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3/23/2017

1.ECETExamPaperForEntranceTest# : ECEELECTRONICSANDCOMMUNICATIONENGINEERING
2.(a)QualifyingExamination# : DIPLOMA PreservetheRegistrationNumberfor
(b)QualifyingExamHallTicketNo# : 12100AEI027 allfuturecorrespondence.
(c)YearofApp./PassingtheQualifyingExam : 2016 REGISTRATIONNO.:4710308861
(d)MediumofInstructionatQualifyingExam : English
(e)PlaceofStudyIntermediateorEquivalent : URBAN
3.(a)Candidate'sName# : PENTASURYAPRABHAKALYAN
(b)Father'sName# : PENTASRINIVASARAO
(c)Mother'sName# : PENTAVEERAVENKATASATYNARAYANA
(d)DateofBirth(asperSSCorEquivalent)# : 10/05/1992
(e)BirthState,BirthDistrict : ANDHRAPRADESHEASTGODAVARI
(f)Gender : MALE
4.Category : OC
5.LocalArea : AU
6.(a)NonMinority/Minority : NONMINORITY
(b)MinorityCategory : N.A
7.AnnualIncomeoftheParents(Rs.) : BelowOneLakh
8.(a)StudyDetails
Class6 EASTGODAVARI Class7 EASTGODAVARI
Class8 EASTGODAVARI Class9 EASTGODAVARI
Class10 EASTGODAVARI Inter1styear/Equivalent N.A
Inter2ndyear/Equivalent N.A Degree N.A
Diploma EASTGODAVARI
(b)PlaceofStudySSCorEquivalent : RURAL
(c)SSCHallTicketNumber&YearofPassing# : 0293637,March2007
(c)InterHallTicketNumber&YearofPassing# : N.A
9.(a)AddressforCorrespondence : 117/1,KRAPACHINTHALAPUDI,
MUMMIDIVARAMMANDAL,EASTGODAVARI,
ANDHRAPRADESH,533216
(b)ContactTelephoneNumber(Mobile) : 9505043905 (c)EMailId:KALYANPENTA38@GMAIL.COM
(d)AadharCardnumber : 433476595308
10.TestCentrePreferences
Districts Preference1 Preference2 Preference3
KRISHNA Vijayawada Kanchikacherla Mylavaram
GUNTUR Guntur Narasaraopeta N.A
11.(a)FeeparticularsPaymentthrough : ONLINE (c)Amount(inRs.):557.50
(b)PaymentReferenceId. : P471067071BF
#TheseFieldsCANNOTbeeditedbycandidate,butwrittenrequestcanbemadetotheCONVENERorRegionalCoordinatorofAPECET2017oremailtoapecet2017online@gmail.com
Remainingfieldscanbeeditedbythecandidateduringthepermittedperiod.Foranddetailscontactat08554234678.
Declaration: 1) I have carefully gone through the instruction booklet and I am conversant with the instructions. I shall abide by the eligibility conditions and
otherregulationstobesatisfiedforappearingattheentrancetestandadmissionintoanycourseprescribed.Further,Iassurethat,Iwillnotinvolve
inanymalpractiseorillegalactivitiesintheentrancetest.Incase,Ihavefurnishedanyfalseinformationorinvolvedinanymalpractiseorilleagal
activities,Iamliableforpunishmentaspertheexistinglaw.
2)IamresponsibleforthecorrectionsoftheabovedetailsfillingbymeandtheCONVENERAPECET2017isnotresponsibleinanyway.
Date: 23/03/201710:36AM

SIGNATUREandLEFTHANDTHUMBimpressionofthecandidatetobedoneinthepresenceoftheInvigilator
onthedayofExaminationintheExaminationHall

ThumbImpression
Affixarecentcolorphotograph
(3.5cmX3.5cm)andgetattestedbya SIGNATUREOFTHECANDIDATEinthe
GazettedOfficerorthePrincipalofthe presenceoftheInvigilator
Collegewherestudied
(WellinadvanceBEFORE
EXAMINATION)

Note:1)ALLthecandidateshavetosubmitthisformintheExaminationHalltotheInvigilator.
2)CandidatesarenotallowedintotheExaminationHalleveniftheyareLATEBYAMINUTE.
3)ThisiscomputerGeneratedsheetanddoesnotrequirethesignatureoftheCONVENER,APECET2017

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