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1. Name of the Candidate
2. Father’s Name
3. Mother’s Name
4. Correspondence Address
District State
Country PIN
5. Permanent Address
District State
Country PIN
6. Phone Number with STD code (Essential) Mobile No.
E-mail
7. Date of Birth : Day Month Year
8. Application Fee details (in case of downloaded form) :
DD No.________________ Bank_________________ Amount________________ Date___________
9. Academic Record
APPLICATION NO.
ADITYAGROUPOFENGINEERING&PHARMACYCOLLEGES
ADMISSION FORM
Aditya Nagar, ADB Road, SURAMPALEM, E.G.Dist., Andhra Pradesh.
Contact : +91 99632 76660, +91 8978276668 Fax : 0884-2376664
E-mail : info@aditya.ac.in Website : www.aditya.ac.in
Affix Your
recent
coloured
Photograph
here
B.Tech. Programme (Mark in the box)
CSE IT ECE EEE Civil ME PT
Session : 20 - 20
UNDERTAKING FOR ADMISSION :
In case I am admitted : I Undertake that I will make all the payments as laid down by the concerned institute from time to time.
I solemnly declare that the information provided by me in the admission form is correct and I have not concerned any facts. I
undertake to abide by all the rules and instructions of the University and the institute. I am taking admission in the institute
provisionally at my own risk and responsibility subject to the confirmation on of my eligibility by the University. If at any stage I am
declared ineligible and my admission is cancelled under the University rules, I will have no claim for it. I undertake not to take part
in Ragging, Act of indiscipline or any unlawful activities whatsoever directly or indirectly.
________________________ __________________
Sign. of the Parents/Guardian Sign.of the Candidate
Date:______________ Date:_____________
Enclosures :
1) Copy of Certificate of X & XII standard Marksheet. 2) Copy of marksheet of B.A./B.Sc./B.Com. for Management Programmes
3) Four passport size photographs (colour) 4) Migration Certificate 5)Transfer Certificate
Mgmt. Programme (Mark in the box)
BBM BBA MBA MCA
NBAAccredited
Approved by AICTE
Affiliated to JNTUK
XII
Exam Passed Year PCM Percentage Aggregate Division/CGPA
B.A./B.Sc./B.Com
Pharmacy Programme (Mark in the box) : B.Pharm M.Pharm Pharm.D

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Admission Application - Aditya Educational Institutions

  • 1. 1. Name of the Candidate 2. Father’s Name 3. Mother’s Name 4. Correspondence Address District State Country PIN 5. Permanent Address District State Country PIN 6. Phone Number with STD code (Essential) Mobile No. E-mail 7. Date of Birth : Day Month Year 8. Application Fee details (in case of downloaded form) : DD No.________________ Bank_________________ Amount________________ Date___________ 9. Academic Record APPLICATION NO. ADITYAGROUPOFENGINEERING&PHARMACYCOLLEGES ADMISSION FORM Aditya Nagar, ADB Road, SURAMPALEM, E.G.Dist., Andhra Pradesh. Contact : +91 99632 76660, +91 8978276668 Fax : 0884-2376664 E-mail : info@aditya.ac.in Website : www.aditya.ac.in Affix Your recent coloured Photograph here B.Tech. Programme (Mark in the box) CSE IT ECE EEE Civil ME PT Session : 20 - 20 UNDERTAKING FOR ADMISSION : In case I am admitted : I Undertake that I will make all the payments as laid down by the concerned institute from time to time. I solemnly declare that the information provided by me in the admission form is correct and I have not concerned any facts. I undertake to abide by all the rules and instructions of the University and the institute. I am taking admission in the institute provisionally at my own risk and responsibility subject to the confirmation on of my eligibility by the University. If at any stage I am declared ineligible and my admission is cancelled under the University rules, I will have no claim for it. I undertake not to take part in Ragging, Act of indiscipline or any unlawful activities whatsoever directly or indirectly. ________________________ __________________ Sign. of the Parents/Guardian Sign.of the Candidate Date:______________ Date:_____________ Enclosures : 1) Copy of Certificate of X & XII standard Marksheet. 2) Copy of marksheet of B.A./B.Sc./B.Com. for Management Programmes 3) Four passport size photographs (colour) 4) Migration Certificate 5)Transfer Certificate Mgmt. Programme (Mark in the box) BBM BBA MBA MCA NBAAccredited Approved by AICTE Affiliated to JNTUK XII Exam Passed Year PCM Percentage Aggregate Division/CGPA B.A./B.Sc./B.Com Pharmacy Programme (Mark in the box) : B.Pharm M.Pharm Pharm.D