M S Ramaiah College Of Arts Science & Commerce

ACCREDITED BY NAAC
(Affiliated to Bangalore University, approved by the Government of Karnataka &
recognized by AICTE )
MSR Nagar , MSRIT Post , Bangalore- 560054
Application form of Admission to
MSc(Bio-technology) / MSc(Microbiology) / MSc(Biochemistry) / MSc(Applied Genetics) / M.B.A
Admission No.
Admission Date.
1. Name in Full _________________________________________________________
(as in previous examination certificate)

2. a) Date & Place of Birth _______________________________________________

b) Sex

Female-

Male-

PASTE
A
PASSPORT
SIZE
PHOTO

3. Language studied in the last examination ___________________________________

4. Name and Place of Institution last attended__________________________________
5. Highest examination passed

Subject

1st Year
Max
Marks
Marks
Scored

2nd Year
Max
Marks
Marks
Scored

3rd Year
4th Year
Max
Marks Max
Marks
Marks Scored Marks Scored

Total

7. %of marks including Language _________

8. % of marks including Language _____________

9. Medium of Institution_______________________

10. Religion/Cast____________________

11. Nationality__________________________

12. Year of Passing__________________

13. Games & Extra curricular activities_______________________________________________________

14. Whether Attested copies of the following have been submitted :1. Marks Cards

Yes / No

2. Transfer of Leaving Certificate

Yes / No

3. Migration Certificate(in case of student from

other University)

Yes / No

4. Cast Certificate if BT / SC / ST

Yes / No

5. Photograph (3 copies)

Yes / No

**Note: Originals of above are to be submitted only at the time

of admission .
15. Father / Guardians Name___________________________ Mothers Name___________________________
16. Father / Guardians Income__________________________________________________________________
17. Address of communication __________________________________________________________________
________________________________________________________________________
18. Permanent Address ________________________________________________________________________
________________________________________________________________________
Telephone No: _______________
19. Application form can be downloaded from the website and prospectus can be collected from the
administrative office.

DECLARATION
I shall be responsible for the payment of all fee and other charges. I shall also be responsible for his / her conduct and
good behavior during the period of my sons / daughters stay in the college and ensure that he / she abides by the
college rules & Regulation
I further agree to pay the prescribed fee in time.
I undertake to put in not less 75% attendance in each subject prescribed and I understand that I shall not be
eligible to appear for the examination if fall short of attendance and I shall repeat the course.
Signature
Date:_________

Office note regarding fee paid:

Signature of the Parent

Receipt No.

Date:________________