TS EAMCET-2023 ONLINE APPLICATION REQ.

DATA

1. Inter 2ND Year HTNO.___________________________________Id.no.___________________

2. Student Name:__________________________________________________________________

3. Date of Birth (As per SSC):_______________________

4. Parent Mobile No.1:________________________ Mobile No.2:__________________________

5. Email(any):____________________________________________________________________

6. Category: OC / BC-A/ BC-B/ BC-C/ BC-D/ EWS/SC/ST Subcaste:____________

7. Aadhar Card No.:_____________________________________________________

8. Birth State:______________________________Birth District:____________________

9. Non-Minority / Minority: (Muslim/Christian/Other Minority):__________________
10. Address for Communication.
H.No (or) C/O:___________________________________________________________

Street/ Locality/Village: ___________________________________________________

Mandal/Town/City: ______________________________________________________

District: ____________________________ Pin code: ___________________________

11. SSC HTNO.:__________________________________

12. Please write the District name where you study in school level with Class wise
Class-1 Class-2 Class-3 Class-4 Class-5

Class-6 Class-7 Class-8 Class-9 Class-10

13. SSC MEMO XEROX COPY

14. AADHAR CARD XEROX COPY
15. EWS/ SC / ST Students CASTE CERTIFICATE XEROX