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8/3/2019 PG Application Form

Dr. B.R. AMBEDKAR OPEN UNIVERSITY


HYDERABAD, TELANGANA, INDIA
Recognised by UGC and Distance Education Bureau (DEB)

PG FIRST YEAR ONLINE ADMISSION REGISTRATION FORM - 2019-20


Application Number
Application No. : 104075495 Date & Time of Registration : : 03-08-2019 & 7:35:00

Candidate Details
1. Candidate Name : YADLA VENKATA SATYA SEKHAR
2. Father Name : YADLA MANIKYAM
3. Mother Name : YADLA SANTHA KUMARI
4. Date of Birth : 22-05-1991
5. Gender : Male
6. Religion : Hindu
7. Social Status : SC
8. Physically Challenged : None
9. Marital Status : Unmarried
10. Employment Status : Unemployed
11. Area of Residence : Urban

Communication Details
12. House No. : 6-158/16 SARASWATHI NILAYAM
13. Street/Colony/Village : SAI PRIYA GARDENS
14. Mandal/Town/City : MADHURAVADA
15. District : VISAKHAPATNAM Affix Your Passport
16. State : ANDHRA PRADESH Size Photograph
17. Pincode : 530048
18. Mobile No. : 8121577888
19. Email Id : satyasekhar88@gmail.com

20. Programme Applied : MSc PSYCHOLOGY


21. Medium of Study : English
20. Study Centre Opted : 019 : VISAKHAPATNAM : DR.VS KRISHNA GOVT.DEG.COLLEGE.
23. Educational Qualification : B.E/B.Tech
23.University : Jawaharlal Nehru Technological University, Kakinada
22. Marks Secured : 3262 Maximum Marks : 5350 Percentage : 60.97%

For MBA Candidate Only


ICET Hallticket No. : -- ICET Rank : --

Fee to be Paid
23. Tuition Fee : Rs.7400 /- 24. Late Fee : Rs.0 /-
25. Total Fee : Rs.7400 /-

Signature of Student Signature of Jr.Asst/Sr.Asst/Co-ord.

Note : Please bring this Application Form along with the Original documents for verification and their Photocopies for submisssion at the Study
Centre.

Original 10th Standard Memo or Equivalent and the Photocopy of the same.
Original Degree Passed Certificate/Marks Memos and Photocopy of the same. MBA Candidates Must bring ICET Rank Card(2018) along with the Hallticket.
Caste Certificate in case of SC/ST/BC and the Photocopy of the same.
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https://www.braouonline.in/PG/Application/PG_FY/PG_First_Year.aspx# 1/1

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