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LIST OF DOCUMENTS TO BE ATTACHED ALONG WITH APPLICATION FORM Check list:

(Please tick the relevant box)

Proof of Date of Birth (SSLC / Xth Marks Card of Birth Certificate) Attested copy of 1st to Final Marks Cards (MBBS/BDS) Attested copy of Degree Certificate Attested copy of Internship Completion Certificate Attested copy of Attempt Certificate Attested copy of State Council Registration Certificate MCI Screening Certificate (for Abroad students) Parent Domicile Certificate (In case of BRD Category) Students Study Certificate (In case of BRD & KTC Category) Service Certificate from parents (In case of KTC Category). DD of Nationalized Bank for Rs. 3000/- in favour of Registrar, KLE University,
payable at Belgaum.

Two recent colored photographs with name and recent date, [as per specifications in Rule] Affix Left Thumb impression in the column provided in the downloaded printed
Application Form.

Signature in the column provided in the downloaded printed Application Form.


Name of the candidate . Application No: .

Signature of the Student Date: Place:

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