Application form for B.Tech.

Admissions - 2023

Application No.

2023111252

Candidate Name : RISHI MUTHYALU

Date of Birth 26-SEP-2005 Gender MALE

Community General/OC Native State KARNATAKA

EWS Status No Subjects Appearing MPCEA

Mobile No. 7780613597 Email ID. rishimuthyalu@gmail.com

Residential Status Indian Test city Bengaluru

Qualifying Exam 12th Class Month & Year AUG - 2021

passing/appearing

Parent name RAJESH MUTHYALU Parent mobile number 9036002428

Address for correspondance #68/3,A BLOCK,#209 SRIVEN SPLENDOUR, CHALLAGHATA, BANGALORE, BANGALORE,
KARNATAKA - 560037

Name of the Board KARNATAKA BOARD OF PRE UNIVERSITY EDUCATION

Name of the School NEW HORIZON PRE UNIVERSITY COLLEGE
DECLARATION
I solemnly and sincerely affirm that I am Indian National / PIO/OCI holder and that all particulars furnished by me in this application form are true and correct. I
have not concealed any information. However, in the event of any information being found to be incorrect, fraudulent or untrue, either before or after the
examination or after my admission to the programme, I understand that I am liable to face criminal prosecution and the management can claim all authority to
cancel my candidature / selection or admission as the case may be and I would have to forgo my seat and the fees. I will pay the required Tuition fees and the
Hostel fees within the stipulated time to ensure my admission in VIT. I agree to abide by the rules and regulations governing the examination as well as the rules
pertaining to the refund of Tuition and Hostel fees. I further undertake to submit all the required certificates as per the rule, either at the time of counselling or
during the admission process, failing which I understand that I would have to forego my seat and the fees. I have read the VITEEE 2023 information brochure
and understood the contents in general and the method of Equipercentile Equating in particular. I accept this method to be adopted for Merit List preparation by
VIT. I understand that all information related to VIT application form and VIT exam will be only sent through the valid mobile number/email as provided by me
in the same form and consent to receive alerts / information by VIT through my mobile / email / connected social media platform. I am also aware that the
application cost and the Counselling Processing Fee are non-refundable. I understand that if I fail to fulfill the eligibility criteria my admission will be cancelled.
Signature of the candidate