Application 2023-24 - yctnandyal.org

First Name *

Middle Name

Last Name *

Gender *MaleFemale

Phone *

Date of Birth *

Day

Month

Year

Father Name *

Mother Name *

Email Address *

Door No and Street *

Revenue vill and Mandal *

District *

State/ *

Pin code *

If you are local select "YES". If not, Select "NO" *YESNO

Upload Candidate Photo with Signature *

photo size should not be exceeded more than 100 KB

Name of the Degree *

Degree Branch *

Name of the Degree Board/University *

Percentage of Marks Degree Obtained *

Division *

Degree Passing Year *

Eg.30/03/2016

Intermediate or Diploma Name: *

Intermediate/Diploma Branch *

Intermediate Board / University *

Percentage of Inter marks obtained *

Intermediate /Diploma Division *

Intermediate/Diploma Passing Year *

Eg: 30/03/2014

SSC *

SSC Board *

SSC Division *

SSC Marks Percentage *

SSC Passing Year *

Eg: 30/03/2010

TRANSACTION DATE *

BANK NAME *

RS *

TRANSACTION NO *

Payment Receipt *

Receipt size should not be exceeded more than 500KB

Declaration by the candidate *

Yes, AceeptThe particulars furnished above are true and correct to the best of my knowledge and I here by agree for the cancellation of my application / admission if any of the above details are found to be false.