DR. N.T.R.
UNIVERSITY OF HEALTH SCIENCES
Government of Andhra Pradesh
Admission into ALLIED AND HEALTHCARE Courses under Competent Authority
(Convenor) Quota 2025-26
(Provisional Application Form)
Personal Details
Registration ID: UG25CQ08004920
Name: TOKA MAHENDRA
Date of Birth: 04/07/2006
Gender: Male
Mobile No.: 9100814589
Alternative Mobile No.:
Mother's Name: TOKA VARA LAKSHMI
Father's Name: TOKA MADDAIAH
Aadhaar No.: 716474043902
eMail ID: TMAHENDRA2025@GMAI Social Status (Caste): SC G-III
[Link]
Caste Sub-Category: MALA Minority: Non-Minority
Caste Certificate Issued By: AP Seva (Sachivalayam) Caste Cerificate District: Nandyal
Caste Certificate Number: RCGC251008040340
Income: Below Two Lakh Fifty Thousand
Income Certificate Issued By AP Seva (Sachivalayam) Income Certificate RIC251008041233
No./White Ration Card:
Citizenship: Indian
PwD (Person with Disability): No
Residential Address
House No./Flat No.: h no 2/154/60B Village/Ward Name: GOLLAGUTTA
State: Andhra Pradesh District: Nandyal
Mandal: Bethamcherla Landmark: GOLLAGUTTA
Pin Code: 518124
Educational Details
SSC
SSC/Equivalent Board Name: AP SSC (BSE) SSC Hall Ticket No.: 2322123060
Year & Month Of Passing: 2023-APR
Intermediate/Equivalent
Intermediate/Equivalent AP Intermediate -BiPC Pass Type Regular
BoardName:
Is English one of the Subject Yes Intermediate Roll No/Hall 2522220342
or Not Ticket No.:
Year & Month Of Passing: 2025-MAY Total Secured Marks in Inter 521
mediate/Equivalent
(Including Language)
Total Max Marks in Inter 1000 Intermediate (Including 52.10
mediate/Equivalent (Including Language)Percentage(%):
Language)
Total Group Secured Marks 296 Total Group Max Marks 600
(Physics + Chemistry + (Physics + Chemistry +
Biology Including Biology Including
Practicals): Practicals):
Intermediate (Physics + Chemistry + 49.33
Biology Including
Practicals) Percentage(%):
Education Details(for Local Area / Region Validation)
[Link] Class Year of Study State District School/College/Institute Upload Status
1 XII 2025 Andhra Pradesh Nandyal GOVT JR COLLEGE Yes
2 XI 2024 Andhra Pradesh Nandyal GOVT JR COLLEGE Yes
3 X 2023 Andhra Pradesh Nandyal GOVT HIGH SCHOOL Yes
4 IX 2022 Andhra Pradesh Nandyal GOVT HIGH SCHOOL Yes
5 VIII 2021 Andhra Pradesh Nandyal GHOUSE E AZAM HIGH Yes
SCHOOL
6 VII 2020 Andhra Pradesh Nandyal GHOUSE E AZAM HIGH Yes
SCHOOL
7 VI 2019 Andhra Pradesh Nandyal GHOUSE E AZAM HIGH Yes
SCHOOL
Region
Region as per Academic Claim Type Region Claimed
Years
Sri Venkateswara University NA Sri Venkateswara University
Uploaded Documents
[Link] Documents
1 Candidate Photo (with Name and Date)
2 Candidate Signature
3 SSC Marks Memo
4 Intermediate/Equivalent Study Certificate
5 Intermediate/Equivalent Marks Memo
6 Intermediate/Equivalent Transfer Certificate
7 Caste Certificate
8 Parental Income Certificate or Valid White Ration Card
9 Aadhaar Card
Payment Details
Registration Number Transaction Amount Transaction Date
UG25CQ08004920 1888.00 23-10-2025 16:59:00
Declaralation
I hereby declare that I read the rules and regulations of the University as notified in the prospectus by the University.
I hereby declare that all the entries and statements made in this application are true,complete,and correct to the best of my
Knowledge and belief.
I also declare that I fulfil all the eligibility conditions notified for the ALLIED AND HEALTHCARE Course applied for.
In the event of any information being found false or incorrect, or ineligibility being detected before or after the admission,the
university can take action against me as per the rules.
If it is detected that I have mislead Dr. NTR University of Health Sciences on any issue,I will be solely responsible for all
penal consequences thereof.
Print Date: 23-10-2025 17:15:21