KBAT 2015

Counselling form

BTFS 2015 16

KBITS
Department of IT, BT and S&T Government of Karnataka
Fill all the fields of the application form in BLOCK / CAPITAL letters
KBAT login ID:

Passport size
colour photo

Application No.:

Name of Student:

Nationality:

Date:

Mobile Phone:

Rank: _________________
BTFS Domain and Institution Options
Preference

Domain
Code

Institution
Code

Colleges and Domains Codes s

Sl.
No.

First
1

Second
Third
Fourth
Fifth

Sixth

Seventh

Domain Code in
Brackets ()
Bioinformatics and
Rational Drug Design
(BRD)

Institution Code
Maharani Lakshmi Ammanni College,
Bangalore (MLACW)
Siddaganga Institute of Technology,
Tumkur (SIT)
School of Life Sciences, Manipal
University (SLS)
The Oxford College of Science,
Bangalore (TOCS)
Probiosys, Bangalore (PB)

Cellular and Molecular

Diagnostics (CMD)
Fermentation and Bio
processing (FBP)
Nutraceuticals and Food
Processing (NFP)
Bioprocessing & Microbial
Technology (BMT)

St. Aloysius College, Mangalore

(SAC)
Padmashree Institute of Management
&Sciences, Bangalore (PIMS)
University of Gulbarga , Gulbarga (GU)
St. Aloysius College, Mangalore (SAC)

Eighth

Ninth

8
9

Plant Tissue Culture &

Micropropagation (PTC)
Plant Genetic
Transformation, Genome,
Seed and Marker
Analysis (PGT)
Protein Expression and
Scale-up(PES)
Pre-Clinical, Clinical
research, Biostatistics
and Data Management
(CRCDM)

MM Arts & Science College, Sirsi

(MMAS)
Dayananda Sagar Institution,
Bangalore (DSI)
JSS College of Arts, Commerce &
Science, Mysore (JSS)
Maharani Lakshmi Ammanni College,
Bangalore (MLACW)
PES University (PESIT)

Chosen Domain during counselling: ________________________________________

Institution Name: ____________________________________________________

Signature of student with date

Signature of counselling officer with date