1.
Stream #                                                                  : Engineering & Pharmacy
2. (a) Qualifying Examination                                                :   INTERMEDIATE (REGULAR)                                                                              REGISTRATION NO. :
   (b) Qualifying Exam Hall Ticket No.(Latest) #                             :   2518211133                                                                                              A1510420707E
   (c) Year of App./Passing the Qualifying Exam                              :   2025
   (d) Medium of Instruction at Qualifying Exam                              :   English
   (e) Urdu Translation                                                      :   NO
   (f) Place of Study - Intermediate or Equivalent                           :   Urban
   (g) Bridge Course Hall Ticket No. (if any)                                :
3. (a) Candidate's Name #                                                    :   DEVANDLA LALITH SAI
   (b) Father's Name #                                                       :   DEVANDLA KOTESWARA RAO
   (c) Mother's Name                                                         :   DEVANDLA MADHAVI
   (d) Date of Birth (as per SSC or Equivalent) #                            :   03/12/2006
   (e) Gender                                                                :   MALE
4. (a) Category #                                                            :   BC_A
   (b) Sub-Caste                                                             :   VADDERA
5. Local Area                                                                :   SVU
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                                                         :
    Class-6                                       Sri Potti Sriramulu Nellore                                 Class-7                                       Sri Potti Sriramulu Nellore
    Class-8                                       Sri Potti Sriramulu Nellore                                 Class-9                                       Sri Potti Sriramulu Nellore
    Class-10                                      Sri Potti Sriramulu Nellore                                 Inter 1st year / Equivalent                   Sri Potti Sriramulu Nellore
                                                                                                              Inter 2nd year / Equivalent                   Sri Potti Sriramulu Nellore
   (b) 10+2 Studies                                                          :   OTHER PRIVATE JUNIOR COLLEGES
   (c) Place of Study - SSC or Equivalent                                    :   Urban
   (d) SSC Hall Ticket Number & Year of Passing                              :   2318129599 , April - 2023
9. (a) Address for Correspondence                                            :   7-50, Bheemavaram,
                                                                                 Ulavapadu,Sri Potti Sriramulu Nellore,
                                                                                 ANDHRA PRADESH, 523292
  (b) Contact Telephone Number (Mobile)                                      : 6300746952                   (c) E-Mail Id    : rohaneswar282003@gmail.com
  (d) Aadhar Card number / Enrolment number                                  : 990322964191
10. Test Centre Preferences
                   Preference - 1                                                          Preference - 2                                                                   Preference - 3
    PRAKASAM - Ongole                                                      SRI POTTI SRIRAMULU NELLORE - Kavali                                   NTR - Vijayawada
                    Preference - 4                                                                   Preference - 5
    SRI POTTI SRIRAMULU NELLORE - Nellore                                  GUNTUR - Guntur
11. (a) Fee particulars - Payment through                                    : ONLINE                   (c) Amount (in Rs.)      : 567.70
     (b) Payment Reference Id.                                               : P151113198B8
    # These fields CANNOT be edited by candidate. It will be done by Convener, AP EAPCET - 2025 Office (email to helpdeskapeapcet@apsche.org), subject to thorough verification of the Valid Documents and Approval by the
                                                                                                          Committee.
                                                                          Remaining fields can be edited by the candidate during the permitted period.
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 EAPCET - 2025 is not responsible in anyway.
Date :               19/03/2025 01:24 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
                                                           SIGNATURE OF THE CANDIDATE
   (3.5 cmX3.5 cm) and get attested
      by a Gazetted Officer or the                           in the presence of the Invigilator
                                                                                                                                 Left Thumb Impression
    Principal of the College where
       studied (Well in advance
     BEFORE EXAMINATION)
Note :        1) The candidate has 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) The candidate does not have option of choosing specific date / session to appear for the AP EAPCET - 2025 entrance examination. This information is known to
              him / her only after downloading Hall Ticket. For any reason if the candidate fails to appear in the given slot, he/she is treated as absent.
              4) This is computer Generated sheet and does not require the signature of the CONVENER, AP EAPCET - 2025