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Bcatapp

This document is an application form for seeking admission into Category 'B' seats of the first year B.Tech course for the academic year 2012-13 at G.Narayamma Institute of Technology & Science. The institute offers 6 courses - Electronics & Communication Engineering, Computer Science & Engineering, Information Technology, Electrical & Electronics Engineering, Electronics & Telematics Engineering, and Instrumentation & Control Engineering. The application collects information such as the applicant's name, date of birth, parents' names and status, address, contact details, qualifying exam details, ranks in EAMCET and AIEEE, bank details for DD payment, preferred courses, and signatures of applicant and parent/guardian declaring that the information provided is true

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Madadi Jayapal Reddy
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
46 views1 page

Bcatapp

This document is an application form for seeking admission into Category 'B' seats of the first year B.Tech course for the academic year 2012-13 at G.Narayamma Institute of Technology & Science. The institute offers 6 courses - Electronics & Communication Engineering, Computer Science & Engineering, Information Technology, Electrical & Electronics Engineering, Electronics & Telematics Engineering, and Instrumentation & Control Engineering. The application collects information such as the applicant's name, date of birth, parents' names and status, address, contact details, qualifying exam details, ranks in EAMCET and AIEEE, bank details for DD payment, preferred courses, and signatures of applicant and parent/guardian declaring that the information provided is true

Uploaded by

Madadi Jayapal Reddy
Copyright
© Attribution Non-Commercial (BY-NC)
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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G.

NARAYANAMMA INSTITUTE OF TECHNOLOGY & SCIENCE


AUTONOMOUS OF JNTUH
(FOR WOMEN)
Shaikpet, Hyderabad-500 008.
Application form for seeking Admission into Category B seats
of first year B.Tech course for the academic year 2012-13

COURSES OFFERED

Receipt No.____________________

1.
2.
3.
4.
5.
6.

Dt.__________________

Authorized Signatory

1. Name of the Applicant


(in Block letters as per SSC)

Electronics & Communication Engg., (ECE)


Computer Science & Engineering (CSE)
Information Technology (IT)
Electrical & Electronics Engg., (EEE)
Electronics & Telematics Engg., (ETM)
Instrumentation & Control Engineering (ICE)

Affix latest
passport size
colour
photograph

______________________________________________________

2. Date of Birth (dd-mm-yyyy) : _____________________________________________________________


( As per SSC - Enclose Photocopy)

3. Fathers Name : __________________________

4. Parents residential Status (India / NRI)

Mothers Name : ______________________________

: ________________________________________________

5. Address for Communication : ______________________________________________


(with Pin Code)
______________________________________________
______________________________________________
6. Telephone (With STD code) : _____________________

7.

Mobile No._____________________________

a)

Name of the qualifying examination

: _________________________________________

b)

Name of the junior college / school from


which the student has passed the
Qualifying examination

: _________________________________________

c)

Qualifying Examination passed in the State of

: _________________________________________

d)

Month and Year of passing

: __________________ e) Total Marks : __________________


(Enclose Photocopy of certificate)

8. Rank in EAMCET 2012 (Enclose photocopy) :_________ Rank in AIEEE 2012 (Enclose photocopy):________

9. D.D.No.

Date:

10. Course Applied for (in the order of


Preference-use abbreviation)
:
(Applied courses only will be considered)

Bank & Branch:

a)

b)

c)

d)

e)

f)

DECLARATION
We hereby declare that all the information furnished above is true to the best of our knowledge. We are
aware and give you undertaking that our application form can summarily be rejected if any information
provided is misrepresented.

Signature of the Applicant


Date:

Signature of the Parent / Guardian

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