8/6/2019 APPLI-ADMI-2011-12

1/3

(Approved by AICTE & Affiliated to Visvesvaraya Technological University)

K.R.ROAD, V.V.PURA, BANGALORE-560 004

APPLICATION FORM FOR ADMISSION TO I SEM. B.E. DEGREE COURSE

FOR THE YEAR 2011-12

Application No: COMEDK /CET

Reg.No:

COMED-K/CET

Rank:(Attach Xerox copy)

Branch sought for (give in order of preference)

1. 3. 5.

2. 4. 6.

CANDIDATES PERSONAL DETAILS

1. Name of the Candidate (Block Letters) :

2. Age & D.O.B : 3. Father/Guardian Name

Mother Name

:

:

4. Occupation of Father/Mother/Guardian :

5. Permanent Address: Postal Address:

-Residence: Office: : e.mail:6. Annual Income of parents from all sources: Rs.

7. Mother Tongue: 8. Native Place: 9. State:

10. Nationality: 11. Religion: 12. Caste: 13. Blood Group:

14. Name of the qualifying Examination:

a) Name and Address of the College

last studied

b) Board of Examination

c) Reg.No. in the qualifying Examn.

d) Year of Passing

e) Total Marks & percentage obtained

f) Marks and Percentage obtained in PCM group: Marks: %:

g) % in Physics: h) % in Chemistry: i) % in Maths:

PLACE:

Date: Signature of Parent/Guardian Signature of Candidate

FOR OFFICE USE ONLY

Admit Mr/Ms.to I Sem.B.E

for the academic yearFee remitted Rs.. Vide Receipt/Challan No:

dated. Towards fee for.

CASHIER SUPTD.

ADMISSIONS

PRINCIPAL

BIT

PHOTO

8/6/2019 APPLI-ADMI-2011-12

2/3

(Approved by AICTE & Affiliated to Visvesvaraya Technological University)

K.R.ROAD, V.V.PURA, BANGALORE-560 004

APPLICATION FORM FOR ADMISSION TOM.B.A. COURSEFOR THE YEAR 2011-12

Appl.No:

Whether appeared for KMAT/PGCET or any

other National level eligibility Test, Specify

Reg.No:

Rank:

Category (tick): GM PH Def. Sports NCC SC ST

Group (tick): IA, IB, IIA, IIB, IIIA, IIIB

CANDIDATE PERSONAL DETAILS

1. Name of the Candidate (Block Letters) :

2. Age & D.O.B : 3. Father/Guardian Name

Mother Name

:

:

4. Permanent Address: Postal Address:

-Residence: Office: : e-mail:5. Occupation of Father/Mother/Guardian :

6. Annual Income of parents from all sources: Rs.

7. Mother Tongue: 8. Native Place: 9. State:

10. Nationality: 11. Religion: 12. Caste: 13. Blood Group:

14. Name of the qualifying Exam:

a) Name and Address of the College last

studied

b) Board of Examination

c) Total Marks & % aggregate marks

obtained in all 3years of the Degree course

d) Reg. No. in the qualifying Exam. e) Year of Passing:

15. Marks Card / TC/ Certificates Etc., Xerox Copies (Mark whichever applicable)

SSLC-MC PUC-MC Degree-MC Migration Study TC Caste Eligibility

* Eligibility requirement as per VTU regulations. (see website www.vtu.ac.in)

PLACE:

Date: Signature of Parent/Guardian Signature of Candidate

FOR OFFICE USE ONLY

Admit Mr/Ms.to I Sem. MBA ....

for the academic yearfee remitted Rs..Vide Receipt/Chelan No:

dated. Towards fee for.

CASHIER SUPTD.

ADMISSIONS

PRINCIPAL

BIT

PHOTO

8/6/2019 APPLI-ADMI-2011-12

3/3

(Approved by AICTE & Affiliated to Visvesvaraya Technological University)

K.R.ROAD, V.V.PURA, BANGALORE-560 004

APPLICATION FORM FOR ADMISSION TOM.C.A. COURSEFOR THE YEAR 2011-12

Appl.No:

Whether appeared for any state level or any

other National level eligibility Test, SpecifyReg.No:

Rank:

Category (tick): GM PH Def. Sports NCC SC ST

Group (tick): IA, IB, IIA, IIB, IIIA, IIIB

CANDIDATES PERSONAL DETAILS

1. Name of the Candidate (Block Letters) :

2. Age & D.O.B : 3. Father/Guardian Name

Mother Name

:

:

4. Permanent Address: Postal Address:

-Residence: Office: : e.mail:5. Occupation of Father/Mother/Guardian :

6. Annual Income of parents from all sources: Rs.

7. Mother Tongue: 8. Native Place: 9. State:

10. Nationality: 11. Religion: 12. Caste: 13. Blood Group:

14. Name of the qualifying Exam:

a) Name and Address of the College last

studied

b) Board of Examination

c) Total marks & % aggregate marksobtained in all 3years of the degree course

d) Reg. No. in the qualifying Exam. e) Year of Passing:

15. Marks Card / TC/ Certificates Etc., Xerox Copies (Mark whichever applicable)

SSLC-MC PUC-MC Degree-MC Migration Study TC Caste Eligibility

* Eligibility requirement as per VTU regulations. (see website www.vtu.ac.in)

PLACE:

Date: Signature of Parent/Guardian Signature of Candidate

FOR OFFICE USE ONLY

Admit Mr/Ms.to I Sem.MCA

for the academic yearFee remitted Rs.. Vide Receipt/Challan No:

dated. Towards fee for.

CASHIERSUPTD.

ADMISSIONS

PRINCIPAL

BIT

PHOTO