Professional Documents
Culture Documents
2023-24£ls±eĹUūS^£l[`bS62ĝĪ[ĸ2Ņ5ĔlB¹ŝŴsDZQhãeÍGhªlisVĦVah®ltSÍĔs[ZQhÃVahc2lisV£lBjĽĻĐeU
lisŤD_ 42Sªl(B.Sc. 5UŤ BjĽB.Sc 5UŤ 4\PÍ6eÍĨ İ¥e¨e¥e¨eģ2£ls`bSİ¥e¨e ¬eÍL\ş<2ġÎ UG - Nursing
`jĦÃV\lisŤD_Vήlsal´5Ŗ¬ltŖZi^B4ĝ
Online Application for Admission to First Year Engineering / Architecture / Yoga & Naturopathy / Veterinary / Farm Scinces B.Sc. (Hons)
Agriculture / B.Sc. (Hons) Forestry etc) / B. Pharma / Pharma-D/ 2nd Year B-Pharma (Lateral Entry) / UG - Nursing Professional Courses for the
Year 2023-24
Appln No:
Final Copy
3920210838017
5Ŗ¬ltŖ4ĝOnline Application Form
I.General Details
TZReligion MUSLIM
2023-24£ls±eĹUūS^£l[`bS62ĝĪ[ĸ2Ņ5ĔlB¹ŝŴsDZQhãeÍGhªlisVĦVah®ltSÍĔs[ZQhÃVahc2lisV£lBjĽĻĐeU
lisŤD_ 42Sªl(B.Sc. 5UŤ BjĽB.Sc 5UŤ 4\PÍ6eÍĨ İ¥e¨e¥e¨eģ2£ls`bSİ¥e¨e ¬eÍL\ş<2ġÎ UG - Nursing
`jĦÃV\lisŤD_Vήlsal´5Ŗ¬ltŖZi^B4ĝ
Online Application for Admission to First Year Engineering / Architecture / Yoga & Naturopathy / Veterinary / Farm Scinces B.Sc. (Hons)
Agriculture / B.Sc. (Hons) Forestry etc) / B. Pharma / Pharma-D/ 2nd Year B-Pharma (Lateral Entry) / UG - Nursing Professional Courses for the
Year 2023-24
Appln No:
Final Copy
3920210838017
EX-DEFENCE (ONLY FOR KARNATAKA) NO
PH (DIFFERENTLY ABLED) NO
ANGLO-INDIAN NO
CENTRAL ARMED POLICE FORCE NO
EX-CENTRAL ARMED POLICE FORCE NO
STUDY IN KANNADA MEDIUM FROM 1 TO 10TH NO -
STUDY IN RURAL AREAS FROM 1 TO 10TH NO -
JAMMU & KASHMIR MIGRANTS NO -
KALYANA KARNATAKA (371 (J)) NO -
Academic Details
liseQuota claimed / 4deb\QhÃlisŏEligibility Clause Code KARNATAKA - CLAUSE - A
Study Details
ci´şe¬lsĝUĻec ®eÍc2DS
Name and Address of the School and Address District Q\DĦD_ Passed `bPassed
Class Year
GULABI PRIMARY HIGH SCHOOL BENGALURU NORTH 1 2012
GULABI PRIMARY HIGH SCHOOL BENGALURU NORTH 2 2013
2023-24£ls±eĹUūS^£l[`bS62ĝĪ[ĸ2Ņ5ĔlB¹ŝŴsDZQhãeÍGhªlisVĦVah®ltSÍĔs[ZQhÃVahc2lisV£lBjĽĻĐeU
lisŤD_ 42Sªl(B.Sc. 5UŤ BjĽB.Sc 5UŤ 4\PÍ6eÍĨ İ¥e¨e¥e¨eģ2£ls`bSİ¥e¨e ¬eÍL\ş<2ġÎ UG - Nursing
`jĦÃV\lisŤD_Vήlsal´5Ŗ¬ltŖZi^B4ĝ
Online Application for Admission to First Year Engineering / Architecture / Yoga & Naturopathy / Veterinary / Farm Scinces B.Sc. (Hons)
Agriculture / B.Sc. (Hons) Forestry etc) / B. Pharma / Pharma-D/ 2nd Year B-Pharma (Lateral Entry) / UG - Nursing Professional Courses for the
Year 2023-24
Appln No:
Final Copy
3920210838017
GULABI PRIMARY HIGH SCHOOL BENGALURU NORTH 3 2014
GULABI PRIMARY HIGH SCHOOL BENGALURU NORTH 4 2015
GULABI PRIMARY HIGH SCHOOL BENGALURU NORTH 5 2016
GULABI PRIMARY HIGH SCHOOL BENGALURU NORTH 6 2017
GULABI PRIMARY HIGH SCHOOL BENGALURU NORTH 7 2018
GOOD HOPE HIGH SCHOOL BENGALURU NORTH 8 2019
GOOD HOPE HIGH SCHOOL BENGALURU NORTH 9 2020
GOOD HOPE HIGH SCHOOL BENGALURU NORTH 10 2021
REVA INDEPENDENT PU COLLEGE BENGALURU NORTH 11 2022
GANGANAGAR BANGALORE
REVA INDEPENDENT PU COLLEGE BENGALURU NORTH 12 2023
GANGANAGAR BANGALORE
Payment Details
AppNo 3920210838017 Bank Ref No. YHD41821324066
Application Fee Rs. 500 Bank Name Bill desk
Paid Date 03/04/2023
ęisblDeclaration
2023-24£ls±eĹUūS^£l[`bS62ĝĪ[ĸ2Ņ5ĔlB¹ŝŴsDZQhãeÍGhªlisVĦVah®ltSÍĔs[ZQhÃVahc2lisV£lBjĽĻĐeU
lisŤD_ 42Sªl(B.Sc. 5UŤ BjĽB.Sc 5UŤ 4\PÍ6eÍĨ İ¥e¨e¥e¨eģ2£ls`bSİ¥e¨e ¬eÍL\ş<2ġÎ UG - Nursing
`jĦÃV\lisŤD_Vήlsal´5Ŗ¬ltŖZi^B4ĝ
Online Application for Admission to First Year Engineering / Architecture / Yoga & Naturopathy / Veterinary / Farm Scinces B.Sc. (Hons)
Agriculture / B.Sc. (Hons) Forestry etc) / B. Pharma / Pharma-D/ 2nd Year B-Pharma (Lateral Entry) / UG - Nursing Professional Courses for the
Year 2023-24
Appln No:
Final Copy
3920210838017
03/04/2023
4YÍħ[cĿ
Left hand Thumb of
Declared Date Signature of the
Candidate
Candidate