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Admission form for Women'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
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DD
/
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3. Class to which admission is sought
BA
BSc
BCA
B.Com
BBA
B.Com(VOC)
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4. Second Language
Kannada
Hindi
Sanskrit
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5. Percentage of marks in the qualifying exam :
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Your answer
6. a. Mother's Name :
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b. Father's Name :
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Your answer
7. Name of the Local Guardian :
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8. Occupation of the Parent / Guardian :
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Your answer
9. Permanent Address ofParent / Guardian :
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10. Mobile No. of Parent / Guardian Mobile No. :
Your answer
11. E- Mail Address :
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Your answer
12. Name, Address and Phone No. of Local Guardian if any :
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13. Nationality :
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14. Religion :
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Your answer
15. Caste :
Your answer
16. The Caste and Category to which you belong
Your answer
17. Annual Income :
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Your answer
18. Date :
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MM
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DD
/
YYYY
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