| STUDENT NAME | ||||
| FATHER NAME | ||||
| MOTHER NAME | ||||
| DATE OF BIRTH | ||||
| GENDER (Male/Female) | ||||
| PHONE NO | ||||
| EMAIL ID | ||||
| RELIGION | ||||
| INCOME | ||||
| SELECT YOUR PREFERRED COURSE | ||||
| Automobile Engineering, Civil Engineering, Computer Science Engineering, Electronics and Communication Engineering, Electrical and Electronics Engineering, Mechanical Engineering | ||||
| EXPERIENCE (Two Years / Two Years above) | ||||
| ADDRESS | ||||
| ADHAAR No | ||||
| EDUCATION DETAILS | MAXIMUM MARKS |
MARKS OBTAINED |
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SSLC / 10th in karnataka |
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| CBSE / ICSE 10th | ||||
| 10th in Non Karnataka | ||||
| ITI / PUC(Science) | ||||
| Declaration of Applicant I agree that confirmation my provisional selection and admission is subject to all my original certificate and declaration regarding caste, professional, income, etc.. Being found in a order and correct as per rules I also undertake that I am punishable as per rules in case it is found / provide that i have given any wrong / incorrect statement certificates for online admissions application |
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