L stands for local area. Local area is nothing but determining whether the Candidate belongs to Telangana or Andhra.

Districts of Adilabad, Hyderabad, Rangareddy, Karimnagar, Khammam, Medak, Mahaboobnagar, Nalgonda,

Nizamabad and Warangal are regarded as the Osmania University Local. Area of Telangana

Districts of Srikakulam Vizianagaram, Vishakapatnam, East Godavari, West Godavari, Krishna, Guntur and Prakasham are  regarded as the Andhra University Local area of Andhra Pradesh

Districts of Ananthapur, Kurnool, Chittoor,Çuddapph and Nellore are regarded as the Sri Venkateswara University Local Area of Rayalaseéma

To be considered locale to a particular area:

• You should have studied in an Educational Institutions of that local area for a period not less than 4 consecutive academic years.

For more clarity on this, please read the page 4 of http://www.knruhs.telangana.gov.in/sites/default/files/2020-12/MBBS%20BDS%20CQ%20ADMISSIONS%20NOTIFICATION%20FOR%20FIRST%20PHASE%202020-21_0.pdf

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