Student Profile 2023-24

APPLICATION NO - 2023257810

PERSONAL DETAILS
Name Date of Birth
RAKSHIT R BIRADAR 17-JUL-2005
Mother Tongue Blood Group
KANNADA A+
Nationality Religion
INDIAN HINDU
Community Hostel Required?.
OBC HOSTELLER

CURRENT RESIDENTIAL ADDRESS PERMANENT ADDRESS

Door No. / Plot No. / Door No. / Plot No. /
154 154
Street Name Street Name
Area / Mandal Area / Mandal
NISARGA LAYOUT 6TH CROSS nisarga layout 6th cross
City Name City Name
DHARWAD DHARWAD
Pincode / Zipcode Pincode / Zipcode
580003 580003
State State
KARNATAKA KARNATAKA
Country Country
INDIA INDIA
Phone No.(LandLine) Phone
No.(LandLine)
Mobile Number Mobile Number
9900487079 9900487079
Email ID Email ID
rakshitbiradar2004@gmail.com rakshitbiradar.2023@gmail.com

EDUCATIONAL DETAILS
Applied Degree
UG
Last Qualifying Branch
12TH/INTERMEDIATE PCMC
School name/ NARAYANA E TECHNO SCHOOL Board /University CENTRAL BOARD OF SECONDARY
Institution name name EDUCATION
Medium Reg.No/Roll.No
ENGLISH 18604128
Class Obtained Month & Year of
1ST CLASS MAY-2023
Passing
Break of Study Reason for Break of
NO -
Study
SCHOOL / COLLEGE ADDRESS
Area Name City Name
VIDYARANYAPURA BANGALORE URBAN
State Pincode
KARNATAKA 560097
Phone no
FAMILY DETAILS
No.of Brothers No.of Sisters
0 1
Brother / Sister Studying Details
NO -
studying in VIT
Brother / Sister Studied Details
NO -
studying in VIT
FATHER DETAILS
Name Qualification
RUDRAGOUDA R BIRADAR M.A , M.PHIL , PHD
Occpation Organization
GOVT KARNATAKA UNIVERSITY DHARWAD
Designation EMP.ID(If employed
PROFESSOR in VIT)
Mobile No Email ID
9980184992 rrbiradar2008@gmail.com
Annual Income Area Name
>1000000 PAVATENAGAR
City Name State Name
DHARWAD KARNATAKA
Pincode Phone No
580003

Place :
Date :

DECLARATION
I hereby declare that all the information given above are true to the best of my knowledge.

( Signature of the Parent ) ( Signature of the candidate )