BA B.Com Aplicatiion Form.pdf
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Transcript of BA B.Com Aplicatiion Form.pdf
7/27/2019 BA B.Com Aplicatiion Form.pdf
http://slidepdf.com/reader/full/ba-bcom-aplicatiion-formpdf 1/2
K S O U
C O P Y
B A N K
C O P Y
S T U D
E N T C
O P Y
First Year Examination
A/P Subject
Month
&
Year
L1
Group I
Lang L2
FHS
FSTGroup II
ICHRES
O1
O2Group
II I
Optional
O3
BPP
Second Year E xamination
A/P SubjectMonth
&
Year
L 1
Group ILang L2
F IT
FC AGroup II
O1
O2Group
I I I
Optional O3
GroupIV
AOC
C S /Marketing/OOM
(‘P’ for PASSED ‘A’ FOR APPEARING)
Group
II IOption
A/P Subject Title of the PaperMonth & Year
O3
O4
O5
O3
O4
O5
O3
O4
O5
MANASAGANGOTRI, MYSORE - 570 006
1. Name of the Examination Centre:
2. Name of the Candidate (in block letters):(as in qualifying examination records)
3. Permanent Postal Addresswith pin code(In block letters)
Pin Code:
4. Mark ( ) to which you belong:
Third Year Examination
Please Furnish Title of the paper without fail
APPLICATION FOR EXAMINATION
FIRST / SECOND / THIRD YEAR B.A. OF MAY - J UNE / OCTOBER-NOVEMBER 20....
KARNATAKA STATE OPEN UNIVERSITY
Mobile No:....................................................
Landline No:..................................................Email ID:........................................................
Year of Admission
Affix
Stamp SizePhoto here
aTick ( ) whichever is applicable
REGULATION
R1 R2
Roll / ID Card No.
Karnataka State Open University, Mysore
Name of the Bank &Place of Remittance .......................................................
Name of the Course B. A Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUNDSBM-54035420128 SBI-31106997538
Duplicate
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.
501: Examination Fee :
Penal Fee :
Change of Centre Fee :Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words)............................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
To be retained with the receiving bank
Karnataka State Open University, Mysore
Name of the Bank &Place of Remittance .......................................................
Name of the Course B. A Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUNDSBM-54035420128 SBI-31106997538
Quadruplicate
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.
501: Examination Fee :
Penal Fee :
Change of Centre Fee :
Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words)................................................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
Student copy to be retained by the student. No seperate receipt
will be issued
SC STCAT
I
CAT
IIA
CAT
IIB
CAT
IIIA
CAT
IIIB GM
a
%
%
Karnataka State Open University, Mysore
Name of the Bank &
Place of Remittance .......................................................
Name of the Course B. A Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUNDSBM-54035420128 SBI-31106997538
ORIGINAL
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.501: Examination Fee :
Penal Fee :
Change of Centre Fee :Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words)............................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
UNIVERSITY COPY
Not to be sepera ted from the Form
% % % %
%
%
%
S B M / S B
I , M Y S
O R E C O P Y
Karnataka State Open University, Mysore
Name of the Bank &Place of Remittance .......................................................
Name of the Course B. A Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUNDSBM-54035420128 SBI-31106997538
Triplicate
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.
501: Examination Fee :
Penal Fee :
Change of Centre Fee :
Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words).................................................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
Receiving Bank should send this copy to the Finance Officer,
KSOU, Manasagangotri, Mysore-06
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7/27/2019 BA B.Com Aplicatiion Form.pdf
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I declare that the above informati on furnished by me is correct to the best of my knowledge.
Place:............................. Date:........................... Signature of the Candidate
Accepted / Rejected FOR OFFICE USE ONLY
............................ ............................
Scrutinized by Checked by.
IMPORTANT I NSTRUCT IONS TO BE FOLLOWED BY THE CAND IDATE
01. Please read carefully the instructions given in the application & as well as in the fee circular and prospectus before filling theapplication.
02. IT IS COMPULSORY FOR THE CANDIDATE TO ENCLOSE ATTESTED PHOTO COPIES OF THE PREVIOUS YEARMARKS CARDS WITHOUT FAIL.
03. The application along with the Examination Fee Paid Challan(original) and Admission Fee paid challan (Photo Copy) should besubmitted on or before the due date (without or with penal fee as prescribed in the fee circular). Otherwise, the application willNOT be registered for examination.
04. Freshers, who have enrolled for I, I I or I I I year B.A. course in the current academic year should compulsorily pay the examinationfee in full and must appear for all the subjects / papers in their respective class.
05. Incomplete applications are liable to be rejected.
06. The prescribed examination fee should be remitted in the bank through the challan printed in the examination form.
07. Examination Fees Once paid will not be readjusted / refunded under any circumstances.
08. Regarding the rates of Examination Fees, separate Circular is enclosed.
09. For all instructions pertaining to the examination Dates, Centres, Assignments, Time Table, Announcement of Result, ConvocationDates etc., please see the KSOU Website:www.ksoumysore.edu.in.
11. The filled-in application should be submitted to the REGISTRAR (EVALUATION),Karnataka State Open University,Manasagangotri, Mysore - 570 006.
12. MOBILE PHONES ARE STRICTLY PROHIBITED IN THE EXAMINATION HALL.
5. Sex: Male / Female 6. Medium: Kannada / English
BPP Exam
Appear / NotI Year II Year III Year
6. Year in which
Candidate completed
the Programme
7. Details of fees paid:
Year Amount Paid Name of the Bank Challan No. Date
I Year
II Year
III Year
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