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MANIPAL ApplicationForm

The document contains the application details of Aare Ajay Sai for an undergraduate BTech program, including personal, category, program, parent, and address information. It also includes payment details for the application fee and a declaration confirming the accuracy of the provided information. The applicant acknowledges the terms of the admissions process and the consequences of providing false information.

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ajaysairalog0
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6 views1 page

MANIPAL ApplicationForm

The document contains the application details of Aare Ajay Sai for an undergraduate BTech program, including personal, category, program, parent, and address information. It also includes payment details for the application fee and a declaration confirming the accuracy of the provided information. The applicant acknowledges the terms of the admissions process and the consequences of providing false information.

Uploaded by

ajaysairalog0
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICANT DETAILS

Name AARE AJAY SAI Application Number 126183231

Email ID ajaysai.aare31@[Link] Mobile Number +919052975013

Gender Male Date of Birth 31/05/2009 Nationality Indian

CATEGORY DETAILS

Category General Sub Category General

PROGRAM DETAILS

Program Level Undergraduation - UG Stream Engineering

Course BTech

Tentative Test Andhra Pradesh - Tentative Test Telangana - Tentative Test Andhra Pradesh -
Location 1 Tirupathi Location 2 Hyderabad Location 3 Kurnool

PARENT OR GUARDIAN DETAILS FOR COMMUNICATION

Full Name AARE NAGARAJU

Email [Link]@[Link] Mobile Number 918494810032

ADDRESS DETAILS

Address Type Address 1 Address 2 City State Country Pincode

Correspondence 6-185-1, 4th LEFT, 7th Andhra


BHAIRAVANAGAR,ANANTAPUR ANANTAPUR INDIA 515002
Address CROSS Pradesh

6-185-1, 4th LEFT, 7th Andhra


Permanent Address BHAIRAVANAGAR,ANANTAPUR ANANTAPUR INDIA 515002
CROSS Pradesh

PAYMENT DETAILS

Transaction Id 114336828279 Date 03/03/2026 Amount INR 2000.00

DECLARATION

• I hereby confirm that the above-mentioned details are correct. I declare that all the
particulars stated in this application form are true to the best of my knowledge and belief. I
have read and understood all provisions of the admissions process and agree to abide by them. I
also affirm that I fulfill the eligibility requirements for the program(s) applied. I
understand that I can only apply once for each group. In case I apply more than once, only
one of my applications will be accepted, and the application and entrance test fees remitted
will not be refunded.
• If it is found at a later stage, during active verification, that I have provided false, incorrect
or untrue information w.r.t educational qualifications, marks, nationality, etc., or submitted an
eligibility document from an unrecognized board or university, my admission or degree will
be canceled without notice, with forfeiture of all fees paid.
• Jurisdiction for disputes, if any, shall be at the Udupi Court, Karnataka, India only.

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