Mysore Diocesan Educational Society

St. Philomena's College

Autonomous College Affiliated to The University of Mysore
College of Excellence
Bannimantap, Mysore - 570015
POST GRADUATION APPLICATION FORM - 2021-22
Application No. PG211145

PROGRAMME APPLYING FOR

PREFERED PROGRAMME : M.SC

PREFERED SPECIALISATION : Computer Science
DOMICILE STATUS : Inner-State

PERSONAL INFORMATION
NAME OF THE APPLICANT : TENZIN GEDUN

DATE OF BIRTH : 1998-03-12 CASTE : NON

GENDER : MALE SUB CASTE : NON

PLACE OF BIRTH : LEH CASTE CATEGORY : GENERAL

NATIONALITY : TIBETAN AADHAAR NO. :

RELIGION : BUDDIST PASSPORT NO. :

ADDRESS : MYSORE PADVAHALLI 1ST CONTACT NO. : 8105425190
CROSS MAIN RD.
EMAIL ID. : tenzingedungedun@gmail.com

PARENTS INFORMATION
FATHER'S NAME : PASANG TSERING FATHER'S EDUCATION : MASTERS

MOTHER'S NAME : SONAM SANGMO MOTHER'S EDUCATION : MATRON

FATHER'S OCCUPATION : TEACHER FAMILY INCOME : 20000
MOTHER'S OCCUPATION :

PREVIOUS EDUCATION
PRECEDING COLLEGE NAME : CHRIST UNIVERSITY
PRECEDING CLASS PROGRAMME : BSC COMPUTER PREVIOUS COMBINATION : CME
PRECEDING COLLEGE PLACE : BANGALORE PREVIOUS MARKS OBTAINED IN MAJOR SUBJECT
PRECEDING MEDIUM OF STUDY : ENGLISH MAX MARKS : 3600
PRECEDING YEAR : 2021 MARKS OBTAINED : 2229
EXAMINATION BOARD : CHRIST PREVIOUS GRADE : FIRST CLASS
RESULT DATE : 2021-10-03 EXAMINATION NUMBER : 1740119

I HEREBY DECLARE THAT THE DETAILS FURNISHED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND IN CASE ANY OF THE ABOVE INFORMATION IS FOUND TO BE FALSE OR UNTRUE OR
MISLEADING OR MISREPRESENTING, I AM AWARE THAT I MAY BE HELD LIABLE FOR IT.

DATE : 23/10/2021 12:50:20

PLACE : Mysore SIGNATURE