CENTRE FOR DISTANCE EDUCATION

ACHARYA NAGAR.IUNA UNIVERSITY

ADMISSION APPLICATION FORM FOR U.G. COURSES
(FOR ENTRANCE QUALTFTED CANDTDATES )

Regd. No. FOR OFFICE USE ONLY Enroltment No. Batch

DD No./J.No. Day Month Year Amount Year

I I mE[,loT-[] tl-ol-Tl'E
1. Details of Entrance Test Passed : 2. Date of Birth as per SSC
f] Notary I
Year of pr""ins[T-[-Tl DD MM Year
HallTicket No.

I Marks obtained
m
[tr
5.
mFFr-n
Medium of lnstruction
(See Prospectus for availability)
3. Course Code f-Jl-_l 4. Second Language a_l T-Telugu, E-English
(RelerprospectusI I I I T-Tetugu,S-Sanskrit,H-Hindi I I

for Course Code)

6. Reservation Categov coo{]] 7. Choice of Study Centre Code in order of Priority
(See Prospectus for Study Centre codes)

8.
rtrffi
Batch

Elnt-n-ul
Year I Prioritv
[T-n
Name of the Candidate and Father's Name (CAPITAL LETTERS ONLY) as per SSC or its equivalent examination /Notary
[T-rl rr-n
II Prioritv ut Prioritv

Name
I I
of the
Candidate
I

Father's
Name I I

9. Fee Particulars
DD No./J.No. orvl-Tl r',rontffi Y 2 0
Name of the
Amount
I lssuing Bank I I

10. Address for Communication

Clo I I

Door No. /
House No. I I
Pasle recent
Passport size
Photograph ONLY
within this box.
Mandal/T
Do not staple / pin &
Do not sign on
District lerr'r
coo{ the Photograph

Phone
(if any) STD Code Phone No.

Mobile No.
(lf any) CDE will send impor(ant messages
through SMS, if Mobile Number is given. Signature of the Candidate
E-mail lD :
(inside the box above)
UNDERTAKING

regulations and stipulations of CDE, ANU, and I am aware that the legal jurisdiction in respect of all legal matters arising out of my
Admission for any course, examinations or any other issues, is restricted to the University head quarter, Guntur only. I further agree that
the courts/consumer forum outside the Guntur will have no jurisdiction.
I further state that, I shall abide by the regulations of the Centre / University incorporated in the Prospectus and also those issued from
time to time during the course of my study. I also declare and state that all the particulars furnished in the Admission Form are true and
correct to the best of my knowledge and if any information is found to be contrary to the rules, my admission shall stand cancelled and I
am liable for penal action as the CDE, ANU deems fit. As such I will not any claims for refund of fees.
Station :

Signature of the Candidate

Date:
 2. Date of Birth as per SSC f ttotaV I
for example if date of birth is Day Month
3. Course Applied
ssc13_04.1s88 For example : B.A. (English, Politics, PublicAdministration)
FTf t-rT;l FFt-BI;l
Course Name Code Course Name Code
B.A. (Economics, History, Politics) 40 B.Sc. (Maths, Physics, Chemistry) 60
B.A. (Economics, Public. Administration, Politics) ........ 41 B.Sc. (Costume Design & Fashion Technology) 61
B.A. (Economics, Public Administration, Sociology) .... 42 B.Sc. (lnformation Technology) 62
B.A. (Economics, History, Sociology) .. 43 B.Sc. (Maths, Statistics, Computers) 63
B.A. (Economics, Politics, Sociology) .. 44 Bachelor of Business Managerment (BBM) .................... 64
B.A. (History, Politics, Sociology) 45 Bachelor of Hotel Management (BHM) ............ 65
B.A. (Public Administration, Politics, Sociology) .."....... 46 B.A. (Maths, Economics, Statistics) 66
B.A. (Public Administration, Politics, History) 47 B.A. (Maths, Statistics & Computer Applications) 67
B.A. (Maths, Politics, Economics) 48 B.Com. (Computer Applications) 68
B.A. (Maths, English, History) 49 B.Com. (Marketing) 69
B.A. (Maths, Telugu, History) 50 B.Com (Foreign Trade) 70
B.A. (English, Economics, Public Administration) ....... 51 B.Sc. (Maths, Physics, Electronics) 71
B.A. (Engiish, Economics, Politics) 52 B.Sc. (Maths, Electronics, Computer Science) 72
B.A. (English, History Politics) 53 B.Sc. (Maths, Physics, Computer Science) 73
B.A. (English, Politics, Public Administration) .............. 54 B.A. (Maths, English, Statistics) 112
B.A. (English, History, Telugu) 55
..................
B.A. (Telugu, History, SocioloSy) 56
B.A. (Telugu, HistoryPolitics) 57 4. ll Language Code
B.Com (General) ................... 58 For example : Sanskrit [l-
B.Sc. (Botany, Zoology, Chemistry) .. 59 T- Teluqu S-sanskrit H-Hindi I I

5. Medium ol lnstruction ( Refer prospectus) 6. Reservation Category Code (enclose Xerox Copy)
1. Both English medium and Telugu medium for 7. Choice of Study centre Code
01=SC 06=BC-A 10=PH-VH (Visually Handicapped)
B.Sc (MPC, BzC). ns=cr 07=BC-B (Hearing lmpaired)
2. Only Telugu medium for BA and BCom Courses. ""-"' 08=BC-C 11=PH-Hl
12=PH-oH'(orthofaedicattyhandicapped)
For example :
3. only English Medium for all other B.Sc. Courses 09=BC-D 13=OC Mahatma Gandhi
For example :Telugu E - English;T - Telugu Ll For Exampte, if sc El-f Degree College, GUNTUR

STUDY CENTRE CODES : Students must contact the study centre before applying for a particular course
Name of the Study Centre Code Name of the Study Centre Code
VR.S. & YR.N. Degree College, Chirala .................................. 086
Hindu College, Guntur ................... ool Ln. G.VBao Modern Degree College, Ramachandrapuram .....
Mahatma Gandhi College, Guntur 087
OO2 Arya Bhatta Degree College of Arts & Science, Khammam ...... 088
Career Degree College, Guntur oo3 G R R &TP R Degree College, Cumbum................ 090
A S N College, Tenali .................... 004 Pragathi Arts & Science College, Atchampet
Vidyakendram Degree College, Sattenapalli
o92
oo5 Nalanda Degree College. Adilabad 098
TH R & S DegreeCollege, Piduguralla 006 Geetham Degree College. Ongole 103
E.V Beddy Memorial Degree College, Kodad 109
ldeal & Sri Krishna Chaitanya Memorial Degree College,Markapuram 011 vS.K. Degree College, Bhimavaram ........................... 110
RRD Degree & PG College, Hyderabad 0't2 New Silver Jubilee's Degree College, Hyderabad 113
Ruthviks Degree College, Vijayawada ...................................... 013 KLB Degree College. Paloncha 114
Prabhas Degree College, Vijayawada ....................................... 014 Westin College of Hotel Management, Vijayawada 115
Nalanda Degree College, Vijayawada ...................................... 016 BGBS Womens College, Narsapur 118
Andhra Jateeya Kalasla, Machilipatnam ................................ o17 Sri Balaji Degree College, Vijayawada ................-.......................... 125
K.lR. Womens Degree College, Gudivada ............... 018 Sri Subbaraya & Narayana College, Narasaraopeta ......................... 126
S.V. Degree College, Gannavaram ........................... 019 Vikas Degree College, Lokumudigaruvu ..................... 127
SVFIK Degree College, Eluru 021 Sri Chanakya lnstitute oI Hotel Management & C.T. ........................ 128
MSBS Siddhartha Degree College, Visakhapatnam o23 Dr S.R.J. Degree College, Atmakur (Nellore Dist.) 129
Samyukta Degree College, Anakapalli 024 Sri Chalapati Degree College, Eluru ............,......... 130
Pragathi women's Degree College, Kukatpally, Hyderabad ......- 025 Viswa Bharathi PG College of Engineering & Management............... 13'l
Santhinikethan Degree College, Sattupalli ............... 027 Pioneer lnstitute of Hotel Management, Zamistanpur, Hyderabad .... '132
Vashista Degree College, Nirmal 030 Akkineni Nageswara Rao College, Gudivada ............... 134
Sri Vasavi Sarada Junior College, Akividu 031 Greentields College of C.T. & Hotel Management, Hyderabad ......... '140
Sri Vidya Degree College, Manuguru, Khammam (Dt.).............. 032 Chakradhar Degree College, Macherla ............... 141
National Degree College, Secunderabad .........-,...................... 035 Chaitanya Degree College for Women, Mancherial 143
042 NI.S.B. Degree College, Kavali 144
043 Pragati Degree College, Kakinada 145
044 Sri GoMhami Degree College. Darsi ...................... I+O
GATE Degree College, l'irupathi .... 047 Dr. Narayana Degree College of Hotel Management & CT, Sec'bad... 147
Aditya Degree College, Kakinada ...........-................................. 05't Shalivahana Degree College, Suryapet ........ -t49
Aditya Degree College, Rajahmundry ....................................... 052 Jagruti Degree & PG College, Hyderabad 150
Siddardha Degree & PG College for Women, Hyderabad ......... UCJ Satavahana College, Vijayawada ... 151
Sri Nagarjuna Degree College, Ameerpet, Hyderabad .............. 055 siddhartha oesre6 cott6je, pvoip"riu, iinri, .::::..:....:.::............ 153
Kavitha Memorial PG College, Khammam 057 Giruani Degree College. Chittoor '154
Aditya Degree College, Hanamkonda......................................, 059 Triveni Mahila Degree College, Vijayawada 155
D B Goenka Womens Degree College, Tadepalligudem ........... 061 Sir NeMon's Degree College for Women, Malakpet, Hyderabad .. 156
Chaitanya E S Degree College, Srikakulam 062 AVR & VPR Degree College, Mandapeta '157
Sadhana Degree College, Proddutur 064 Siddhartha Degree College, Narsampet, Waranga|....................... 165
Smt. & Sri GKRVD Degree College, Rajahmundry................... 069 Siddhartha Degree College, wyra, Khammam.... 166
NRT Krishnaveni Degree College, Vinukonda 070
JC Degree College. Mandapeta 071 Abhyudaya Degree College, Komavarapu Kota ................................. 173
AVR Degree College. Avanigadda ............................ 083 R.GFI Siddhanli College, Secunderabad ................................... 174
N.B.T. & N.V.C. College, Narasaraopet ..................................... 084 St. Joseph's College, Hyderabad 177

8. Name ol the Candidate should be in 'CAPITAL LETTERS'onlv.

' Neme d he
Leave one blank spaco after each inilial or word in the name.
For example : For VELISETTY CHANDBASEKHARA BAO candidate

Note : Arrange the enclosures in this order:

1. Demand Draft / Online Payment receipt with J No.. 5. Attested Xerox copy of date of Birth Proof (SSC or equivalent or
2. Student ldentification Card Notary)
3. Admission Application Form 6. Candidates belonging to reserued categories must produce at-
tested Xerox Copy of Caste Certificate/PH/NCC/Sports.
4. Xerox copy of Entrance Marks Memo

1. The Application must be accompanied by a DD for the specified amount drawn in favour of "The Director,
Centre f or Distance Education, Acharya Nagariuna University", payable at SBI or Andhra Bank,
Nagarjuna Nagar - 52251O.
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