GVP Form

GAYATRI VIDYA PARISHAD COLLEGE OF ENGINEERING (Autonomous)
Approved by AICTE & Affiliated to Andhra University, Visakhapatnam from 2022-23

(Affiliated to JNTUK, Kakinada upto 2021-22)
Re-accredited by NAAC thrice with ‘A’ Grade with a CGPA of 3.50/4.00
Application for FRESH REGISTRATION in Jnanabhumi for RTF, 2024 - 25

(Please fill carefully and submit to Mr.Mustafa / Mr.Rajesh, Admin Office On or before 10-10-2024 and SIGN)
College Admission / Roll No. / Hall Ticket No. : 3241033

Branch :
Admission Fee Paid Rs. Receip No. Date :

Tuition Fee Paid Rs. Receip No. Date :
FORM - 1 PERSONAL DETAILS

Bring in Pen Drive - Soft Copy of Scanned Photo & Signature Less than 50 kb
Name of the Board :

(AP SSC / ICSE / CBSC Boards) : AP SSC
SSC HALL TICKET NUMBER : PASS TYPE Regular/ YEAR OF PASS:
2238122562 Supplementary : Regular 2022
Student Name : Student Adhar Email Mobile
(as in SSC Certificate) JAGARAPU KRISHNA ROHIT No: 229773458928 ID : krishnarohitjagarapu@gmail.com
No: 8019391604
Mother Name : Mother Adhar Occupation: Mobile
JAGARAPU ARUNA KUMARI No:882352753791 Home maker No: 8500191064
Father Name : Father Adhar Occupation: Mobile
JAGARAPU KRISHNA PRASAD No: 920822572663 Private employee No: 9550976476
Guardian Name : Guardian Adhar Occupation: Mobile
(In case parents are not alive) Relation with Guardian : No: No:
Name of spouse in case of married student: Adhar Occupation: Mobile
No: No:
Gender : Male / Female : Male Nationality : Indian Religion : Hindu
CASTE : SC / ST / BC / Kapu / Brahmin / Arya / Sub-Caste :
BC-D Koppalavellamas
Vysya / Kamma / Reddy / Kshatriya / EBC (others) :
Present Address of the Student: Door/House Number : 1-155
Mandal / Municipality : Village :
Jami Jannivalasa
Street / Land Mark : Raja veedhi Habitation :
District : Vizianagaram Pin Code : 535250
Village / Ward Secretariat to which family is tagged –

Vennepadu
Name & Place of the Sachiwalayam : Ward No.
FORM - 2 Student's College Admission Details
Name of the previous course: Inter / Diploma :
Sri Chaitanya junior college Pass Percentage/CGPA of previous course : 94.9%
Name of the present college : GVP College of Engineering (Autonomous) College Admission No. : 3241033
Branch : EEE Year of Study : 2024Section : 1 Date of Admission :
Admission Category : CAT-A (Convenor) / CAT-B (Management) / Spot Admission : CAT-A
CET Details-CET Name : AP CET Hall-Ticket No. : 90589010478 CET Pass Year : 2024
NCC category : Ex-Servicemen category :
NSS category : Sports category :
Physically Handicapped : Yes / No (If Yes, Percentage of PH - No Certificate No. - Dt. -
Contd..2.
PAGE : 2 / 3
FORM - 3
**Are you ELIGIBLE for RTF (Reimbursement of Tution Fee from AP Government)
in terms of conditions laid down in G.O.No.115, dt.30.11.2019 of Social Welfare Department Yes / No
Income Related Criteria (As per G.O. MS No. 115 of SW Dept dated 30-11-2019)
1) Is Annual income of all family members together is more than Rs.2.50 lakhs? Yes / No
2) Is any family member of your family is Govt. Employee/Pensioner? (Except Sanitory worker) Yes / No
3) Is any Family Member of your family paid Income Tax in the past? Yes / No
4) Did any Family member own Four-Wheeler? (Except taxis/ Tractors) Yes / No
5) Is your family having more than 10acres wet or 15 acres Dry land or 25acresof wet/dry land? Yes / No
6) Is your family having Property in urban Area with extent of 1500 or more sq ft? Yes / No
SCHOLARSHIP DETAILS Yes / No
1. Day Scholar (Out side Private Hostel Rooms) Yes / No
2. Admitted College Attached Hostel (Pvt-CAH) Yes / No
Scholarship
3. Government Welfare Department Hostel (DAH) Yes / No
type :
If Option 3 is “YES” Admission date & Name of the Hostel and Place :
Caste Certificate Details Caste : BC-D Caste Certificate No. :

Is student’s parent working as sanitary Worker in any Gram panchayath /Municipality Yes / No
Name of the Gram Panchayat/ Municipality
where parent isworking as sanitary worker:
Rice Card Number : Year of Issue :
EWS Certificate No. Year of Issue :
Community Certificate No. Year of Issue :
Income Certificate No. Year of Issue : Total Income:
BANK ACCOUNT DETAILS – BANK ACCOUNT SHOULD BE LINKED AADHAR
Joint A/c of Student with Mother for NON-SC Students (BC / EBC / ST / MINORITY / KAPU etc.)
Bank Name : City/Village :
Bank Account No. : IFSC Code:
Student A/c only for SC Students – Bank Account should be linked Aadhar
Bank Name : City/Village :
Bank Account No. : IFSC Code:
Local nativity as per 371-D
Whether the student belongs to A.P. as per local nativity as per 371-D (Student should have
Yes / No
studied atleast 4 years in A.P out of 7 years of total study upto the qualifying course)
To : The Principal
Respected Sir
I request to Fresh Registration my application in Jnanabhumi Portal for RTF (Reiumbursement of Tution Fee
from Andhra Pradesh Government for 2024-25 academic year and I agree that if the government does not
reimburse my tuition fee, I will pay the entire tuition fee as per College rules.
ఒకవేళ గవర్న మెంటు వారు నా యొకక ఫీజు రియెంబరుు మెంటు చేయకపోయిన యెడల,
మొత్తము ట్యూ షన్ ఫీజు చెల్లెంచెదము అని అెంగీకరిెంచుచునాన ము.
Signature of the Parent / Guardian :__________________________Signature of the Student :______________________ Contd..3.

PAGE : 3 / 3
PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY
**Are you ELIGIBLE for RTF in terms of conditions laid down in G.O.No.115, dt.30.11.2019 of Social Welfare
Department.
Eligibility rules as follows:
i. The total family annual income to be less than or equal to Rs.2.50 lakhs.
ii. The total land holding of the family to be less than 10.00 acres of wet or 25.00
acres of dry or 25.00 acres both wet and dry land together.
iii. No member of the family should be a government employee / pensioner (all
sanitary workers irrespective of their salary / recruitment, are eligible. The Social
Welfare Department shall develop a robust & fool-proof system of certification of
parents of the beneficiaries under category of “Sanitary workers”).
iv. No member of the family should own a four-wheeler (Taxies / Tractors / Autos are
exempted).
v. A family who owns no property or less than 1500 Sft of built up area (Residential
or Commercial) in urban areas is eligible.
vi. No member of the family should be an income tax payee.
vii. 75% of the aggregate attendance is mandatory for release of scholarships.
*-*-*-*-*-*-*

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GAYATRI VIDYA PARISHAD COLLEGE OF ENGINEERING (Autonomous)

Approved by AICTE & Affiliated to Andhra University, Visakhapatnam from 2022-23

Application for FRESH REGISTRATION in Jnanabhumi for RTF, 2024 - 25

College Admission / Roll No. / Hall Ticket No. : 3241033

Admission Fee Paid Rs. Receip No. Date :

FORM - 1 PERSONAL DETAILS

Name of the Board :

Village / Ward Secretariat to which family is tagged –

Caste Certificate Details Caste : BC-D Caste Certificate No. :

Signature of the Parent / Guardian :____Signature of the Student : Contd..3.

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

Eligibility rules as follows:

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