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1/9/13

AICTE

Application Form
Fields with * are mandatory

Personal Details
*Full Name of the Candidate *Category *Father Name SANDEEP KUNAL GENERAL SANJAY KUMAR SINGH

Signature *Mother Name GEETA SINGH

*Date of Birth *Email-id *Mobile No *Gender

23 Jan 1989 s.kunal230189@gmail.com 9900780200 Male

Address
*Address Line1 Address Line2 Address Line3 *Pincode *State/Province *City *Landline No *Nationality *Religion *Physical Disability Flat No 101,Six con apartments Ejipura signal Bangalore 560005 Karnataka Bangalore 91-99007802 INDIAN HINDU No

*Type of Disability

No

Preferred Test Cities


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1/9/13 *Preferred City1 *Preferred City2 *Preferred City3

AICTE Bangalore Mysore Hyderabad

Preferred Test Dates


*Preferred Exam Date1 *Preferred Exam Date2 *Preferred Exam Date3 24 Feb 2013 23 Feb 2013 22 Feb 2013

Qualification Details
*10 + 2 Year *Bachelors Degree *Graduation Percentage *Year of Qualifying Exam *Qualifying Degree *Qualifying University 10th + SSC (CBSE) Complete 72.00 2011 B.Tech Indian Institute of Information Technology

C opyright AIC TE 2012

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