sample APPLICATION FOR ADMISSION TO (UG/PG) DEGREE COURSES 2021-22COURSES OFFERED Select Course—Please choose an option—B.A.B.Sc.B.C.A.B.Com.M.Sc. (Mathematics)M.Sc. (Physics)M.Com.Select Combination—Please choose an option—HES - (History, Economics, Sociology)HEK - (History, Economics, Optional Kannada)HJK - (History, Journalism, Optional Kannada)HJE - (History, Journalism, Optional English)JEP - (Journalism, Optional English, Psychology)JPS - (Journalism, Psychology, Sociology)PES - (Psychology, Economics, Sociology)Select Combination—Please choose an option—PCM - (Physics, Chemistry, Mathematics)PME - (Physics, Mathematics, Electronics)PMCs - (Physics, Mathematics, Computer Science)EMCs - (Electronics, Mathematics, Computer Science)B.Sc. - ( Bio-Medical Electronics)Select Combination—Please choose an option—BCA - (Regular)BCA - (Internet of Things)BCA - (Data Science)LanguageKANNADASANSKRITHINDIJAPANESECandidate Name *Gender *MaleFemaleDate of Birth *Nationality *Religion *Category *GMSCSTCAT-1OBCSub CasteAre you Physically ChallengedNoYesAadhar Number *Mobile Number *Email IdAddress for communication *Pin CodeQualifying ExamI PUC / 11th Std.Stream StudiedArtsScienceCommerceJOCState / BoardSSLCCBSEICSEOTHERMarks obtained% of MarksYear of PassingII PUC/ 12th Std.Stream StudiedState / BoardSSLCCBSEICSEOTHERMarks obtained% of MarksYear of PassingQualifying ExamUG Degree DetailsCourseAttemptUniversityTotal Marks Secured (three years) Max. MarksAggregate marks in Mathematics/Physics/Commerce and percentageParent DetailsFatherNameEducationOccupationAnnual IncomeMotherNameEducationOccupationAnnual IncomeFather / Guardian Mobile NumberFather / Guardian EmailPermanent Address *Pin CodeCandidate PhotoCandidate Signature(Photo / Signature should be in JPG format – (not to exceed 1Mb)I, hereby declare that the information being furnished is true and complete to the best of my knowledge and belief. I also agree that the authorities are empowered to reject my application, if the information furnished by me is found to be incorrect or misleading. I shall submit all relevant documents at the time of admission that may be required by the University / College.Δ