NTR Vidyonnathi Plus PHC Application Form

PERSONAL INFORMATION HALLTICKET
Scheme Type* : Category* :
Course* : Institute Location* :
Name of the Candidate with Surname* :
(Only Upper case letter)
Father's Name* :
(Please do not use any prefix such as
Mr. or Shri. or Prof. or Dr. etc.)
Date of Birth* :
Gender* :
Aadhaar Card Number* : EMail ID* :    
Blood Group* : Medium* :  
Prevace Coaching Institute Name : Prevace NTR Vidyonnathi Scheme Hall ticket no :
(Optional)
PHC Certificate Number
(Optional) :
Examination Center
ADDRESS
State* : District *:
Block/Mandal *: Village *:
House/Door Number : Pin Code* :
Mobile Number* : Alternative Phone Number :
UPLOAD DOCUMENTS
*All the scaned documents should be in *.jpg OR *.jpeg format and size not be more than 100KB
Passport size Photograph* :   Signature *:  
Aadhar Card* :   PHC Certificate* :  
   I here by declare that, I have furnished correct information to the best of my knowledge. If anything is found at any stage will be liable for cancellation of seat with recovery of financial implication.
Note :    After filling application form click submission button, go back to application form. Click Hall ticket button on the top right side of the application form. Enter aadharcard number and click search button for hall ticket.
Submit