ANDHRA UNIVERSITY STUDENT ENROLMENT FORM 2016 - 17
Aadhar Card Number SSC Hall Ticket Number Student Name [As per SSC] Father Name [As per SSC] Mother Name [As per SSC] Gender [MALE / FEMALE] Date of Birth 1. Moles: 2. Religion Nationality Caste Category [SC/ST/BC-A/BC-B/BC-C/BC-D/BC-E/OC]
Physically Challenged [YES / NO] Type [OH/VH/HH]
Foreign Student [YES / NO ] Special Quota [NCC/Sports]
Address for Communication: Door No/Street: Village District State Pin Code E-Mail ID Medium [TM / EM] Land Line No: Mobile No: Second Language TELUGU Course Type [BSc | B.Com | BA] Group [MPC/MPCS/MSCS/BZC] 10th 10th 10th Board [SSC/CBSE/ICSE/Others] Percent Year Inter Board Inter Inter [BIEAP/CBSE/ICSE/Others] Percent Year Office Use Only [Write the Temporary Registration Number]