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Regd No./HT No:: (As Per SSC Records)

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CMR INSTITUTE OF TECHNOLOGY

Kandlakoya Village,Medchal Road,Hyderabad - 501 401


Phone:

STUDENT DATABASE

Regd No./HT No: 16R01A0338


Admn No: 16R01A0338 Branch: ME Sem: I/IV II SEM

Full Name (In Block Letters) MD KAREEM


(As per SSC Records)

Father's Name (In Block Letters) MOHD KALEEM QUADRI


(As per SSC Records)

Lateral Entry: No Convenor/MQ: MANAGEMENT Qualifying Test: EAMCET


DOB: 14/01/1998 Spot Admission: No
Hall Ticket No: 1707099
Religion: Hindu Gender: Male
Rank: 97611
Admn Dt: 30/07/2016 Caste Category:
SSC Hall Ticket No: 1403114761
Caste Name:
Parent's Phone No:
Occupation: RETIRED GOVT EMPLOYEE (Landline)
Parent's Student's
8978390354 9652692506
Mobile: Mobile:
Alternate
Email:
Email:

Corrrespondence Address: Permanent Address:


D. No: D. No:
2-8-38,CANTONMENT DRIVERS QUARTERS 2-8-38,CANTONMENT DRIVERS QUARTERS

Street: MUDFORT Street: MUDFORT

Area: SECUNDERABAD Area: SECUNDERABAD

District: HYDERABAD Pin: 500009 District: Hyderabad Pin: 500009

Identification Marks (as per SSC):


Nationality: INDIAN
A MOLE LT HAND FINGER
Mother Tounge: TELUGU A MOLE LT EAR

Blood Group: Stage Name (If Bus Facility Availed):

Bank A/c No: Bank Name & Branch: ,

Qualifications:

Qualification Institution Medium Division Percent Year


SSC FAIZAN HIGH SCHOOL ENGLISH GPA 6.8 68.00 2014
INTERMEDIAT SRI CHAITANYA JUNIOR KALASALA ENGLISH BGRADE 68.80 2016

Declaration:
I hereby declare that the information furnished above is true in all aspects.
Remarks:

Parent's Signature Student's Signature

* Please verify this computer generated data clearly and if any mistakes, correct it and submit it back with your parent's signature.
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