VIJAYA EDUCATION SOCIETY (R.

)
VIJAYA PRE-UNIVERSITY COLLEGE,
2nd Cross. Dhobhi Ghat Road, Tumkur-572102

STUDENTS INFORMATION
Name of the Student :

Father Name:

Mobile Number :

Parent Permission letter

(tick the box) Yes No
submitted

Mother Name :

Mobile Number :

Aim of the student After II

NEET JEE K-CET
PUC

Whatsapp No.:

Here by declaring that, above filled informations are true with respect to my
knowledge.

Date :

Place ; Signature of the student

Signature of the Principal