Application Form For Admission In To First Year Of B.tech. / Mba Degree Course
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5JNTUH H.T.No.
K K K K K OMMURI PRA
OMMURI PRA
OMMURI PRA
OMMURI PRAT T T T T AP REDD
AP REDD
AP REDDY INSTITUTE OF
AP REDD
Y INSTITUTE OF
Y INSTITUTE OF
Y INSTITUTE OF TECHNOL
TECHNOL
TECHNOL
TECHNOLOGY
OGY
OGY
OGY
OMMURI PRA
AP REDD
Y INSTITUTE OF
TECHNOL
OGY
(Approved by AICTE, New Delhi and Affiliated to JNTUH, Hyderabad)
Near Singapore Township, Adjacent to NTPC Power Grid, Ghanpur Gram Panchayat,
Ghatkesar, Ranga Reddy Dist. 500 088. e-mail : info@kpritech.ac.in,
Admn.Office : Sai Pragathi Towers, 3-6-519, Opp. KFC, Himayathnagar, Hyderabad.
APPLICATION FORM FOR ADMISSION IN TO FIRST YEAR OF
B.Tech. / MBA DEGREE COURSE
Affix your latest
Choose the branch of UG / PG Course in which the applicant is seeking admission
passport size
photograph
CIVIL
EEE
MECH
ECE
CSE
MBA
1. Name of the candidate_____________________________________________________
( As per SSC )
2. Gender______________ 3. Date of Birth _______________4. Caste_______________
6. Religion ________________ Annual Income __________________________________
5. e-mail _______________________________________Mobile No. (Student) ________________________
7. Programme: B.Tech. / MBA / M.Tech. 8. Course ________________ 9. Level : PG / UG
10. Date of Joining ______________11. Admitted to : Convenor/Management 12. Roll No. ________________
13. SSC H.T.No. _________________________ 14. SSC % ______________ 15. Year of Pass ___________
14. Intermediate %_________________ 15. Year of Pass__________ 16. Marks obtained in Groups :
Maths : ___________ Physics : _________________
Chemistry : _______________
17. Degree % ______________ 18. % of Marks in Groups : _______________________________________
16. Reserve Category _________________________ 17. Is Physically Handicapped ____________________
18. EAMCET / ECET / ICET H.T.No._________________19. EAMCET / ECET / ICET Rank _______________
20. Sports & Extracurricular activities, if any _____________________________________________________
21. Identification Marks 1.____________________________________________________________________
2.___________________________________________________________________
22. Mother’s Name __________________________23. Father’s Name _______________________________
25. Occupation & Office Address ______________________________________________________________
_____________________________________________Office Phone No. _____________________________
24. Telephone No. (Parent) : Land Line (with STD code) ___________________________________________
26. Parent address for Communication _________________________________________________________
_________________________________________________________________________________________
_________________________________________________Mobile No._______________________________
26. Remarks _____________________________________________________________________________
_________________________________________________________________________________________
SIGNATURE OF GUARDIAN
SIGNATURE OF FATHER
SIGNATURE OF MOTHER
DATE :
SIGNATURE OF THE CANDIDATE
FOR OFFICE USE ONLY
Date of admission _____________________ College Roll No. / Hall Ticket No. _______________________
Principal
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