0% found this document useful (0 votes)
3 views1 page

Application

The document is an application form for the AP EAPCET 2026 entrance examination, detailing the candidate's personal information, educational background, and test center preferences. The candidate, Bethu Shanmukha Lakshmi, is a female from a non-minority background with an annual family income below Rs 1 lakh. The form includes a declaration of understanding the examination rules and responsibilities regarding the information provided.
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
0% found this document useful (0 votes)
3 views1 page

Application

The document is an application form for the AP EAPCET 2026 entrance examination, detailing the candidate's personal information, educational background, and test center preferences. The candidate, Bethu Shanmukha Lakshmi, is a female from a non-minority background with an annual family income below Rs 1 lakh. The form includes a declaration of understanding the examination rules and responsibilities regarding the information provided.
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

1.

Stream # : Engineering & Pharmacy


2. (a) Qualifying Examination : INTERMEDIATE (REGULAR) REGISTRATION NO. :
(b) Qualifying Exam Hall Ticket No.(Latest) # : 2610217327 A161307197AA
(c) Year of App./Passing the Qualifying Exam : 2026
(d) Medium of Instruction at Qualifying Exam : English
(e) Urdu Translation : NO
(f) Place of Study - Intermediate or Equivalent : Rural
(g) Bridge Course Hall Ticket No. (if any) :

3. (a) Candidate's Name # : BETHU SHANMUKHA LAKSHMI


(b) Father's Name # : B V NARASIMHA KRISHNA BALAJI
(c) Mother's Name : B V NAGA VARA LAKSHMI BHARATHI
(d) Date of Birth (as per SSC or Equivalent) # : 06/08/2008
(e) Gender : FEMALE
4. (a) Category # : OC(EWS)
(b) Sub-Caste : Kapu
5. Local Area : AU
6. (a) Non-Minority / Minority : Non-Minority
(b) Minority Category : N.A
7. Annual Income of the Parents (Rs.) : Below Rs 1 Lakh
8. (a) Study Details :
Class-6 Eluru Class-7 Eluru
Class-8 Eluru Class-9 Eluru
Class-10 Eluru Inter 1st year / Equivalent West Godavari
Inter 2nd year / Equivalent West Godavari
(b) 10+2 Studies : OTHER PRIVATE JUNIOR COLLEGES
(c) Place of Study - SSC or Equivalent : Rural
(d) SSC Hall Ticket Number & Year of Passing : 20132077 , April - 2024
9. (a) Address for Correspondence : [Link] 2-39 Z P ROAD NEAR RAMALAYAM, Chanamilli,
Nidamarru,Eluru, ANDHRA PRADESH, 534198
(b) Contact Telephone Number (Mobile) : 9491207778 (c) E-Mail Id : vmanojkumar07@[Link]
(d) Aadhar Card number / Enrolment number : 514285755877
10. Test Centre Preferences
Preference - 1 Preference - 2 Preference - 3
NTR - Vijayawada EAST GODAVARI - Rajahmundry GUNTUR - Guntur
Preference - 4 Preference - 5
VISHAKAPATNAM - Visakhapatnam TIRUPATI - Tirupati
11. (a) Fee particulars - Payment through : ONLINE (c) Amount (in Rs.) : 823.60
(b) Payment Reference Id. : P161851972B4
# These fields CANNOT be edited by candidate. It will be done by Convener, AP EAPCET - 2026 Office (email to helpdeskapeapcet@[Link]), subject to thorough verification of the Valid Documents and Approval by the
Committee.
Remaining fields can be edited by the candidate during the permitted period.

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 other regulations to be
satisfied for appearing at the entrance test and admission into any course prescribed. Further, I assure that, I will not involve in any malpractise or illegal activities in
the entrance test. In case, I have furnished any false information or involved in any malpractise or illeagal activities, I am liable for punishment as per the existing law.
2) I am responsible for the corrections of the above details filling by me and the CONVENER AP EAPCET - 2026 is not responsible in anyway.

Date : 07/03/2026 03:02 PM

Note : 1) The candidate has to submit this form in the Examination Hall to the Invigilator.
2) Candidates are not allowed into the Examination Hall even if they are LATE BY A MINUTE.
3) The candidate does not have option of choosing specific date / session to appear for the AP EAPCET - 2026 entrance examination. This information is known to
him / her only after downloading Hall Ticket. For any reason if the candidate fails to appear in the given slot, he/she is treated as absent.
4) This is computer Generated sheet and does not require the signature of the CONVENER, AP EAPCET - 2026

You might also like