KAVYANJALI DEVI DAMUROTHU Form No : 12441903

Transaction Number: #
KAVYASREE9456@GMAIL.COM Application form fee of Rs.
+91 9392200106 0.00 fully waived as a COVID-
Bachelor of Planning 19 humanitarian measure.
Date: 05 Jun 2024
Campus : Mumbai

PERSONAL DETAILS

Gender : Female
Category :
Date Of Birth : 16/10/2003
Nationality : Indian
Passport : No

Correspondence Address
Permanent Address
For all communication related to your admission.
506, 28B, SANGARSH NAGAR, CHANDIVALI, POWAI, MUMBAI, 15-1, KOTTURU, AGANAMPUDI COLONY, GAJUWAKA, VISAKHAPATNAM, 530046,
Country :INDIA Country :INDIA
Sate :MAHARASHTRA Sate :ANDHRA PRADESH
City :MUMBAI City :VISAKHAPATNAM [VISHAKHAPATNAM]
PinCode :4000072 PinCode :530046

Admission Category : NS
Hostel Accommodation : No

Education Details
It is mandatory to fill all details of educational qualification (as applicable) from class X onwards till last completed semester / year. If the system of
marking of your school / college is on grading pattern, convert grade into marks as applicable and fill in the respective columns. In absence of complete
information, form will be rejected.
Class X

Board Type : STATE

Board Name : BOARD OF SECONDARY EDUCATION ANDHRA PRADESH
Board Roll No : 1938124820
Passing Year : 2019
Aggregate Percentage : 92.00
School Code : 37480
Mark Type : Marks

Class XII

Board Type : OTHERS

Passing Year : 2022
Medium of instruction : English
School Name : GOVERNMENT POLYTECHNIC INSTITUTE, KANCHERAPALEM
City : VISAKHAPATNAM VISHAKHAPATNAM
Pin / Zip Code : 110007
XII Board Name : STATE BOARD OF TECHNICAL ENGINEERING AND TRAINING
Board Roll No : 19009-C-011
Board Admit Card No :
XII Results Declared : No
Marks

Class XII Board Result Details (Provide details of all subjects as in class XII marksheet)

Sno. Subject Marks Marks Out of

1 PHYSICS 0 0
Mark Type :
2 MATHEMATICS 0 0
3 CHEMISTRY 0 0
4 ENGINEERING DRAWING 0 0
5 ENGLISH 0 0

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Family Information

Relationship Father Mother

Name DAMUROTHU PRASADA RAO DAMUROTHU SAROJINI
Age 52 41
Email
Mobile +91 7286986158 +91 9392200106
Qualification School Level School Level
profession
Organisation
Designation
Employment Category SELF-EMPLOYED UNEMPLOYED
Country of Residence INDIA INDIA
Family at Amity - Any of your associated no
with Amity

Other Information

Aadhaar Card No :
Do you suffer from any chronic ailment : No
Have you ever been suspended, dismissed or
No
put on academic probation or warning at any :
school or college?

Extra Curricular

Awards / Achievements Name : No

Employment

Work Sno. Employment Duration Organisation Designation

:
Experience 1 Full Time 08/2023 to 06/2024 TATA PROJECTS LTD ENGINEER

Previously Applied

No
Have you previously applied to Amity? :

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