Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

6/7/23, 3:08 PM BITSAT 2023 Application Form :: Bits, Pilani

Print
Birla Institute of Technology & Sciences, Pilani
BITSAT-2023
ONLINE APPLICATION FORM - SESSION 2

Application Number: 23123909

Personal Details :

Full Name : ROHITH PARIKI

Gender : MALE

Date of Birth : 17-MAR-2006

Father's Name : PARIKI SADANANDAM

Mother's Name : PARIKI SUVARNA

Father's Mobile No : 9493123108

Nationality : INDIAN

Email-Id : parikisada@gmail.com

Address : H.NO. 6-3-252/1/1,FLAT NO 401, FORTUNE


HABITAT,OPP: MORE MEGA STORE,
ERRAMANZIL COLONY
ERRAMANZIL
HYDERABAD

City : HYDERABAD - 500082

State : TELANGANA

Land line no. : 9493123108

Mobile No. : 9493123108


Academic Details :
Name of the Institution : NARAYANA COLLEGE
Examination : 12th CLASS (or) ITS EQUIVALENT
Name of Examination : BOARD OF INTERMEDIATE EDUCATION, TELANGANA - INTERMEDIATE
Board EXAMINATION [TSBT]

Year of Passing : 2023


Subject selected for Part IV : MATHEMATICS
of BITSAT
Test Center Preferences : Preference 1 : HYDERABAD CITY
Preference 2 : HYDERABAD CAMPUS OF BITS
Preference 3 : VIJAYAWADA

Payment Details:-  Application Fee already Paid

Declaration: I hereby declare that all particulars given in this application form are true to the best of my knowledge
and belief. I have read and understood all the instructions for appearing in BITSAT-2023. I shall abide by the terms
and conditions of BITSAT-2023.

* Do not post this application to BITS, Pilani.

bitsat.cbexams.com/bitsat2023applys2old/printAppform.aspx?skey=BITS1686130720842FDINTERNATIONAL1686130720842APPLICATION168… 1/1

You might also like