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First Year Ug/Pg Addmission Application Form 2015-16: Course Details
First Year Ug/Pg Addmission Application Form 2015-16: Course Details
REGISTER NUMBER:
NOT ALLOTED
APPLICATION NO.
KU150109968
NAME
YOGESHA K S
FATHER NAME
SHANKARAPPA K
CATEGORY: 2A
GENDER : MALE |
HANDICAP: NONE |
OCCUPATION:PEON
NATIONALITY: INDIAN
PHONE: 9845254800
| EMAIL: yogishk90@gmail.com
COURSE DETAILS
GRADUATION: UG
MEDIUM: KANNADA
COURSE: BA
LANGUAGES/ELECTIVES: KANNADA
SL
PAPER TITLE
PAPER CODE
PAPER TYPE
KANNADA (language)
50101
OPTIONAL
ENGLISH (Language)
50108
COMPULSORY
HISTORY
50121
COMPULSORY
POLITICAL SCIENCE
50123
COMPULSORY
SOCIOLOGY
50124
COMPULSORY
Environamental Science
90102
COMPULSORY
CENTER DETAILS
STATE : KARNATAKA |
DISTRICT : CHITRADURGA
CENTER NAME : CHITRADURGA:37-DISTRICT MADAKARI NAYAKA ASSOCIATION, CHITRADURGA
37
CENTRE CODE :
FEE DETAILS
PAYMENT MODE:SBM CHALLAN
PAYMENT DATE:
| AMOUNT: Rs.5350/|
REFERENCE NO:
SBM BRANCH:
DATE : 26-12-2015
PLACE :
P.T.O.
Page-2
DECLARATION
I hereby solemnly and sincerely affirm that the statements made and information furnished in my application and also in
the enclosures submitted by me are true. Should it, however be found that the information furnished therein is not
factually true, I know that I am liable for prosecution and forfeiture of my admission. I have also taken note that once the
admission process is over, fee shall not be refunded by the university. In case of my grievances, I shall approach the
university and in case of any arbitration and any redressal of grievances I shall abide by the arbitration and territorial
jurisdiction clause laid in the prospectus.
Place :
Date :
Note: Candidates should send the filled up Application to the Director, DDE, Kuvempu University, Jnana Sahyadri,
Shankaraghatta 577451, Shimoga District, Karnataka along with the SBM Challan / N.E.F.T. Form and Relevant
Documents.
KUVEMPU
KUVEMPU
UNIVERSITY
UNIVERSITY
KUVEMPU
UNIVERSITY
Bank Copy
Bank
Bank
Bank
Branch Name
Branch Name
Branch Name
Branch Code
Branch Code
Branch Code
Journal NO.
Journal NO.
Journal NO.
Date
Date
Date
Reference NO. :
KU150109968
Reference NO. :
KU150109968
Reference NO. :
KU150109968
Course
Course
Course
BA
Fee Paid :
Subject
Fee
HISTORY-POLITICAL
SCIENCE-SOCIOLOGY
Rs.5350/-
BA
Fee Paid :
5350
Subject
Fee
HISTORY-POLITICAL
SCIENCE-SOCIOLOGY
Rs.5350/-
5350
BA
Fee Paid :
Subject
Fee
HISTORY-POLITICAL
SCIENCE-SOCIOLOGY
Rs.5350/-
5350
Particulars
Particulars
Particulars
Amount
Course Fee
Rs.5350/-
Bank Charges
Rs.50/-
Total
Rs.5400/-
Amount
Course Fee
Rs.5350/-
Bank Charges
Rs.50/-
Total
Rs.5400/-
Amount
Course Fee
Rs.5350/-
Bank Charges
Rs.50/-
Total
Rs.5400/-
Date :
Date :
Date :
Received Rupees
Received Rupees
Received Rupees