Farm Universities of Karnataka Common Enterance Test - 2018 

Application Form 

Registration No. 20188249

1. Name of the Candidate PRAMOD BASAPPA ASKI 2. Name of the Father BASAPPA

3. Name of the Mother RATNA 4. Guardian Name BASAPPA

5. Gender Male 6. Date of Birth 13/07/1998

(dd/mm/yyyy)

7. Place of Birth HARUGERI 8. Aadhar Number 554881895452

9. Nationality Indian 10. Religion Jains

11. Mother Tongue KANNADA 12. Caste Name JAIN DIGAMBER

13. Category Category-3B 14. Caste/Category RD2038954437531

Certificate No.

15. Annual Income 60000/- 16. Income Certificate RD2038954437531

No.

17. Special Category 18. Hyd-Kar Region No

Quota?

19. Rural Yes 20. Studied in 15 Years

Karnataka State

21. Examination Appearing for B.Sc. (Hons.) Agriculture 22. Kannada Medium No

23. Contact Mobile No. 8088703822 24. E-Mail ID pbasociety@gmail.com

25. Are you studied Min. 7 years in Karnatak, If Yes 26. Blood Group A+
yes enclose study cerificate

27. Postal Address S/O BASAAPPA ASKI KURABGOD 28. State Karnataka
HARUGERI BELGAUM
Contact No : 9743632878

Pin Code :591220

29. District Belgaum 30. Taluk Raybag

Education Details
Degree Completed University University of Agricultural Sciences, Dharwad Degree Completed College College of
Agriculture,
Dharwad

Degree Completed Diploma (Agri.) Duration of Degree From 2016 To

2018

PDC Issued Date 17/07/2018 USN ID Number DIP16AGR998

OGPA Marks (out of 100) 7.29

Examination Details
Choice of Examination Center University of Agricultural Sciences, Dharwad

Preference - I B.Sc. (Hons.) Agri.

Documents Uploaded
1. Photo Yes 2. Signature Yes

3. Left Thumb Impression Yes 4. Parent Signature Yes

5. Income Certificate Yes 6. Caste Certificate Yes

7. Special Category Certificate No 8. Study Certificate Yes

9. HK/J&K No 10. Kannada Medium Yes

11. Rural Yes

Declaration
We declare that the information furnished through online is true and correct to the best of our knowledge and belief. We have read the instructions carefully hosted
on the website "Information Bulletin for Filling up of Online Application". In case any of the information furnished online by us is found to be false or incorrect, we
shall forfeit the claim to be considered for a seat selected and allotted by KFU. We are also liable for the action, that the State Government or the KFU may take
against us in this regard.

Candidate's Signature Left Thumb Application 18/07/2018

Impression Date