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K. F. Patil Institute of Business Administration, Ranebennur
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ADMISSION FOR THE ACADEMIC YEAR 2021-22
I. PERSONAL DETAILS
Upload Student Photo:
*
Name of the candidate in full (in block letters, as per in S.S.L.C. Marks Card):
*
Father's Name:
*
Father's Occupation:
*
Father's Contact No.:
*
Mother's Name:
*
Mother's Contact No.:
*
Gender:
Male
Female
Date of Birth:
*
Place of Birth:
*
Nationality:
*
Religion & Category:
*
Upload Caste Certificate:
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Place of Residence:
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Permanent Address:
*
Address for Correspondence:
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Mobile No:
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Email:
*
II. A. EDUCATIONAL DETAILS:
Examination
Stream (Arts/Com/Sci)
Name of the Institution
Year of Passing
(%)
Upload Documents
P.U.C. II
P.U.C. I
S.S.L.C
-NA-
Any Other (Specify)
B. Achievements:
1.
2.
3.
C. Subjects opted for the Semester-I&II / III&IV / V&VI:
Semester
Name of the Subjects (Mention in comma separated)
NOTE: All applications must be accompanied by duly attested certificates
I hereby declare that the above information furnished by me is true and correct to the best of my knowledge. I promise to produce all the documents required in support of the same.
Date:
Place:
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