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PGECET Civil Engineering Exam Form

1. This document contains the registration form for the PGECET exam for the civil engineering entrance test. 2. It includes details about the applicant such as name, father's name, date of birth, category, address, contact details, education history, test center preferences and payment details. 3. The applicant must sign and provide a left thumb impression on the day of the exam in the presence of the invigilator.

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0% found this document useful (0 votes)
154 views1 page

PGECET Civil Engineering Exam Form

1. This document contains the registration form for the PGECET exam for the civil engineering entrance test. 2. It includes details about the applicant such as name, father's name, date of birth, category, address, contact details, education history, test center preferences and payment details. 3. The applicant must sign and provide a left thumb impression on the day of the exam in the presence of the invigilator.

Uploaded by

uttama villan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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1.

PGECET Exam Paper For Entrance Test # : CE - CIVIL ENGINEERING


2. (a) Qualifying Examination # : B.E./B.TECH Preserve the Registration Number for
(b) Qualifying Degree Exam Hall Ticket No # : 17A31A0136 all future correspondence.
REGISTRATION NO. : 6310007012
(c) Year of App./Passing the Qualifying Exam : 2022
(d) Medium of Instruction at Qualifying Exam : English
(e) Place of Study - Intermediate or Equivalent : RURAL
3. (a) Candidate's Name # : KOLAGANTI SRIRAM
(b) Father's Name # : KOLAGANTI RAMESH
(c) Mother's Name : KOLAGANTI SIRISHA
(d) Date of Birth (as per SSC or Equivalent) # : 30/12/1999
(e) Gender : MALE
4. Category # : OC
5. Local Area : AU
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 :
Inter 1st Year / Diploma 1st
Class - 10 East Godavari West Godavari
Year
Inter 2nd Year / Diploma 2nd Degree 1st Year / Diploma 3rd
West Godavari East Godavari
Year Year
Degree 2nd Year East Godavari Degree 3rd Year East Godavari
Degree 4th Year East Godavari
(b) Place of Study - SSC or Equivalent : URBAN
(c) SSC Hall Ticket Number & Year of Passing : 1509102710 , March - 2015
(d) Inter/Diploma Hall Ticket No & Year of Passing : 1704232876 , March - 2017
9. (a) Address for Correspondence : 50-2-23/1, 50-2-23/1 NEHRU NAGAR OPPOSITE,
RAJAHMUNDRY, East Godavari,
ANDHRA PRADESH, 533101
(b)Contact Telephone Number (Mobile) : 9346866668 (c) E-Mail Id : sriram6393@gmail.com
(d) Aadhar Card number : 821778902190
10. Test Centre Preferences
Preference - 1 Preference - 2
RAJAHMUNDRY KAKINADA
11. (a) Fee particulars - Payment through : ONLINE (c) Amount (in Rs.) : 1214.16
(b) Payment Reference Id. : P631003122FE
# - These Fields CANNOT be edited by candidate, but written request can be made to the CONVENER or Regional Coordinator of AP PGECET - 2023 or email to
helpdeskappgecet2023@gmail.com Remaining fields can be edited by the candidate during the permitted period. For any details contact at 7382058455.

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 PGECET - 2023 is not responsible in
anyway.
Date : 31/03/2023 06:31 PM
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 (3.5 cmX3.5 cm) SIGNATURE OF THE CANDIDATE
and get attested by a in the presence of the Invigilator
Gazetted Officer or the Left Thumb Impression
Principal of the College
where studied (Well in
advance BEFORE
EXAMINATION)

Note : 1) ALL the candidates have 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) This is computer Generated sheet and does not require the signature of the CONVENER, AP PGECET - 2023

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