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The document is an application form for the AP EAPCET - 2026 entrance examination for a candidate named M Naveen. It includes personal details, educational background, and preferences for test centers, along with a declaration of adherence to examination rules. The candidate's registration details, contact information, and payment confirmation are also provided.

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

Download

The document is an application form for the AP EAPCET - 2026 entrance examination for a candidate named M Naveen. It includes personal details, educational background, and preferences for test centers, along with a declaration of adherence to examination rules. The candidate's registration details, contact information, and payment confirmation are also provided.

Uploaded by

librarian
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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17/03/2026, 14:25 about:blank

1. Stream # : Engineering & Pharmacy


2. (a) Qualifying Examination : INTERMEDIATE (REGULAR) REGISTRATION NO. :
(b) Qualifying Exam Hall Ticket No.(Latest) # : 2620217515 A161347533AE
(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 : Urban
(g) Bridge Course Hall Ticket No. (if any) :

3. (a) Candidate's Name # : M NAVEEN


(b) Father's Name # : J K MURUGESH
(c) Mother's Name : M KALI
(d) Date of Birth (as per SSC or Equivalent) # : 29/04/2009
(e) Gender : MALE
4. (a) Category # : BC_A
(b) Sub-Caste : vanniyakula kshatriya
5. Local Area : SVU
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 Chittoor Class-7 Chittoor
Class-8 Chittoor Class-9 Chittoor
Class-10 Chittoor Inter 1st year / Equivalent Chittoor
Inter 2nd year / Equivalent Chittoor
(b) 10+2 Studies : OTHER PRIVATE JUNIOR COLLEGES
(c) Place of Study - SSC or Equivalent : Urban
(d) SSC Hall Ticket Number & Year of Passing : 2420112719 , April - 2024
9. (a) Address for Correspondence : 1-91, KADAPALLE, KARLAGATTA POST, SANTHIPURAM
MANDAL,
CHITTOOR DISTRICT, A.P, Kadapalle,
Santhipuram,Chittoor, ANDHRA PRADESH, 517423
(b) Contact Telephone Number (Mobile) : 7981686833 (c) E-Mail Id : naveen7981686833@[Link]
(d) Aadhar Card number / Enrolment number : 865905706454
10. Test Centre Preferences
Preference - 1 Preference - 2 Preference - 3
CHITTOOR - Kuppam CHITTOOR - Palamner CHITTOOR - Chittoor
Preference - 4 Preference - 5
ANNAMAYYA - Madanapalle TIRUPATI - Puttur
11. (a) Fee particulars - Payment through : ONLINE (c) Amount (in Rs.) : 773.60
(b) Payment Reference Id. : P161961522CB
# 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 : 17/03/2026 02:24 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

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