium Date Of Passing Hall Ticket Number

28 (2).Intermediate or its Equivalent Qualification - Passed:

Appearing / Passed Board Medium Date Of Passing Hall Ticket Number Maximum Marks Marks Obtained Percentage(%)

Center Preference :

Preference - 1 Preference - 2 Preference - 3

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.
Print Date :		Canndidate signature