4/14/24, 9:32 AM about:blank
1. Stream # : Agriculture , Pharmacy & [Link](Nursing)
2. (a) Qualifying Examination : INTERMEDIATE (REGULAR) REGISTRATION NO. :
(b) Qualifying Exam Hall Ticket No.(Latest) # : 2419231908 A14102149784
(c) Year of App./Passing the Qualifying Exam : 2024
(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 # : VIRDALA JASWANTH
(b) Father's Name # : VIRDALA RAMAIAH
(c) Mother's Name : PULA JAYA LAKSHMI
(d) Date of Birth (as per SSC or Equivalent) # : 29/01/2006
(e) Gender : MALE
4. Category # : ST
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 Tirupati Class-7 Tirupati
Class-8 Tirupati Class-9 Tirupati
Class-10 Tirupati Inter 1st year / Equivalent Tirupati
Inter 2nd year / Equivalent Tirupati
(b) 10+2 Studies : OTHER PRIVATE JUNIOR COLLEGES
(c) Place of Study - SSC or Equivalent : Urban
(d) SSC Hall Ticket Number & Year of Passing : 2219121340 , March - 2022
9. (a) Address for Correspondence : 4-11, RAMIREDDY PALLI VILLAGE, KOTALA POST,
CHANDRAGIRI MANDAL, Tirupati,
ANDHRA PRADESH, 517102
(b) Contact Telephone Number (Mobile) : 9989303388 (c) E-Mail Id : viradalajaswanth@[Link]
(d) Aadhar Card number / Enrolment number : 213430750905
10. Test Centre Preferences
Preference - 1 Preference - 2 Preference - 3
TIRUPATI - Tirupati TIRUPATI - Puttur TIRUPATI - Gudur
Preference - 4 Preference - 5 Preference - 6
CHITTOOR - Chittoor CHITTOOR - Palamner SRI POTTI SRIRAMULU NELLORE - Nellore
11. (a) Fee particulars - Payment through : ONLINE (c) Amount (in Rs.) : 517.70
(b) Payment Reference Id. : P141044090A4
# These fields CANNOT be edited by candidate. It will be done by Convener, AP EAPCET - 2024 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 - 2024 is not responsible in anyway.
Date : 14/04/2024 09:31 AM
SIGNATURE and LEFT HAND THUMB impression of the candidate to be done in the presence of the Invigilator on the day of
Examination in the Examination Hall
Affix a recent color photograph
SIGNATURE OF THE CANDIDATE
(3.5 cmX3.5 cm) and get attested
in the presence of the Invigilator
by a Gazetted Officer or the Left Thumb Impression
Principal of the College where
studied (Well in advance
BEFORE EXAMINATION)
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 - 2024 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 - 2024
about:blank 1/1