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TELANGANA STATE STUDENT REGISTRATION RENEWAL FOR THE

ACADEMIC YEAR (2019-20)

TO
Deputy Director, BC Welfare Department
SAMKSHEMA BHAVAN,
BIRLA GATE,
Kurnool District, PIN:518002

Personal Details
Applicant Id 201911497728 Aadhar :552238377567

Applicant Name BUSIRAJU PRAVEEN SSC Details 1620121707,2016,


Father Name: B NAGARAJA RAO Mother Name: K INDUMATHI
Gender: Male Date Of Birth: 17-08-2001
Religion: Hindu Caste/Sub-Caste: EBC(OTHERS)/Others
Mobile No: 6302033312 Email: praveenbusiraju4@gmail.
com
Parent/Husband Private Employee Parents/Gurdian 7382548782
Occupation: Contact No:
PerminetAddress: 4-513-2,vijayeendra nagar,MANCHALA,MANTRALAYAM,Kurnool,518345
Identification Marks 1: -- Identification Marks 2: --

Student Communication Details


District Kurnool Mandal : MANTRALAYAM
Village : MANCHALA Door/House Number : 5-5-35/319/1
Street/Land Mark : sai baba nagar colony PinCode : 500072

College &Admission Details


College Name NALLA NARASIMHA College Admission No. 17945
REDDY EDUCATION :
SOCIETY S GROUP
OF INSTUTIONS
GHATKESAR (M)
Date of Admission : 09/06/2019 Course/Group/Year : BTECH
(MECHANICAL)/2

School/College Study Certificate Details


Academic Year Class District Mandal Village School/College
Name
2017-18 Inter/Diploma/ITI KURNOOL ORVAKAL NANNUR NARAYANA
/Integrated JUNIOR
Course 2nd COLLEGE
Year
2016-17 Inter/Diploma/ITI KURNOOL ORVAKAL NANNUR NARAYANA
/Integrated JUNIOR
Course 1st Year COLLEGE
2015-16 10th Class KURNOOL YEMMIGANUR YEMMIGANUR SRI
CHAITHANYA
ENGLISH
MEDIUM
SCHOOL
2014-15 9th Class KURNOOL YEMMIGANUR YEMMIGANUR SRI
CHAITHANYA
ENGLISH
MEDIUM
SCHOOL
2013-14 8th Class KURNOOL YEMMIGANUR YEMMIGANUR SRI
CHAITHANYA
ENGLISH
MEDIUM
SCHOOL
2012-13 7th Class KURNOOL YEMMIGANUR YEMMIGANUR SRI
CHAITHANYA
ENGLISH
MEDIUM
SCHOOL
2011-12 6th Class KURNOOL MANTRALAYA MANCHALA SRI PARIMALA
M VIDYANIKETHA
N

Scholarship Details
Scholarship type: Day Scholar(DS)
Mee Seva Caste Cert. CGC011609089075 Applicant Name in BUSIRAJU PRAVEEN
No.: Cert.:
Ration Card No.: WAP1303001A0192 Student Name in Ration Praveen
card:
Mee Seva Income Cert. Applicant Name in
No.: Cert.:

Student Bank Details


Bank IFSC Code: ANDB0000652 Bank Account No. : 065210100232891
Bank Account Details: YEMMIGANUR, Andhra Bank, Kurnool Dist.

I here with certify that this information furnished here is geneniue & correct.If found anything false i
am liable for further consequences.
I here with certify that Mr BUSIRAJU PRAVEEN is a bonafied student of this college NALLA
NARASIMHA REDDY EDUCATION SOCIETY S GROUP OF INSTUTIONS GHATKESAR
(M) and this information furnished here with college bank A/C College contact details Fee structure
etc is geneniue & correct.

Signature of the Student Signature of the Principal

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