K. F. Patil Institute

📞 +91 97425 97606 📞 +91 63607 09004 ✉️ principalklebbarnr@gmail.com

📍 Raj-Rajeshwari Campus, P. B. Road, Ranebennur - 581115

K.L.E. Society's

K. F. Patil Institute of Business Administration, Ranebennur

Affiliated to Haveri University | Approved by AICTE, New Delhi

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📢 Admissions Open for BBA & BCA (2026-27). Apply Online Now to secure your seat!

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: MaleFemale

Date of Birth: *

Place of Birth: *

Nationality: *

Religion & Category: *
Upload Caste Certificate: *

Place of Residence: *

Permanent Address: *

Address for Correspondence: *

Mobile No: *

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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