@) JAIN COLLEGE Afiated to Bangalore University Adrsson No oplatonN plication No. Fer Ofice Use a recent passport NOTE: ene programme of your choice & fl up tha appicatn for in BLOCK LETTERS ony BACHELOR OF COMMERCE (BCOM) BACHELOR OF BUSINESS MANAGEMENT (BBM) aso ee Ue NAME OF THE APPLICANT (@S PER SCHOOL RECORDS) is) cenoer: FL] mL_]| narionaury RELIGION CASTE a DATE OF BIRTH: ooMMyvYy ET TT TT.) ptaccor eit Fa} faa) Please tick the relevant group (enclose the recent caste and income certificates) oa GENERAL sc st CATEGORY 1 ~~ uv CATEGORY 2k CATEGORY 28 carecorvan [7] carecorY 38 e a PHYSICALLY CHALLENGED | MOTHER'S NAME ° OCCUPATION cs ia) FATHER'S NAME ° av OCCUPATION E-4 TOTAL ANNUAL INCOME (w uPe¢s) PERMANENT ADDRESS [ADDRESS FOR COMMUNICATION) pwCLLLLI PH WoBLE EMAILID NAME OF THE LOCAL GUARDIAN ‘OCCUPATION (ADDRESS FOR CONMUNICATION) LOCAL RESIDENTIAL ADDRESS PIN PH MOBILE EMAILIDDegree Application Form Nea UL) INSTITUTION LAST ATTENDED WITH FULL ADDRESS = PERCENTAGE OF MARKS OBTAINED IN PUC OR EQUIVALENT EXAMINATION (ENCLOSE CERTIFIED COPIES OF MARKS CARD} BOARD SUBJECTS MAXIMUM MARKS | MARKS OBTAINED Puc|_| Isc] _] CBSE PART: LANGUAGE | OTHERS LANGUAGE II PARTI: 4 2 MONTH AND YEAR OF PASSING 5 4 REGISTRATION NUMBER TOTAL MARKS TOTAL PERCENTAGE OBTAINED EXTRA CURRICULAR ACTIVITIESDegree Application Form Ue ee Ue) 1. Duron 3 yeas S sonestrs 2 lity or Admission [Apaein PUC/ISC CBSE or Equant Examination Langues ofred “he couseis ied wo prs Pat comprises te languages and Par neues cae te, Languages irae Engh arto), Hin, Kaede, Sars ae ‘adnal Engh Shc wh have net dd ay of ‘helndan Languages lass ate fered Adora Enis 4. Admission Procedure *pleaton for admission io Be cage mut bo inte preset fre Suns wo want aol or daar combinations must apn separate poet os Rovereto cage (SC ST Cal 12/28/34 38) ad physaly andicapped stents must uate pole apy oti ase catagory sabi ceiicle (atest by a gazette see Byte cones uteri ofthe govermart ol Kanata ang wih he appeaton tom + Theculy flonapicton fm hasta be submited 2t the oologeacnisson ofa ere presttedsnedue +s patet he anissonproostire sues hav lo ater he sesenalinavew an withthe pares 4.4. Documents obese tthe tine of edison “The ooning ogi canéates hae be produced wih wo tested copes (azsted On at tetine of emission Seeman of Mars othe quat¥g exam (Ceres rans version tay se etn Engh) Tranter Carte Miyaion Cais conaut Crile Cass or Cstagary Cre apples ‘papper ie cle shales plea Instructions tlhe Appleton Form is mus bo odin appicats on handwring Te patie gen up he mare are ral raw col vate al flag be appcaton, nae incas Rosle mata into mars! gate clu. Tho cand is tiesto nt Ee mark the cole son at iis ela to ascoran ne oli The preston wile consid en Fite mas re rade alba ‘otha colege win tne ited data opears mus rast te mosracentclourptlo (get rataderthan 3 mona) poopie ace, Doncgin or sal te photorarh ‘vring, eng of or eraengin tha frm ay ao recon an shoud beavis. Ay crepenyn rn alent nto strisen of neolatafom wile ta ejection of peso cancelation of retin Keeps photocopy one led pps rare rere, Appcston nur mustbe qua nall ‘tre coresperdenoe Poplars re reuted ubmtproepes cf rs cats, cates or any oer acumert ond must +The photons ae taten an A i page enly + Thetis cea, ele andreas + Bot ses photocopied the og acs coe is pred on bh ios + Posen uber mes be wien pg ‘ome otal te proscapes ‘Do net se any agile long wih 6 sepleaton tam Do netoé ie FORM, Dorat sap or ip the ‘ORW wth any ahr endoste, Kop ets. Al toes ack care and certain, ary, mi be tage gee sme | have read the above mentioned guidelines forthe admission to this college and will strictly adhere to the same, | promise to abide by the decisions taken by the author. | understand that the amount once paid by me forthe admissions will be nonrefundable. Signature of the Parent / Guardian ‘Signature of the Candidate JAIN COLLEGE + 44/4, District Fund Road, Behind Big Bazaar 9" Block Jayanagar, Bangalore ~ 560 069 P +94 80 4343 0908 W wijeincolege cinDegree Application Form ema ee Admitto : Language : English & Signature ULC} Cian Farum Fees Daas : Receipt No.: é Date = Dues ‘ACKNOWLEDGEMENT Appleaton No Programme Appl Name Board Dae of Submission Percentage Recelvers Signature (Please preserve this slp carefully for further reference)