SRI VENKATESHWARA GROUP OF INSTITUTIONS Applicatio… ·  · 2016-04-29Application for P.G. Course...

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3 Passport Size Photos Student Mobile No. Email ID : Parents Phone/Mobile No. Email ID : (As per 10th Marks sheet in block letters) Aadhaar Card No. 2. PAN No. Urban / Rural 3. Caste Category (SC, ST, CAT-1, 2A, 2B, 3A, 3B, GM) Blood Group Religion State Nationality Students Bank A/c. 4. Bank Name Bank Branch IFSC Code Sex Male / Female 5. Date of Birth Name of the Father 6. Name of the Mother 7. Parents Occupation 8. Name of the Guardian 9. Parent's Annual Income SVGI ESTD 2001 SRI VENKATESHWARA GROUP OF INSTITUTIONS Application for P.G. Course in : M.B.A. / M.Tech Note : Please tick wherever required / Use only Block Letters / indicate NA, if not applicable Seat Type : PGCET / MGT Rank / Score :

Transcript of SRI VENKATESHWARA GROUP OF INSTITUTIONS Applicatio… ·  · 2016-04-29Application for P.G. Course...

3 Passport Size

Photos

Student Mobile No.

Email ID :

Parents Phone/Mobile No.

Email ID :

(As per 10th Marks sheet in block letters)

Aadhaar Card No. 2. PAN No.

Urban / Rural3. Caste

Category (SC, ST, CAT-1, 2A, 2B, 3A, 3B, GM)

Blood Group Religion

State Nationality

Students Bank A/c.4. Bank Name

Bank Branch IFSC Code

Sex Male / Female5. Date of Birth

Name of the Father 6.

Name of the Mother 7.

Parents Occupation8.

Name of the Guardian 9. Parent's Annual Income

SVGIESTD 2001

SRI VENKATESHWARA GROUP OF INSTITUTIONS

Application for P.G. Course in : M.B.A. / M.Tech

Note : Please tick wherever required / Use only Block Letters / indicate NA, if not applicable

Seat Type : PGCET / MGT

Rank / Score :

Exam Reg. No.

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Qualifying Degree

Marks obtained in the above degree examination :

Year SemMax

MarksMin

MarksMarks

ObtainedPercentage

a) Degree Marks Cards

b) PUC or 12th Marks Card

c) SSLC or 10th Marks Card

d) Rank Card

e) Study Certificate

f) Caste / Income Certificate

g) Migration Certificate

h) Transfer Certificate / School Leaving Certificate

Yes No

1

2

3

4

1st Year

2nd Year

3rd Year

4th Year

I

II

III

IV

V

VI

VII

VIII

TOTAL

If there is any false information / fake certificate of any forgery in the particulars / certificates / documents submitted by me / my ward to the authorities of SVCE / VTU / AICTE , my / my wards admission may at once be cancelled and necessary action will be taken

she withdraw his / her candidature and admission at any time during the course at his / her own risk or financial loss. There is no necessity to inform me further on these lines.

Admin Assistant

Masters Degree

I declare that I have neither taken admission in Degree / Course under this or any other university nor I am working anywhere or will work anywhere during this course work (Undertaking in stamp paper has to be submitted to VTU, Belgaum to this effect)

10.

Blood Group

Chest Normal

Height

Weight

Eye Sight & Power of Glass

Expanded Contracted

Signature / Seal & Nameof Medical Practioner