Revised student profile format

1. SRIDEVI WOMEN’S ENGINEERING COLLEGE – GANDIPET, HYDERABAD - 500 075.
(Affiliated to J N T University and Approved by A.I.C.T.E and Govt. of A.P, Hyderabad, A.P)
Phone: [phone], 234054, Fax: [phone], Mobile (Exam Branch):9912282057, (I/c)9293723623
EXAMINATION BRANCH
S T U D E N T P R O F I L E

Batch
(Ex:2005-2009)
Name of the Degree
(B.Tech/MCA/MBA/Other)

Registered Number
Branch
Name of the Candidate
Father Name
Date of Birth
(DD/MM/YYYY)

Address for communication
Permanent Address

Candidate Mobile No.

Parent Mobile No.
Residence Ph. No.

Alternative Mobile No / Contact Nos (In case of Emergency)
Email ID
(Specify the regular used Email ID)
Affix here with
recent color
passport size
photo (1)
Gender : Male Female
Admission Type: EAMCET NRI/Management
STD Code:
NOTE: Fill in BLOCK LETTERS only
Affix here with
recent color
passport size
photo(2)
Affix here with
recent color
passport size
photo(3)
<Option>
CERTIFICATE
The Above information which filled by me was correct as per my knowledge.
Date: Signature of the Candidate