Degree (BBCIT) Application
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Course:
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Preference 1:
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Preference 2:
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Preference 3:
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First Name:
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Last Name:
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Father's Name:
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Mother's Name:
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Gender:
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Male
Female
Date of Birth:
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Parent Contact No:
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Student Contact No:
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Email-id:
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Nationality:
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Select Nationality
Indian
AADHAAR Number:
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Category:
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Select Category
General
ST
SC
OBC
BC - A
BC - B
BC - C
BC - D
BC - E
Others
Second Language:
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Hindi
Telugu
Sanskrit
Postal Address:
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State
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City
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Pin Code
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Profile Image (jpg only):
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Education Qualification
Class
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School
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Board
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Year
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Grade/Percentage(%)
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Medium
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Certificate (pdf only)
X
Select Medium
English
Telugu
Hindi
Urdu
Others
XII
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English
Telugu
Hindi
Urdu
Others
Special Category (if you claim seat under special category give the following particulars)
Games/Sport
Represented At
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Dist Level
State Level
National Level
International Level
National Cadet Corps (NCC)
No of Camps Attended(A)
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A1
A2
A3
B1
B2
B3
C1
C2
C3
No of Camps Attended(B)
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A4
A5
A6
B4
B5
B6
C4
C5
C6
Ex Servicemen Details
Ex Servicemen Service
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Died in action / Handicapped
Gallantry Awards
More than 15 years Service
Less than 15 years Service
Whether The Candidate is Physically Challenged
No
Yes
Percentage(%) of disability as certified by competent authority
Admission Registration Fee:
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