6/21/2019 PG Application Form

Dr. B.R. AMBEDKAR OPEN

UNIVERSITY
HYDERABAD, TELANGANA, INDIA
Recognised by UGC and Distance Education Bureau (DEB)

PG FIRST YEAR ONLINE ADMISSION

REGISTRATION FORM - 2019-20
Application Number

Application No. : 103956283 Date & Time of 21-06-2019

:
Registration : & 8:30:00

Candidate Details
1. Candidate Name : PALLE LAVANYA
2. Father Name : SARAIAH
3. Mother Name : RAMADEVI
4. Date of Birth : 06-08-1993
5. Gender : Female
6. Religion : Hindu
7. Social Status : BC-D
8. Physically Challenged : None
9. Marital Status : Unmarried
10. Employment Status : Unemployed
11. Area of Residence : Rural

Communication Details
12. House No. : 3-105
13. Street/Colony/Village : BOLONPALLY
14. Mandal/Town/City : NALLABELLY
Affix Your
15. District : WARANGAL RURAL
Passport
16. State : TELANGANA
Size Photograph
17. Pincode : 506349
18. Mobile No. : 9676578871
19. Email Id : pallelavanya06@gmail.com

20. Programme Applied : BLISc

20 (a). Elective : E RESOURCES IN SCIENCE & TECHNOLOGY
21. Medium of Study : English
20. Study Centre Opted : 021 : WARANGAL : UNIVERSITY ARTS & SCIENCE COLLEGE.
23. Educational Qualification : Graduation with 50% of aggregate marks(45% for SC/ST candidates)
23.University : Kakatiya University
22. Marks Secured : 1136 Maximum Marks : 1500 Percentage : 75.73%

For MBA Candidate Only

ICET Hallticket No. : -- ICET Rank : --

Fee to be Paid
https://www.braouonline.in/PG/Application/PG_FY/PG_First_Year.aspx# 1/2
6/21/2019 PG Application Form

23. Tuition Fee : Rs.3200 /- 24. Late Fee : Rs.0 /-

25. Total Fee : Rs.3200 /-

Signature of Student Signature of Jr.Asst/Sr.Asst/Co-ord.

Note : Please bring this Application Form along with the Original documents for verification and their
Photocopies for submisssion at the Study Centre.

Original 10th Standard Memo or Equivalent and the Photocopy of the same.
Original Degree Passed Certificate/Marks Memos and Photocopy of the same. MBA Candidates Must bring ICET Rank
Card(2018) along with the Hallticket.
Caste Certificate in case of SC/ST/BC and the Photocopy of the same.
Print Go To Home Page

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