E - FORM 2021 - 2022


STUDENT NAME
FATHER NAME
MOTHER NAME
DATE OF BIRTH
GENDER (Male/Female)
PHONE NO
EMAIL ID
RELIGION
INCOME
SELECT YOUR PREFERRED COURSE
SCIENCE - PCMB, PCMC’s, PCME
COMMERCE - SEBA, BEAC’s
ARTS - HEPS
ADDRESS
ADHAAR No
EDUCATION DETAILS     MAXIMUM
MARKS
MARKS
OBTAINED
 

SSLC / 10th in karnataka

  CBSE / ICSE 10th
  CBSE/ICSE/Other Board
  Non karnataka
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