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NOTE : Please fill this ICR Sheet in ENGLISH with CAPITAL letters only.
Read the Instructions overleaf carefully before filling this form.
Application Number
1. Course Applied
Registration Number
2. II Language Code
T- Telugu, S-Sanskrit,
H-Hindi
3. Medium of Instruction
E - English; T - Telugu
Batch
Year
AY
II Priority
CY
III Priority
5. Name of the Candidate and Father's Name (CAPITAL LETTERS ONLY) as per SSC or its equivalent examination /Notary
Name
of the
Candidate
FOLD ALONG THE DOTTED LINE
Father's
Name
6. Sex
7. Marital Status
Day
M = Male
F = Female
Notary
M = Married
U = Un-Married
Year
9. Reservation
Category Code
Door No. /
House No.
Street/Village
Mandal/Town
PIN Code
District
Phone
(if any)
STD Code
Phone No.
Mobile No.
(If any)
E-mail ID : ______________________________________
CDE will send important messages through SMS, if Mobile Number is given.
This ICR Application is designed for computerization purpose and it should be handled carefully. It should not be mutilated or folded.
Mutilated or folded forms will not be accepted.
ICR Application should be filled properly within the box and legibly by the candidate in his/her own handwriting with ball pen Blue or Black
in CAPITAL LETTERS only. The Candidate himself / herself must sign in the box provided.
Please do not overwrite on the ICR sheet.
Only good quality recent passport size photograph should be pasted on the ICR Application Form. Please do not staple or pin the
photograph. Please do not sign on the photograph pasted on the ICR Application Form. Attestation should not be done on the photograph.
Course Code
Course Name
Course Code
B.A. (Telugu, History, Politics) ...........................................
57
B.Com (General) ................................................................
58
B.Sc. (Botany, Zoology, Chemistry) ...................................
59
B.Sc. (Maths, Physics, Chemistry) ....................................
60
B.Sc. (Costume Design & Fashion Technology) ................
61
B.Sc. (Information Technology) .........................................
62
B.Sc. (Maths, Statistics, Computers) .................................
63
Bachelor of Business Managerment (BBM) ....................
64
Bachelor of Hotel Management (BHM) ..............................
65
B.A. (Maths, Economics, Statistics) ..................................
66
B.A. (Maths, Statistics & Computer Applications) .............
67
B.Com. (Computer Applications) .......................................
68
B.Com. (Marketing) ...........................................................
69
B.Com (Foreign Trade) .....................................................
70
B.Sc. (Maths, Physics, Electronics) .................................
71
B.Sc. (Maths, Electronics, Computer Science) .................
72
B.Sc. (Maths, Physics, Computer Science) ......................
73
B.B.A. (Retail Management) ..............................................
75
B.A. (Maths, English, Statistics) ........................................
112
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
E - English; T - Telugu
STUDY CENTRE CODES : Students must contact the study centre before applying for a particular course
Name of the Study Centre
Hindu College, Guntur ...............................................................
Mahatma Gandhi College, Guntur ............................................
Career Degree College, Guntur .................................................
A S N College, Tenali ...............................................................
Vidyakendram Degree College, Sattenapalli ...............................
T R R & S Degree College, Piduguralla ....................................
Modern Degree College, Chilakaluripet ....................................
Ideal & Sri Krishna Chaitanya Memorial Degree College,Markapuram
RRD Degree & PG College, Hyderabad .......................................
Ruthviks Degree College, Vijayawada ......................................
Prabhas Degree College, Vijayawada .......................................
Nalanda Degree College, Vijayawada ......................................
Andhra Jateeya Kalasala, Machilipatnam ................................
K.T.R. Womens Degree College, Gudivada .......................................
S.V. Degree College, Gannavaram ..................................................
SVRK Degree College, Eluru ..........................................................
MSRS Siddhartha Degree College, Visakhapatnam .................
Samyukta Degree College, Anakapalli ......................................
2TCICVJK9QOGPU&GITGG%QNNGIG-WMCVRally, Hyderabad .......
Santhinikethan Degree College, Sattupalli ...............................
Vashista Degree College, Nirmal ...............................................
Sri Vasavi Sarada Junior College, Akividu .................................
Sri Vidya Degree College, Manuguru, Khammam (Dt.)..............
National Degree College, Secunderabad .................................
DAR. College, Nuzividu ............................................................
Sri Vijaya Durga Degree College, Kurnool ...............................
S.R.K. Degree College, Nandyal .............................................
GATE Degree College, Tirupathi .............................................
Aditya Degree College, Kakinada .............................................
Aditya Degree College, Rajahmundry .......................................
Siddardha Degree & PG College for Women, Hyderabad .........
Sri Nagarjuna Degree College, Ameerpet, Hyderabad ..............
Kavitha Memorial PG College, Khammam ..................................
Aditya Degree College, Hanamkonda .......................................
D R Goenka Womens Degree College, Tadepalligudem ...........
Chaitanya E S Degree College, Srikakulam ..............................
Sadhana Degree College, Proddutur ........................................
Smt. & Sri GKRVD Degree College, Rajahmundry ...................
NRT Krishnaveni Degree College, Vinukonda ...........................
JC Degree College, Mandapeta ................................................
AVR Degree College, Avanigadda .............................................
N.B.T. & N.V.C. College, Narasaraopet ......................................
Code
001
002
003
004
005
006
008
011
012
013
014
016
017
018
019
021
023
024
025
027
030
031
032
035
042
043
044
047
051
052
053
055
057
059
061
062
064
069
070
071
083
084
Father's
Name
10 AND 11 ALSO
Notary
01=SC
05=ST
Year
7 5
06=BC-A
07=BC-B
08=BC-C
09=BC-D
Code
6. Sex
7 .Marital Status
M = Male
F = Female
M = Married
U = Un-Married
For Example,
M
if Male
For Example,
if Un-Married
086
087
088
090
092
098
103
109
110
113
114
115
118
125
126
127
128
129
130
131
132
134
140
141
143
144
145
146
147
149
150
151
153
154
155
156
157
165
166
168
173
174