BENGALURU CITY UNIVERSITY

Central College Campus, Dr. B. R. Ambedkar Veedhi, Bengaluru - 560 001

College : K.L.E. S. Nijalingappa College, 2nd Block, Rajajinagar, Bengaluru-10
Application for Admission (2021)
Course : Bachelor of Science (2019 Batch Onwards)5 4 1 2 0 0 1 9 2 3 7
Personal Details

Application No. 54120019237

Name of the Applicant Nikhlil S gowda
Father`s /Guardian`s Name Srinivas V
Mother`s Name Anitha T K
Date of Birth 07/02/2002 Gender Male
Nationality Indian Religion Hindu
Caste GOWDAS Category IIIA
Aadhaar No. 296461994299 Blood Group B+
Rural / Urban Urban Annual family Income 50000
Admission Quota University Medium ENGLISH
Income Certificate No. RD0038191169818 Caste Certificate No.
Physicaly disabled No

Communication Details

Permanent Address #234 12TH A CROSS 4TH MAIN KAVERIPURA KAMAKSHIPALYA

BANGALORE Karnataka - 560079
Communication Address #234 12TH A CROSS 4TH MAIN KAVERIPURA KAMAKSHIPALYA
BANGALORE Karnataka - 560079
Email Address nikhilgowda0909@gmail.com
Mobile No. 9743880974 Contact No. 974388974
Parents mobile No. 974388974 Student Type. karnataka

Subjects Opted

Sl. No. Subject Subject Name Short

Code Name
1 A001 English ENG
2 A002 Kannada KAN
3 A022 Chemistry CHE
4 A028 Botany BOT
5 A033 Zoology ZOO
6 A097 Co-Curricular and Extension Activities CC

IP : 122.171.48.51 Date : 18/01/2021 Page 1/3

 BENGALURU CITY UNIVERSITY
Central College Campus, Dr. B. R. Ambedkar Veedhi, Bengaluru - 560 001
College : K.L.E. S. Nijalingappa College, 2nd Block, Rajajinagar, Bengaluru-10
Application for Admission (2021)
Course : Bachelor of Science (2019 Batch Onwards)5 4 1 2 0 0 1 9 2 3 7
Qualifying Examination Details

Name of the Class / qualifying PUC

examination last studied
Name of the board / University last BANGALORE UNIVERSITY
studied

Reg. No. Month & Year Max. Marks Marks Obtained Percentage
908991 March / 2020 600 270 45

Documents Check List

Sl. No. Document Uploaded

1 SSLC Marks Card Yes
2 Qualifying Examination Marks Card (P.U.C / equivalent exam) Yes
3 Transfer Certificate No
4 Eligibility Certificate No
5 Aadhaar Upload Yes
6 Caste Certificate Yes
7 Income Certificate Yes

Date Signature of the Student

Note:
1. Merely submitting the application form and payment of admission fees does not entitle the candidate's
admission to the course unless and until all the documents are verified and found correct.
2. Any information given, if later found to be incorrect, the admission of the candidate will be cancelled without
prior notice to the concerned Principal or candidate.
3. The Principal will be solely held responsible for fake certificates / documents submitted from fake / non
recognized Boards / Institutions.

Date: Signature of the Principal with Seal

FOR OFFICE USE ONLY ( UNIVERSITY )

Application No. Approved Approval Sl. No. Remarks
54120019237

Signature of the Verifier:

IP : 122.171.48.51 Date : 18/01/2021 Page 2/3

 BENGALURU CITY UNIVERSITY
Central College Campus, Dr. B. R. Ambedkar Veedhi, Bengaluru - 560 001
College : K.L.E. S. Nijalingappa College, 2nd Block, Rajajinagar, Bengaluru-10
Application for Admission (2021)
Course : Bachelor of Science (2019 Batch Onwards)5 4 1 2 0 0 1 9 2 3 7
Signature of the Superintendent Signature of the Asst.Reg.

Registrar

IP : 122.171.48.51 Date : 18/01/2021 Page 3/3

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