

Preview Application

Regist rat ion Number

Regist rat ion Number: U06CS21S0773

Personal Det ails

Program Level: UG Fat her's Name: JAYANNACHARI Email Address:

2019icl1asanjanaj@gmail.com
St udent Name: SANJANA J Mot her's Name: MEENA KUMARI R
Gender: Female Guardian's Name: Alt ernat e Email Address:

Aadhaar No. : 918366424111 2019icl1asanjanaj@gmail.com

Dat e of Birt h: 28-12-2003
Primary Mobile No. : 8310094052
Mobile No. : 8105875256
Alt ernat e Mobile No.: 8310094052

Permanent Address Current Address

Address: Address:
#F3/2, Sagar #F3/2, Sagar
road, Near road, Near
ganapathi ganapathi
temple, U T P temple, U T P
colony colony
St at e: St at e:
Karnataka Karnataka
Dist rict : Dist rict :
Shivamogga Shivamogga
Taluk: Taluk:
Shivamogga Shivamogga
Grama Grama
Panchayat /ward: Panchayat /ward:
Village/Area: Village/Area:
PinCode: 577201 PinCode: 577201

Photo and signat ure

Phot os:
Signat ure:

Special Cat agory

Religion: Hindu Cat egory: Category I I (A) Cast e: Vishwakarma

Family Income Per Annum (in INR): Are you Claiming Reservat ion/Benefit s Do you belong t o Kalyana Karnat aka?:
383000 under above select ed
cat egory?: No
No

Are you a Kashmiri Migrant ?: No

Are you a Rural Candidat e?: No

Kannada Medium:?: No


 Are you claiming under Defence Are you claiming under Polit ical Are you a Gadinadu/Horanadu
Personnel Quot a?: No
Sufferer Quot a?: No
Kannadiga?: No


Are you Child of Freedom Fight er?: No

Are you a Person wit h Disabilit y?: No
Children of Sexually Exploit ed / HIV

Infect ed
/Devadasi: No

Quot a and Bank Det ails

Are you claiming seat under any of the below listed Quota?

Sport sperson / At hlet e at

t he
NCC (Please Provide B/ C and any
NSS:
No

Universit y / St at e / Nat ional Level?: No Ot her cert ificat e): No

LCA (Lit erary & Cult ural

Act ivit ies):
No

Child of farmers who commit t ed
Dest it ut e Women:
No

suicide:
No

Displaced Cit izen

(Nirashrut haru):
No

Ent er Your Bank Det ails

Bank Name:

Account Holder Name:

Account Number:

IFSC Code:

Previous Educat ion Det ails

10t h St andard Educat ion Det ails

Board Name: Regist rat ion Number: 20190319790
Karnataka Secondary Education
Examination Board
Marks Card: Click here for uploaded document
Tot al Maximum Marks: 625 Tot al Marks Obt ained: 564 Overall Percent age: 90.24

12t h or Equivalent Educat ion Det ails

Karnat aka Pu

Regist rat ion Number: 480615 Inst it ut e Name: Year of

Complet ion: jul2021
DVS INDP PU COLLEGE PB NO 98
JNANADEEPIKA , SHIMOGA 577201
College Code: TT0011 Maximum marks: 600 Obt ained Marks: 545
Overall Percent age: 90.83 Marks Card:
Click here for uploaded document

Sl. Subject Maximum Marks

No Subject Name Type Marks Obtained

1 KANNADA CORE 100 90

2 ENGLISH CORE 100 91

3 PHYSICS CORE 100 90

4 CHEMISTRY CORE 100 88

5 MATHEMATICS CORE 100 97


 Sl. Subject Maximum Marks

No Subject Name Type Marks Obtained

6 BIOLOGY CORE 100 89

Program Det ails

Program Name: Bachelor of Science

Discipline Det ails

Sl. No Discipline Code Discipline Name

1 DC1 PHYSICS

2 DC2 MATHEMATICS

3 OE Development St udies

4 L1 KANNADA

5 L2 English

Fee Paid Det ails

Receipt Number: 10329 Tot al Fees Amount : 3572.00 Fees Amount : 3572.00
Payment Dat e: 20-09-2021 Chalan Document :
Click here for uploaded document

Back Print
Not e:

Any discrepancy in det ails please cont act your college admin.

Disclaimer: Address: Cont act Us:

Please note this page also provides links to websites/web pages of G ovt. O ffice of the State Project Monitoring Unit (UUCMS),
Pho ne Numbe r: 9449833633 / 9964306346 / 9980545991 / 8497025839

Ministries/Departments/O rganisations.The content of these websites are KSHEC Building,

G andhinagara,
T imings:   10 AM to 6 PM  (O n all G ovt. working days)

owned by the respective organisations and they may be contacted for any Bengaluru, Karnataka 560009 Email:   uucms.helpdesk@ gmail.com

further information or suggestion

Designed & Developed by Centre for Smart Governance (V_ ADM_ 2.21_ A1.1)