Application No.

PRESIDENCY COLLEGE
(Affiliated to Bangalore University & Approved by AICTE, New Delhi)

Bangalore

Application for Admission

(USE ONLY BLOCK LETTERS) Course applied for _____________________________ Total marks scored for qualifying Examination __________________________________ Percentage of Marks scored _____________________ Name of the applicant
AS SHOWN IN CERTIFICATES

Affix Photo

Mr.

Mrs. Male

Ms.
FIRST NAME MIDDLE NAME SURNAME

Gender Date of Birth Nationality Caste

(tick which is applicable)

Female

Marital status Country of Birth Religion

Gen / SC / ST / OBC - Cat-1/2A/2B/3A/3B

Mother Tongue

Permanent Address
CITY STATE PIN COUNTRY MOBILE Email

Telephone
(Include country and area code)

Name & Address of Local Guardian

CITY STATE MOBILE FATHER MOTHER MOTHER MOTHER PIN COUNTRY Email

Telephone
(Include country and area code)

Name of the Parent Occupation Annual Income Office Address

CITY STATE PIN COUNTRY MOBILE Email FATHER FATHER

Telephone
(Include country and area code)

Whether the candidate belongs to SC/ST/OBC Whether the candidate is NRI / Foreign National

Yes Yes

No No

If Yes, enclose certificate If Yes, enclose certificate BA-Journalism MIB & PGPM BBA

Please indicate your proposed course of study at Presidency (Preference-wise) B.Com BCA BBM B.Sc-Biotechnology M.Sc.-Biotech M.Sc.-Bio Chemistry MCA MBA

APPLICATION PROCEDURE (Application cannot be considered until all steps below have been completed) 1. Complete this form and enclose your application fee of Rs. 500.00 by cash or DD drawn in favour of Presidency College, Please ensure that you have signed this application form at all the designated spaces. 2. Attach copies of all documents and certificates till date. 3. Address : PRESIDENCY COLLEGE, 33/2C & 33/2D, Kempapura Hebbal, Bangalore - 560 024 Phone :91-80-42478700 / 01 / 02, 9243117175