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STUDENT FORM
This form is prepared to collect details from all the students of the college to submit for Higher education.
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* Indicates required question
Name of the College
*
Choose
UCEK (University College of Engineering Kakinada)
UCEV (University College of Engineering Vizianagaram)
UCEN (University College of Engineering Narasaraopet)
IST
SMS
in University
Location of the College
*
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J.N.T.U Kakinada
Vizianagaram
Narasaraopet
District
*
Choose
East Godavari
Vizianagaram
Guntur
Student Aadhaar Number
*
Enter your 12 digit Aadhaar Number carefully, as your scholarship is linked to this.
Your answer
Student ID
*
Your answer
Student Name
*
As mentioned in SSC / Records
Your answer
Department
*
Civil Engineering
Electrical Engineering (EEE)
Mechanical Engineering (ME)
ECE
CSE
Petroleum Engineering
Petro-Chemical Engineering
Metallurgy
Pharmacy
Bio technology
Other:
Course - UG / PG
*
Under graduate (B.Tech, B.Pharmc etc)
Post Graduate (M.Tech, M.Pharm etc)
Other:
Year of Studying
*
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First Year
Second Year
Third Year
Final Year
Date of Birth of Student
*
DD-MM-YYYY
MM
/
DD
/
YYYY
Gender
*
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Male
Female
E-mail of Student
*
Your answer
Mobile Number
*
Your answer
Address of the Student
Your answer
Parent Mobile Number
*
Your answer
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