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Application 308959 07122021 180859 PDF
Application 308959 07122021 180859 PDF
2021308959
Candidate's Details
1 Course/s Applied for PGCET : M C A (only)FullTime
9. Annual Income of the family from All Sources (If married include your spouse 11000
income also)
10 Category : Category-3B 10 a. Sub-Caste : VEERASHAIVA LINGAYATHA
Income RD Number (RD00-------) RD0038297095638 Caste RD Number
starting with (RD0--------)
Mother Tounge
Study Information
Qualifying Degree Status ? Appeard University Seat No : (USN) BC181959
Qualifying Degree College Name : JSS COLLEGE FOR Qualifying Degree University UNIVERSITY OF MYSORE
WOMEN Name :
CHAMARAJANAGAR
Total Number of Years of Study in Karnataka : 15
Particulars of Result Month of Passing Year of Passing Maximum Marks Secured Marks
Examination
1 Pass May 2019 1200 807
GATE Code :
GATE Score : 0
Declaration
Application Number :
2021308959
I declare that the above information is true and correct to the best of my knowledge and belief. I have gone through the relevant
Government Orders, Admission Rules and all Notifications / Website Notification issued by competent Authority for PGCET-2021
and understand the same.If any of the information furnished above is found to be false or incorrect, I shall automatically forfeit my
claim to be considered for a seat or the seat already been opted by me in a Professional College in Karnataka. In such event, I will
also liable for such civil and criminal action as the State Government / KEA may take against me in this regard.
Seal:
PAYMENT STATUS
BANK Ref NUMBER : 20210914008100254 NAME OF THE CANDIDATE : MANASA M
APPLICATION FEES : 650 BANK NAME : RTGS/NEFT Payments from any
Bank Account to Indian Bank