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Application Form KL-2506259

This document is an application form for Regular Admission in 2025 for a student named Molla Abdul Khaliq, who is applying for the B.Tech program in Artificial Intelligence and Data Science at Vijayawada Campus. The form includes personal details such as date of birth, nationality, and contact information, as well as program options and declaration of agreement. The applicant has provided necessary identification and academic details, along with a declaration acknowledging the application for admission.

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sadiatahseen2007
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0% found this document useful (0 votes)
40 views2 pages

Application Form KL-2506259

This document is an application form for Regular Admission in 2025 for a student named Molla Abdul Khaliq, who is applying for the B.Tech program in Artificial Intelligence and Data Science at Vijayawada Campus. The form includes personal details such as date of birth, nationality, and contact information, as well as program options and declaration of agreement. The applicant has provided necessary identification and academic details, along with a declaration acknowledging the application for admission.

Uploaded by

sadiatahseen2007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application form for Regular Admission - 2025

Application No: KL-2506259

Personal Details

Important
Application
Instructions
For
Application I AGREE
form for
Regular
Admission -
2025
Personal Details
Name (As per SSC
MOLLA ABDUL KHALIQ Date of Birth 28/03/2008 Gender MALE
Certificate)
Nationality INDIA Category OBC/BC 10+2 Group MPC
Parent/Guardian
Hall ticket year 2ND YEAR HALL TICKET NUMBER MOLLA MOHAMMAD ID Proof AADHAR NUMBER
Name
Inter 1st year Hall Inter 2nd year Hall
2561212190 Pancard
ticket Number ticket Number
Aadhaar Number 864615938513 Ration Card Driving License
Inter College SRI AAKASH JUNIOR College studying
Passport Number TELANGANA
Name COLLEGE (State)
College studying Graduation
HYDERABAD
(City) College Name
Communication Address (In Block Letters)
Country INDIA State TELANGANA District HYDERABAD
FLAT-101, HILL PARK GOLDEN HEIGHTS COLONY,
City HYDERABAD Address Line 1 Address Line 2
AVENUE APARTMENT UPPARPALLY, HYDERABAD
Pincode 500048 Mobile Number +91-9676392887 E-mail Address [email protected]
Parent Mobile
+91-9425376147
Number
Program Options
B.TECH (ARTIFICIAL
Program applying Select Your
Select Campus VIJAYAWADA CAMPUS INTELLIGENCE & KLUEEE-PCM
for Entrance Exam
DATA SCIENCE)
How do you know
Exam Date MAR-23-2025 10 AM - 1 PM about K L FRIENDS/RELATIVES
University?
Upload Documents

Upload Your
Upload Digital Upload Your Tenth
YES Intermediate NO
Photograph : Standard Marksheet :
Marksheet :

Upload Your Caste Upload Your EAM-Cet Upload Your JEE


NO NO NO
Certificate : entrance Score card : Mains Score Card :

Upload Your Jee


Upload your KLEEE Upload Your NATA /
Advanced Score Card NO NO NO
Score Card : Others Score card :
:

Upload Graduation
Upload Any Additional Upload Aadhar
Document ( If NO NO NO
Documents : document :
Applicable) :

Upload KL Entrance
NO
Rank Card :
Declaration
Declaration
B.TECH (ARTIFICIAL
Name MOLLA ABDUL KHALIQ Phone Number 9676392887 Program
INTELLIGENCE & DATA SCIENCE)
I hereby
acknowledge that
Campus VIJAYAWADA CAMPUS I am applying for I AGREE
Regular
Admissions - 2025

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