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Admission Coordinator ID Leave blank if none :
Name of the Applicant * :
Sex :
Nationality * :
Other Nationality :
Date of Birth * :
Permanent Address * :
City * :
Country :
State * :
Pin * :
Copy From Above :
Correspondence Address :
City :
State :
Pin :
E-Mail * :
Landline :
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Student Mobile Number * :

Parent's work address

Name of the Parent / Guardian :
Occupation of Parent / Guardian :
Work Address of the parent :
E-Mail :
Landline :
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Mobile Number :

Additional Info

Local Address of Applicant (if any, in Bangalore) :
Bangalore Telephone Numbers :

Category

Whether the Candidate belongs to SC/ST or BC/BT * : Yes No
Whether the Candidate is NRI/Foreign National * : Yes No
Results Awaiting :

12th standard academic details

12th Standard Board Name * :
Marks obtained in Physics * :
Marks obtained in Chemistry * :
Marks obtained in *
:
Marks obtained in English * :
  I declare that I have secured the passing marks as per the norms of the 12th standard board I studied in

Languages studied

First Language :
Second Language :

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Declaration by the Candidate

 I declare that the above information is true and correct to the best of my knowledge and belief.

Declaration by the Parent / Guardian:

 I hereby declare that I have known the financial obligtion of my ward and I can afford to pay all the costs and I undertake to pay the Tuition and other fees payable to the College under the rules in force & which may be framed from time to time by the Management.I am aware that the fees paid to the college for admission will be forfeited in case of his/her discontinuation of the studies for any reason. I also stand by the declaration given by my son / daughter to the college.