Applicant's Form
* Select the Course :
Admission Coordinator ID
Leave blank if none
* Name of the Applicant :
Sex :  
Nationality :  
Other Nationality :  
* Date of Birth :     
*Permanent Address :
*City :
Country : India
*State :
*Pin :
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Correspondence Address :
City :
State :
Pin :
*e-mail :
Landline : -
*Student Mobile Number :
Parent's work address
Name of the Parent / Guardian :
Occupation of Parent / Guardian :
Work Address of the parent :
e-mail :
Landline : -
Mobile Number :
Additional Info
Local Address of Applicant (if any, in Bangalore) :
Bangalore Telephone Numbers :
* 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 :
(If any )Upload Here
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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.