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Note: Dear Student Please Note AcknowledgeMent Number.Since it will be required for the college purpose during Admission.
Common Registration Form
Application Details

Undergraduate Programs
Select the Undergraduate Program you intend to enroll for
Course Name :* Department Name :*
Academic Year :* Scheme :*
Subject Combination : CourseYear :

Student Information
First Name :* Middle Name :
Last Name : Date of Birth :*
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Name (as per SSLC Marks Card):*   Sex :
Blood Group : Mother Tongue :
Place of Birth : City :
Nationality : Home State :
Religion : Caste :
Address :
Pin Code :  
Telephone : Mobile :*  
E-mail :   Name of the Institution Last Attended with proper address :
Mode of Qualifying Previous Exam : Date of leaving the Institution :
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Whether Belongs to karnataka or outside Karnataka : Identification Mark :
Any chronic health Problem or Physical Disability :
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