Dr. B.R.Ambedkar Open University
Student services Branch
Prof G. Ram Reddy Marg, Road No.46 Jubilee Hills, Hyderabad
APPLICATION FORM FOR LATERAL ENTRY INTO II YEAR U.G. B.A./B.Com/B.Sc.) PROGRAMMES
1. Name of the Applicant :
(Write Capital Letters)
2. Father’s Name :
3. Date of Birth :
4. Gender : M/F
5. Social Status :
6. Address for Communication :
H.NO: :
Street or Colony :
Village :
Mandal/Town :
District/State :
Pin Code :
Mobile No. :
E-mail ID :
7. In which College did you study :
Name of the College :
Place/District /State :
8. In which course did you Study :
(B.A./B.Com/B.Sc.)
9. Did you pass your 1st year U.G. :
(1st year U.G.passed candidates only
eligible for lateral entry)
10. In which course do you want to study :
(B.A./B.Com/B.Sc.)
11. In which Medium do you want to study :
12. What are the subjects :
13. Enclosures
1. Xerox copies of S.S.C and Intermediate Certificates
2. Xerox copy of Memorandum of marks for 1st year U.G.
3. Xerox copy of Transfer Certificate
4. Xerox copy of Caste Certificate
Signature of the Candidate