GOVERNMENT OF KARNATAKA

DEPARTMENT OF SCHOOL EDUCATION (PRE - UNIVERSITY )

18TH CROSS, MALLESHWARAM, BENGALURU - 560012

UNIQUE. ID/APPLICATION NUMBER: DPTPUACA234526 DATE: 02/07/2024

PROVISIONAL ELIGIBILITY CERTIFICATE

CHAITHRA K S Who has passed X standard examination conducted by ICSE

School/ Board/ University is provisionally permitted to join IPUC of Pre-University
course in the state of Karnataka at his / her own risk on the condition that he / She
secured confirmation of Eligibility on submission of the evidence in the form of
certificate in original qualifying examination and such other records essentially
required to be produced to the Director, Pre- University Education, Sampige
Road, 18th Cross, Malleshwaram, Bengaluru, 560012 through the principal of the
college where he / she provisionally admitted on the strength of this provisional
Eligibility Certificate.

This provisional Eligibility Certificate issued on payment of prescribed fees and

fulfillment of conditions prescribed.

Principal Signature

TO,
CHAITHRA K S
SHIVAKUMAR K V
NO. 206. C BLOCK, 10TH CROSS, J P NAGAR
MYSURU
570008

NOTE:

1. This EligibilityCertificate is computer generated and does not require any signature / seal on it

2. For authenticity scan the QR CODE printed on this certificate