Permanently Affiliated to JNTUK, Kakinada and Approved by AICTE, New Delhi

Shri Vishnu Engineering College for Women

(Autonomous)

Vishnupur : : Bhimavaram

Permanently affiliated to JNTUK, Kakinada and approved by AICTE, New Delhi,

Accredited by NBA

Website: www.svecw.edu.in

Phones : 08816 – 250864

Fax : 08816 - 250099

REGISTRATION FORM FOR ADMISSION UNDER ‘B’ CATEGORY

Tick mark the appropriate Box:

Graduate Programme
CIVIL
EEE
MECH
ECE
CSE
IT
1. / Name of the candidate
(as per 10th class) / : / ______
2. / Father Name / : / ______
3. / Mother Name / : / ______
4. / Date of Birth / : / ______
5. / Address / :
Correspondence / Permanent
D.No. / D.No.
Street / Street
Village / Village
Mandal / Mandal
District / District
State / State
Pin / Pin

6. Parent/Guardian Details

Name :______
Profession :______
Annual Income:______
Contact Nos :Land Line______Mobile ______

7. Details of Examinations Passed:

Examination / Year of Passing / Institute / Board/University / Marks Obtained / % of Marks / Class
SSC/Metric/CBSE
Inter/CBSE/Other State
Diploma
Degree/B.Tech
P.G.
Any other

8. Details of Qualifying Examination

Test : EAMCET/ICET/ECET/PGECET/AIEEE – HT No______RANK______

9. Category : BC/SC/MINORITY/OC Sub Caste : BC- A B C D E

10. In the event the qualifying exam is from other states. Furnish the following:

State: Affiliated to:

11.Did you enclosed equivalency certificate from the Board of Intermediate Education Yes/No

DECLARATION

I undertake to state that the information furnished is true to the best of my knowledge. I also acknowledge that mere application for admission doesn’t entitle me for any claim of admission. Further, if admitted under ‘B’ category the same shall be deemed to be confirmed admission only upon receiving ratification from statutory bodies like APSCHE/JNTU (K)/State Technical Board.

Signature of the Candidate Signature of the Parent

Name :

Date:

FOR OFFICE USE ONLY

Admitted
Not admitted

Authorized Signatory Principal