APPLICATION FOR ONLINE ADMISSION - MSC - 2014-2015-B1 - REGULAR Full Name : NARESH KATLA Application No : 2014-00022-MSC Course : MSC Preference1 : YT Preference2 : Preference3 : Registration No : 2014-00000924 Admission No : 2014-00000924 Date of Birth : 12/07/1990 Gender : Male Religion : HINDU Nationality : INDIA Community : OBC Mother Tongue : TELUGU Mobile Number : 9030077282 Hostel Required : NO Landline No : 9030077282 Email ID : [email protected]Parent Name : POSHALU KATLA Permanent Address : 3-59 Qualifying Exam : 2013 Month & Year Passing : 2012-2013 Percentage Obtained Name of the School : RASTRIYA SANSCRIT VIDYA PEET TIRUPATY Choice of Campus : SVYASA, JIGANI Exam Roll.No./Reg.No. : - Testcity : BANGALORE Declaration by the Candidate i. I Mr/Ms NARESH KATLA s/o d/o POSHALU KATLA hereby affirm that the information furnished by me in this application and the enclosures is true. I know that if the information furnished by me is untrue, my seat will be forfeited. ii. I hereby affirm, that i am the genuine applicant and take all responsibility to prove my identification in case of doubt arising about the same. I am also aware that I am liable for disqualification and legal action if I am found quality of impersonation and same shall also be applicable to any other person involved. iii. I will not indulge in any form or ragging. I know it is a criminal offence and if found guilty I will be summarily dismissed.I undertake to make good the loss caused to the University/Staff/Student or any other person caused by any illegal act of mine iv. I shall clear the dues pertaining to the University and also towards the hostel well in time. v. I am liable to pay the balance of fees calculated for the entire program, in case i discontinue the program orI am expelled from the University for any reason. vi. I will not participate in any strike or demostrations and will not induce others to do so. vii. I will not indulge in any act which shall lower the prestige of the University and self. viii. I shall abide by all the rules and regulations of the University that may be framed from time to time. I further understand that I am liable to be punished if I voilate the general code of the discipline and rules of the University and that I have no right to question any punishment imposed on me by the University Authorities. Place ________________ Date ________________ Siganature Of the Student Declaration by the Parent/Gaurdian a) I Mr/Mrs POSHALU KATLA hereby confirm that the information furnished by my Son/Daughter in his/her application and in the enclosures is true. I know that the information furnished by my Son/Daughter/Ward if found to be untrue, my Son's/Daughter's/Ward's seat will be forfeited. b) I know ragging is a criminal offence and shall take steps to prevent my Son/Daughter/Ward from indulging in it. I also know that if he/she is found guilty of the offence, he/she will be summarily dismissed from the University.I undertake to make good the loss caused to the University staff/student or any other person caused by any illegal act of my Son/Daughter/Ward. c) I am liable for payment of the balance of fees calculated for entire course, in case my Son/Daughte/Ward discontinues the course or i expelled from the University for any reason. d) I am also aware that once the candidate is admitted to the Program, no refund of fees either in full or part thereof, will be made for any reason. Place ____________________ Date ____________________ Signature of the Parent Document Check List Details 1 . CANDIDATE PHOTO : NO 2 . 10TH CERTIFICATE (MATRICULATION CERTIFICATE) : NO 3 . 12TH CERTIFICATE : NO 4 . SIGNATURE OF THE STUDENT : YES 5 . MEDICAL FITNESS CERTIFICATE : YES 6 . GRADUATION CERTIFICATE : NO Note: Transfer certificate, Migration Certificate and 3 Passport size photographs to be produced at the time of admission _________________________________________________________________________________________________________________________________ Payment Acknowledgement Copy
APPLICATION FOR ONLINE ADMISSION - MSC - 2014-2015-B1 -
REGULARFull Name : NARESH KATLA Application No :
2014-00022-MSCCourse : MSC Preference1 : YTPreference2 :Preference3
:Registration No : 2014-00000924 Admission No : 2014-00000924Date
of Birth : 12/07/1990 Gender : MaleReligion : HINDU Nationality :
INDIACommunity : OBC Mother Tongue : TELUGUMobile Number :
9030077282 Hostel Required : NOLandline No : 9030077282 Email ID :
[email protected] Name : POSHALU KATLAPermanent Address :
3-59Qualifying Exam : 2013 Month & Year Passing :
2012-2013Percentage ObtainedName of the School : RASTRIYA SANSCRIT
VIDYA PEET TIRUPATYChoice of Campus : SVYASA, JIGANI Exam
Roll.No./Reg.No. : -Testcity : BANGALOREDeclaration by the
Candidatei. I Mr/Ms NARESH KATLA s/o d/o POSHALU KATLA hereby
affirm that the information furnished by me in this application and
the enclosures is true. I know that if theinformation furnished by
me is untrue, my seat will be forfeited.ii. I hereby affirm, that i
am the genuine applicant and take all responsibility to prove my
identification in case of doubt arising about the same. I am also
aware that I am liablefor disqualification and legal action if I am
found quality of impersonation and same shall also be applicable to
any other person involved.iii. I will not indulge in any form or
ragging. I know it is a criminal offence and if found guilty I will
be summarily dismissed.I undertake to make good the loss caused to
theUniversity/Staff/Student or any other person caused by any
illegal act of mineiv. I shall clear the dues pertaining to the
University and also towards the hostel well in time.v. I am liable
to pay the balance of fees calculated for the entire program, in
case i discontinue the program orI am expelled from the University
for any reason.vi. I will not participate in any strike or
demostrations and will not induce others to do so.vii. I will not
indulge in any act which shall lower the prestige of the University
and self.viii. I shall abide by all the rules and regulations of
the University that may be framed from time to time. I further
understand that I am liable to be punished if I voilate thegeneral
code of the discipline and rules of the University and that I have
no right to question any punishment imposed on me by the University
Authorities.Place ________________Date ________________ Siganature
Of the StudentDeclaration by the Parent/Gaurdiana) I Mr/Mrs POSHALU
KATLA hereby confirm that the information furnished by my
Son/Daughter in his/her application and in the enclosures istrue. I
know that the information furnished by my Son/Daughter/Ward if
found to be untrue, my Son's/Daughter's/Ward's seat will be
forfeited.b) I know ragging is a criminal offence and shall take
steps to prevent my Son/Daughter/Ward from indulging in it. I also
know that if he/she isfound guilty of the offence, he/she will be
summarily dismissed from the University.I undertake to make good
the loss caused to the Universitystaff/student or any other person
caused by any illegal act of my Son/Daughter/Ward.c) I am liable
for payment of the balance of fees calculated for entire course, in
case my Son/Daughte/Ward discontinues the course or i expelledfrom
the University for any reason.d) I am also aware that once the
candidate is admitted to the Program, no refund of fees either in
full or part thereof, will be made for any reason.Place
____________________Date ____________________ Signature of the
ParentDocument Check List Details1 . CANDIDATE PHOTO : NO 2 . 10TH
CERTIFICATE (MATRICULATION CERTIFICATE) : NO 3 . 12TH CERTIFICATE :
NO 4 . SIGNATURE OF THE STUDENT : YES 5 . MEDICAL FITNESS
CERTIFICATE : YES 6 . GRADUATION CERTIFICATE : NONote: Transfer
certificate, Migration Certificate and 3 Passport size photographs
to be produced at the time of
admission_________________________________________________________________________________________________________________________________Payment
Acknowledgement Copy
