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PLANCK EDUCTAIONAL TRUST(R)
SIR M.VISVESVARAYA PU & DEGREE COLLEGE
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Online Application PUC
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Online Application PUC
APPLICATION FOR ADMISSION
STUDENT INFORMATION
PROFILE:
1. *Name of the Student as Entered in SSSLC / CBSE Marks Card
2. *Mobile NO:
3. *Aadhar No:
4. *Email-ID :
5. Date of Birth:
6.Permanent Adress:
Correspondence Adress:
* Pincode:
7. Gender:
Male
Female
8. Category:
SC
ST
GM
II A
II B
IIIA
IIIB
9. Religion:
Caste:
Sub Caste:
10. If Caste Certificate Enclosed:
Yes
No
11. Other Reservation:
NCC
Sports
PHC
EX Service
12. Name of the Parents:
Father Name:
Mother Name:
13.Name of the Parents with Adress:
14.Parents Annual Income:
Is Income Certificate Enclosed:
Yes
No
15. Name & Address of School Last Studied:
16.SSLC/Equivalents Examination Passed:
Reg No:
Year:
Month:
17. Qualifying Examination:
State Board (SSLC)
CBSE
ICSE
Others
Particulars SSLC / Equivalent Examination Passed
1. Reg No:
2. Year:
3. Month:
Subjects
Marks Obtained
1st Language :
2nd Language :
3rd Language :
Mathematics :
Science :
Total Marks Obtained :
Percentage of Marks :
Result :
5.Participation in Sports/Extra Curricular Activities
Subjects: Languages & Combination Opted to Study in the PU Course
Part-1 (Language)
Part-2 (Science / Commerce)
1. English
2. Kannada / Hindi / French
6. Medium of Instruction in Pu Course :
Kannada
English
7. Day Scholar:
Residential:
8. Medical History of the Student :
Student's & Parent's / Guardian's Undertaking
I hereby accept that i will abide by the rules & regulations of the college
Name of the student:
Name of the Parents:
Submit