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APPLICATION FOR ADMISSION MEN'S HOSTEL
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* Indicates required question
1. Name of the Applicant :(In Block Letters) as per SSLC marks card
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Your answer
2. Date of Birth :
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MM
/
DD
/
YYYY
3. Class to which admissions sought :
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Choose
B.A.
BSc
BCA
B.Com
BBA
B.Com (VOC)
4. Second Language :
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Choose
Hindi
Kannada
Sanskrit
5. Percentage of marks in the qualifying exam. :
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Your answer
6. a) Mother`s Name :
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Your answer
b) Father`s Name :
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Your answer
7. Name of the Guardian :
Your answer
8. Occupation of the Parent / Guardian :
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Your answer
9. Permanent Address ofParent / Guardian :
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Your answer
10. Mobile No. of Parent / Guardian Mobile No. :
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Your answer
11. E- Mail Address :
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Your answer
12. Name, Address and Phone No. of Local Guardian if any :
Your answer
13. Nationality :
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Your answer
14. Religion :
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Your answer
15. Caste :
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Your answer
16. The Caste and Category to which you belong
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Choose
SC/ST
Category-I
Category-IIA
Category-IIB
Category-IIIA
Category-IIIB
General
17. Annual Income :
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Your answer
18. Date :
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MM
/
DD
/
YYYY
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