Professional Documents
Culture Documents
Visvesvaraya Technological University, Belgaum
Visvesvaraya Technological University, Belgaum
Visvesvaraya Technological University, Belgaum
Signature
b) Date of first admission to Previous Year
b) S/O ……………... Name of
Date of Birth present course Participation & Game / Photo
c) Sem / Branch the course
c)Date of admission to present Event
d) USN
Class / Sem
a)__________________
a) ____________
b)__________________
1 b) _____________
c)__________________ c) _____________
d)__________________
a)__________________
a)_____________
b)__________________
2 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
3
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
4
c)__________________ c)_____________
d)__________________
Sl.
A B C D E F G
No.
a)__________________
a)_____________
b)__________________
5 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________ a)_____________
b)_____________
b)__________________
6 c)_____________
c)__________________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
7 c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
8 c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
9 c)__________________ c)_____________
d)__________________
Sl.
A B C D E F G
No.
a)__________________
a)_____________
b)__________________
10 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
11 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
12
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
13
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
14
c)__________________ c)_____________
d)__________________
Sl.
A B C D E F G
No.
a)__________________
a)_____________
b)__________________
15 b)_____________
c)__________________ c)_____________
d)__________________
a)__________________
a)_____________
b)__________________
b)_____________
16
c)__________________ c)_____________
d)__________________