TIRUMALA IIT & MEDICAL ACADEMY | AVAGAHANA SADASSU 2024 REGISTRATIONS FOR 6th

AVAGAHANA SADASSU

>RAJAHMUNDRY

TYPE OF ADMISSION

STUDENT SURNAME

STUDENT LAST NAME

STUDENT AADHAAR CARD NUMBER

FATHER'S NAME

FATHER'S OCCUPATION

MOTHER'S NAME

MOTHER'S OCCUPATION

GENDER

SEEKING ADMISSION INTO :

DATE OF BIRTH

NATIONALITY

RELIGION :

CASTE

RESERVATION CATEGORY (IF ANY) :

OTHER RESERVATIONS CATEGORY (IF ANY) :

DETAILS OF THE SCHOOL STUDENT LAST STUDIED

SCHOOL NAME

PLACE

BOARD

% OF MARKS / GRADE IN FINAL / PRE-FINAL EXAM

PERMANENT POSTAL ADDRESS

D.NO / FLAT NO :

APARTMENT / STREET :

VILLAGE / TOWN / CITY

LANDMARK

AREA / MANDAL

STATE

DISTRICT

PINCODE

EMAIL ID

WHATSAPP NUMBER

MOBILE NUMBER 1 YOU'LL GET OTP TO THIS NUMBER

MOBILE NUMBER 2

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