STUDENT NAME (max 30 characters a-z and A-Z)
FATHER NAME (max 30 characters a-z and A-Z)
DATE OF BIRTH
EMAIL ID
MOBILE NUMBER (10 digit number)
GENDER Male Female
DETAILS OF EAMCET
QUALIFIED Yes No
HALL TICKET NUMBER
RANK
DETAILS OF INTERMEDIATE
HALL TICKET NUMBER
MONTH & YEAR OF PASSING MONTH:       YEAR: 
GROUP SUBJECTS MARKS Total Marks:       Secured Marks:       Percentage: 
TOTAL MARKS Total Marks:       Secured Marks:       Percentage: 
CATEGORY OC BC SC ST
COURSES APPLIED FOR ECE EEE CSE MECH CIVIL       * Enter 1 for first preference, 2 for second and so on.,
REGISTERED BY Candidate ACEM