ICET, EAMCET, POLYCET, ECET - ASOK
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Approved by AICTE, New Delhi, Recognised by the Govt. of Telangana & Affiliated to JNTU, Hyderabad

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Aadhaar Number *

PAN Card Document *

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Name of the Institution presently working in *

Designation

Department

Subject *

Date of Appointment in the present Institution *

Experience in the present Institution (Years) *

Ratified by JNTUH *

Date of Ratification

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Educational Qualifications

10th

Course Studied

Branch / Specialization

Year of Passing

%of Marks

Division

Board / University

Place

Inter / Diploma

Course Studied

Branch / Specialization

Year of Passing

%of Marks

Division

Board / University

Place

UG

Course Studied

Branch / Specialization

Year of Passing

%of Marks

Division

Board / University

Place

PG

Course Studied

Branch / Specialization

Year of Passing

%of Marks

Division

Board / University

Place

M.Phil

Course Studied

Branch / Specialization

Year of Passing

%of Marks

Division

Board / University

Place

Ph.D

Course Studied

Branch / Specialization

Year of Passing

%of Marks

Division

Board / University

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Declaration

I hereby declare that the particulars furnished by me are true and correct to the best of my knowledge and I am aware that if any incorrect information is provided it will be treated as cheating and liable for further legal action.