APPLICATION FOR ADMISSION INTO CALENDAR YEAR 2012 BATCH:

*Course Applied
:
District
:
*Choice of Study Centre
:
Name of the Candidate and Father's Name (CAPITAL LETTERS ONLY) as per SSC or its equivalent examination / Notary
*Name of the Candidate
:
   
Please mention weather the student name is same in SSC and lower degree. 
*Father's Name
:
*Sex
:
*Marital Status
:

*Date of Birth as per SSC
(dd/mm/yyyy)

:
        age 
*Reservation Category
:
*Religion
:
*Nationality
:
Details of Qualifying Examination Passed :
*Qualifying Exam Passed
:
*Year of Passing
:
*Regd. No.of Qulifying Exam
:
*Group Subjects
:
*Name of the Board / University
 
Address for Communication
*C/o
:
Door No. / House No.
:
Street/Village
:
*Mandal/Town
:
*District
:
*Postal Code
 
*Phone
(if any) STD Code
:
Mobile No.
(If any)
 
 
*Current E-mail
:
Fee Particulars
*Fee Particulars / Pay Type
:
   
*D.D.No / J.No.
:
   
*Date of Issue(dd/mm/yyyy)
:
   
Amount Payable
:
   
Amount
:
   
*Name of the Issuing Bank
:
   
Are you already joined in any other courses in CDE, ANU
:
 
If Yes, Course ( Candidate should not in more than one course at a time )
:
 
UNDERTAKING

I here by undertake to abide by the rules, regulations and stipulations of CDE, ANU and I am aware that the legal jurisdiction in respect of all legal matters arising out of my Admission for any course, examinations or any other issues, is restricted to the university head quarter. Guntur only. I further agree that the courts/consumer forum outside the Guntur will have no jurisdiction.

I further state that, I shall abide by the regulations of the Centre / University incorporated in the Prospectus and also those issued from time to time during the course of my study. I also declare and state that all the particulars furnished in the Admission Form are true and correct to the best of my knowledge and if any information is found to be contrary to the rules, my admission shall stand cancelled and I am liable for penal action as the CDE, ANU deems fit. As such I will not any claims for refund of fees.

 

 
 
 
 
 
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