Student Enrollment
Medium:
Telugu
English
Registered No.
Candidate Name
*
Caste Category:
- Select -
Open
BC-A
BC-B
BC-C
BC-D
BC-E
SC
ST
Caste
Physically Challenged
Yes
No
PH Type:
- Select -
OH
VH
HH
Religion:
- Select -
Hindu
Christian
Muslim
Buddh
Jain
Sikh
Others
Father Name
*
Mother Name
*
Mole-1
*
Mole-2
Foreign Student
Yes
No
Nationality
Course:
*
SELECT COURSE
BCOM
BSC
Group:
*
SELECT GROUP
BSC-MPC
BSC-MPCS
BSC-MSTCS
BSC-MECS
BSC-CMBBT
BCOM
Aadhaar Card No.
*
Gender
*
Male
Female
Others
Date of Birth
*
SPECIAL QUOTA
NCC
Sports
Address for Correspondence
Door No./Street:
City/Town/Village
District:
SELECT DISTRICT
VISAKHAPATNAM
VIZIANAGARAM
STATE:
SELECT STATE
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
Pincode
Email ID
Mobile No.
Landline No.
Second Language:
SELECT 2nd LANGUAGE
SANSKRIT
TELUGU
HINDI
URDU
NOT APPLICABLE
Academic Details
SSC Board:
-- Select SSC Board --
SSC
CBSE
ICSE
OTHERS
SSC HallTicket No
SSC Percentage
Year of Passing
Inter Board
--Select--
BIE(AP)
CBSE
ICSE
OTHERS
Inter Percentage
Year of Passing