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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.
3
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.