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APPLICATION FOR ONLINE ADMISSION - MSC - 2014-2015-B1 - REGULAR

Full Name

: NARESH KATLA

Application No

: 2014-00022-MSC

Course

: MSC

Preference1

: YT

Preference2

:

Preference3

:

Registration No

: 2014-00000924

Admission No

: 2014-00000924

Date of Birth

: 12/07/1990

Gender

: Male

Religion

: HINDU

Nationality

: INDIA

Community

: OBC

Mother Tongue

: TELUGU

Mobile Number

: 9030077282

Hostel Required

: NO

Landline No

: 9030077282

Email ID

: knareshyoga@gmail.com

Parent Name

: POSHALU KATLA

Permanent Address

: 3-59

Qualifying Exam

: 2013

Month & Year Passing

: 2012-2013

Exam Roll.No./Reg.No.

:-

Percentage Obtained
Name of the School

: RASTRIYA SANSCRIT VIDYA PEET TIRUPATY

Choice of Campus

: SVYASA, JIGANI

Testcity

: BANGALORE

Declaration by the Candidate
i. I Mr/Ms NARESH KATLA s/o d/o POSHALU KATLA hereby affirm that the information furnished by me in this application and the enclosures is true. I know that if the
information furnished by me is untrue, my seat will be forfeited.
ii. I hereby affirm, that i am the genuine applicant and take all responsibility to prove my identification in case of doubt arising about the same. I am also aware that I am liable
for disqualification and legal action if I am found quality of impersonation and same shall also be applicable to any other person involved.
iii. I will not indulge in any form or ragging. I know it is a criminal offence and if found guilty I will be summarily dismissed.I undertake to make good the loss caused to the
University/Staff/Student or any other person caused by any illegal act of mine
iv. I shall clear the dues pertaining to the University and also towards the hostel well in time.
v. I am liable to pay the balance of fees calculated for the entire program, in case i discontinue the program orI am expelled from the University for any reason.
vi. I will not participate in any strike or demostrations and will not induce others to do so.
vii. I will not indulge in any act which shall lower the prestige of the University and self.
viii. I shall abide by all the rules and regulations of the University that may be framed from time to time. I further understand that I am liable to be punished if I voilate the
general code of the discipline and rules of the University and that I have no right to question any punishment imposed on me by the University Authorities.
Place ________________
Date ________________

Siganature Of the Student

Declaration by the Parent/Gaurdian
a) I Mr/Mrs POSHALU KATLA hereby confirm that the information furnished by my Son/Daughter in his/her application and in the enclosures is
true. I know that the information furnished by my Son/Daughter/Ward if found to be untrue, my Son's/Daughter's/Ward's seat will be forfeited.
b) I know ragging is a criminal offence and shall take steps to prevent my Son/Daughter/Ward from indulging in it. I also know that if he/she is
found guilty of the offence, he/she will be summarily dismissed from the University.I undertake to make good the loss caused to the University
staff/student or any other person caused by any illegal act of my Son/Daughter/Ward.
c) I am liable for payment of the balance of fees calculated for entire course, in case my Son/Daughte/Ward discontinues the course or i expelled
from the University for any reason.
d) I am also aware that once the candidate is admitted to the Program, no refund of fees either in full or part thereof, will be made for any reason.
Place ____________________
Date ____________________

Signature of the Parent

Document Check List Details
1 . CANDIDATE PHOTO : NO
2 . 10TH CERTIFICATE (MATRICULATION CERTIFICATE) : NO
3 . 12TH CERTIFICATE : NO
4 . SIGNATURE OF THE STUDENT : YES
5 . MEDICAL FITNESS CERTIFICATE : YES
6 . GRADUATION CERTIFICATE : NO

Note: Transfer certificate, Migration Certificate and 3 Passport size photographs to be produced at the time of admission

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Payment Acknowledgement Copy