Government of Andhra Pradesh: Department of School Education On-Line Application Form - Dietcet - 2013

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GOVERNMENT OF ANDHRA PRADESH

DEPARTMENT OF SCHOOL EDUCATION ON-LINE APPLICATION FORM - DIETCET Reference Id : 40206198 1. 2. APPLICATION DETAILS 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
Exam Centre : NALGONDA Course / Medium Opted : TELUGU Name of Applicant : RAMASAHAYAM RANJITH KUMAR REDDY Mother's name : SRILATHA REDDY Father's name : MOHAN REDDY Date of birth : 10-August-1986 Gender : Male Community : OC If Differently Abled(PH) : No

2013

Identification Marks as given in SSC Certificate : 1) A MOLE ON THE FORE HEAD 2) A MOLE ON THE RIGHT TEMPLE Do You Belong to Andhra Pradesh State : Yes Residential Address in Andhra Pradesh : H NO 15-6/2 V T COLONY NAKREKAL

*40206198*

13a. 13b. 13c. 14. 15. 16. 17. 18.


4th/Residence 1st yr
NALGONDA

District : NALGONDA Mandal : Nakrekal Pincode : 508211 Mobile : 9010605041 Religion : HINDU NCC Type : None Defence Personnel : None Level of Game / Sport : None 5th/Residence 2nd yr
NALGONDA

6th/Residence 3rd yr
NALGONDA

19. Education Details 7th/Residence 8th/Residence 4th yr 5th yr


NALGONDA NALGONDA

9th/Residence 6th yr
NALGONDA

SSC/DEGREE
NALGONDA

Local University You Belong : Osmania University Area


20. EDUCATIONAL QUALIFICATIONS 1. SSC or its Equivalent Qualificaton : Board Medium
BOARD OF SECONDARY EDUCATION, ANDHRA PRADESH TELUGU

Language
TELUGU

Date of Passing
08/06/2000

HallTicket No
0537280

2. Intermediate or its Equivalent Qualification: -- Passed Board Medium


ANDHRA PRADESH STATE BOARD OF INTERMEDIATE EDUCATION OTHER

Language
OTHER

Date of Passing
10/05/2002

Percentage
45% and ABOVE

Fee Amount
200

Payment Details Journal Number


EFNG02100040

Payment Date
22/04/2013

I hereby declare that all information furnished by me in this application is true and correct. I undertake to produce the original documents at any moment, 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.

Sd/RAMASAHAYAM RANJITH KUMAR REDDY

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