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DR.K.

V Subba Reddy Institute of Technology (441)


Opp.Dupadu Railway Station, NH-7, Lakshmipuram (Post), Kurnool-518218

DETAILS OF THE STUDENTS

1. PIN NUMBER:
2. FIRST NAME:
3. LAST NAME:
4. FULL NAME:
5. CONVENER/MANAGEMENT:
6. ALLOTED SEAT IN COUNSELLING: I: II: III
7. FATHER NAME:
8. FATHER OCCUPATION:
9. FATHER ANNUAL INCOME:
10. MOTHER NAME:
11. D.O.B OF STUDENT:
12. CASTE: RELIGION: SUB CASTE:

13. CEEP HALL TICKET NO:

14. SSC HALL TICKET NO:


15. ADDRESS:

16. MOBILE NUMBER OF PARENT:


17. MOBILE NUMBER OF STUDENT:
18. STUDENT AADHAAR NUMBER:
19. MOTHER AADHAAR NUMBER:
20. MOTHER BANK ACCOUNT DETAILS:

21. E-MAIL ID OF STUDENT:


22. RATION CARD NUMBER:
23. MOLES OF THE STUDENT AS PER SSC:

Signature of the student

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