Sri Ramanathan Engineering College
Sri Ramanathan Engineering College
Sri Ramanathan Engineering College
: VYSAKH V V
: 12PC36/ 732611239036
Year of Study
: 2011-2015
Father Name
Mother Name
Date of Birth
Religion
Blood Group
Email ID
Mode of Admission
:
:
Direct/Lateral
Father Occupation
First Graduate
Yes / No
Father Annual Income :
MGT.
BANK DETAILS
ADDRESS
ADDRESS FOR COMMUNICATION
DISTRICT :
PIN CODE:
STATE
:
Days scholar
bus
Out bus
PERMANENT ADDRESS
DISTRICT :
PIN CODE:
STATE
:
Hosteller
No
For other state candidates local Guardian Name with Address & Phone
Number
EDUCATION DETAILS
S.N Particula
Name of
State
Year of
% of
Cut of
o.
rs
School /
Board /
Passing
Marks
Marks
College
Matric
1
X
Standard
2
XII
Standard
3 Diploma
5th Sem:
6th Sem:
ACADEMIC PERFORMANCE
Percentage of Marks in I Semester
Semester
Percentage of Marks in II
Percentage of Marks in IV
Percentage of Marks in VI
DECLARATION
I hereby declare that all the information mentioned above is true to the best of my
knowledge.
Signature of the
Student