Surname * :

Name * :

Father's/Husband's/Guardian's Name * :

Postal Address * :

Pin Code * :

Email * :

Mobile No * :

Course Applying for * : Select P.G.Diploma in Multimedia JournalismP.G.Diploma in TV JournalismP.G.Diploma in Mobile Journalism

Association with Eenadu * :

Date of Birth * :

Educational Qualification * : - SELECT - Degree P.G M.Phil/Ph.D

Percentage of Marks in Degree * : - SELECT PERCENTAGE- 35 %36 %37 %38 %39 %40 %41 %42 %43 %44 %45 %46 %47 %48 %49 %50 %51 %52 %53 %54 %55 %56 %57 %58 %59 %60 %61 %62 %63 %64 %65 %66 %67 %68 %69 %70 %71 %72 %73 %74 %75 %76 %77 %78 %79 %80 %81 %82 %83 %84 %85 %86 %87 %88 %89 %90 %91 %92 %93 %94 %95 %96 %97 %98 %99 %100 %

journalistic Qualification* : - SELECT - Diploma in Journalism PG Diploma in Journalism BA (Journalism) MA(Journalism) B.C.J MCJ MBA (Media Management) Other Journalism Course Not Applicable

Telugu Typing Skills * : - SELECT - YES NO

Medium In Degree * : - SELECT MEDIUM - Telugu English Others

No. of Attempts Made Earlier for Admission into EJS * : - SELECT NO OF ATTEMPTS- 012345678910

Annual Income of the family * : Select Rs. Less than Rs. 72000 Rs. 72000-1,20,00 Rs. 1,20,000- 2,40,000 Rs. More than 2,40,000

Order of Choice of Exam Center * :

Photograph (Passport Size) * : *Attach Your Digital Passport Photograph here of JPEG Format.should not exceed 100kb.