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    Apeapcet Kausar

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    Pathan Kausar
    This document contains the registration details of a candidate named Pathan Kausar for the AP EAPCET 2021 entrance exam. It provides her personal details like name, father's name, date of birth, address, contact information, category, annual family income, education details, test center preferences and payment details. It also includes a declaration signed by the candidate agreeing to abide by exam rules and regulations.

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    © All Rights Reserved
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    Apeapcet Kausar

    Uploaded by

    Pathan Kausar
    47 views1 page
    This document contains the registration details of a candidate named Pathan Kausar for the AP EAPCET 2021 entrance exam. It provides her personal details like name, father's name, date of birth, address, contact information, category, annual family income, education details, test center preferences and payment details. It also includes a declaration signed by the candidate agreeing to abide by exam rules and regulations.

    Original Title

    APEAPCET KAUSAR

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    This document contains the registration details of a candidate named Pathan Kausar for the AP EAPCET 2021 entrance exam. It provides her personal details like name, father's name, date of birth, address, contact information, category, annual family income, education details, test center preferences and payment details. It also includes a declaration signed by the candidate agreeing to abide by exam rules and regulations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    47 views1 page

    Apeapcet Kausar

    Uploaded by

    Pathan Kausar
    This document contains the registration details of a candidate named Pathan Kausar for the AP EAPCET 2021 entrance exam. It provides her personal details like name, father's name, date of birth, address, contact information, category, annual family income, education details, test center preferences and payment details. It also includes a declaration signed by the candidate agreeing to abide by exam rules and regulations.

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    7/13/2021

    1. Stream # : Engineering & Pharmacy


    2. (a) Qualifying Examination : INTERMEDIATE (REGULAR) REGISTRATION NO. :
    (b) Qualifying Exam Hall Ticket No.(Latest) # : 2104243653 A111156279DF
    (c) Year of App./Passing the Qualifying Exam : 2021
    (d) Medium of Instruction at Qualifying Exam : English
    (e) Urdu Translation : NO
    (f) Place of Study - Intermediate or Equivalent : Urban
    (g) Bridge Course Hall Ticket No. (if any) :

    3. (a) Candidate's Name # : PATHAN KAUSAR


    (b) Father's Name # : PATHAN NAVAB KHAN
    (c) Mother's Name : PATHAN FATHIMA
    (d) Date of Birth (as per SSC or Equivalent) # : 25/07/2003
    (e) Birth State, Birth District : ANDHRA PRADESH - WEST GODAVARI
    (f) Gender : Female
    4. Category # : OC
    5. Local Area
    : AU
    6. (a) Non-Minority / Minority : Minority
    (b) Minority Category : Muslim
    7. Annual Income of the Parents (Rs.) : Below One Lakh
    8. (a) Study Details
    Class-6 WEST GODAVARI Class-7 WEST GODAVARI
    Class-8 WEST GODAVARI Class-9 WEST GODAVARI
    Class-10 WEST GODAVARI Inter 1st year / Equivalent WEST GODAVARI
    Inter 2nd year / Equivalent WEST GODAVARI
    (b) 10+2 Studies : OTHER PRIVATE JUNIOR COLLEGES
    (c) Place of Study - SSC or Equivalent : Urban
    (d) SSC Hall Ticket Number & Year of Passing : 1911129285 , April - 2019
    9. (a) Address for Correspondence : 2-129, DARBHAGUDEM,
    JEELUGUMILLI MANDAL, WEST GODAVARI,
    ANDHRA PRADESH, 534456
    (b) Contact Telephone Number (Mobile) : 8919617316
    (c) E-Mail Id
    :
    [email protected]

    (d) Aadhar Card number / Enrolment number : 668334944240


    10. Test Centre Preferences
    Districts Preference - 1 Preference - 2 Preference - 3
    WEST GODAVARI Eluru Tadepalligudem Bhimavaram
    11. (a) Fee particulars - Payment through : ONLINE
    (c) Amount (in Rs.)
    :
    606.37

    (b) Payment Reference Id. : P11128969057


    # These fields CANNOT be edited by candidate. It will be
    done by Convener, AP EAPCET - 2021 Office (email to [email protected]), subject
    to thorough verification of the Valid Documents and Approval by the
    Committee.

    Remaining fields can be edited by the candidate during the permitted period.

    Declaration : 1) I have carefully gone through the instruction booklet and I am conversant with
    the instructions. I shall abide by the eligibility conditions and other regulations
    to be
    satisfied for appearing at the entrance test and admission into any course
    prescribed. Further, I assure that, I will not involve in any malpractise or illegal
    activities in
    the entrance test. In case, I have furnished any false information
    or involved in any malpractise or illeagal activities, I am liable for punishment
    as per the existing law.
    2) I am responsible for the corrections of the above details filling by me
    and the CONVENER AP EAPCET-2021 is not responsible in anyway.

    Date : 13/07/2021 12:28 PM

    SIGNATURE and LEFT HAND THUMB impression of the candidate to be done in the presence
    of the Invigilator on the day of
    Examination in the Examination Hall
    Affix a recent color photograph
    SIGNATURE OF THE CANDIDATE
    (3.5 cmX3.5 cm) and get attested
    in the presence of the Invigilator
    by a Gazetted Officer
    or the Left Thumb Impression
    Principal of the College where
    studied (Well in advance
    BEFORE EXAMINATION)

    Note : 1) The candidate has to submit this form in the Examination Hall to the Invigilator.
    2) Candidates are not allowed into the Examination Hall even if they are LATE BY A MINUTE.
    3) The candidate does not have option of choosing specific date / session to appear for the AP EAPCET-2021 entrance examination. This information is known to
    him / her only after downloading Hall Ticket. For any reason if the candidate fails to appear in the given slot, he/she is treated as absent.
    4) This is computer Generated sheet and does not require the signature of the CONVENER, AP EAPCET-2021

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