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I PUC ONLINE APPLICATION FORM 2023-24
1.Name
*
2.(a) Date of Birth
*
(b). Birth Place
*
(c) Nationality
*
(d). Aadhar No
*
3. Religion
*
Caste
*
Sub caste
*
Mother Tongue
*
4. Name of the Father:
*
Phone Number:
*
Occupation:
*
Annual Income:
*
5. Name of the Mother:
*
Phone Number:
*
Occupation:
*
Annual Income:
*
6.Name of the Guardian
*
Phone Number:
*
Occupation:
*
Annual Income:
*
7.Permanent Address
*
Email Id
*
8.Name and Address of the School / College last studied:
*
9. Particulars of SSLC / Equivalent Examination Passed:
Reg No:
*
Year
*
Month:
*
Total Marks
*
Percentage
*
10. Subject / Languages Studied
Marks Obtained
11 .Languages and Combination Offered to study in the PUC course:
PART - I
--Select--
Kannada
Hindi
French
Others
If any Other Specify
PART - II (Optional Subjects)
--Select--
PCMB
PCMC
PCME
PCBH
HEBA
MEBA
SEBA
SMBA
HEPP
HEPS
CEBA
12.Upload Passport size Image(Image size not more than 500kb)
*
13.Upload SSLC Marks Card(Size not more than 2MB)
*
We / I have read the Online Admission Form and have filled it to the best of our/my knowledge. We / I have enclosed the required documents and will comply with the decision taken by the Admission Committee with regard to the admission process. We / I understand that an incomplete application will be subject to rejection.
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*
NOTE: THE DOWNLODED APPLICATION FEE WILL BE COLLECTED AT THE TIME OF FEES PAYMENT.