1. Inter 2nd Hall Ticket No :__________________________
Qualifying Exam. Year of (Appearing / Passing) :__________________
Candidate's Name :_________________________Father's Name:______________________
Stream(Engineering/Medical):_________________________
Mobile Number:______________________
Date of Birth:_________________
SSC or 10th Class Hall Ticket No:_______________________
2 Intermediate(Regular/Vocational/CBSE):____________ Your Bridge Course (Yes/No) :_____
Medium of Language to take EAMCET -2014 EXAM (TELUGU/ENGLISH):_________________
10+2 Studies (Govt College/Private College):___________
4 Mother Name:________________________ Date Of Birth :______________________
Gender (Male/Female):______________Birth District :______________________
Aadhar Card No :______________________
5 Cast(OC/BC-A/BC-B/BC-C/BC-D/BC-E/SC/ST):____________
7.Exam Centre :________________
8 Special Category(NCC/PH/VH/HI/OH/CAP/SPORTS/No): _____9 Minority (Yes/No):______
12 SSC (Urban/Rural):________
SSC Hall Ticket No :____________________SSC YEAR OF PASSING :______________
INTERMEDIATE (Urban/Rural):______________
13 ADDRESS :
District : Pin code :____________
Mobile No:______________________E-mail Id :__________________
Study Details: 1 class District :___________ 2 ClassDistrict :__________________3 class District :_____
4 Class District :_______________5 class District :___________ 6 ClassDistrict :__________________
7 class District :___________ 8 Class District :__________9 class District :___________ 10 ClassDistrict _
1st InterDistrict :___________ 2 Inter District :_________________
Fee : 310 Rs/-
Last D :09-04-2015
Exam :14-05-2015
EAMCET ONLINE FORM