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APPLYING FOR

APPLYING FOR HAVE YOU BEEN ALLOTED A COMEDK SEAT

PCM-BOTH COMEDK UGET and UniGAUGE E IN PREVIOUS YEARS
NO

Personal Details

APPLICATION STATUS APPLICATION NUMBER

PaymentSuccess KAR0004716
FULL NAME OF THE APPLICANT(As per CANDIDATE NAME AS PER GOVT ID PROOF
SSLC/10th Marks Card) AADHAR CARD
VEDANTH J S
EMAIL ADDRESS MOBILE NUMBER
vvedanth72@gmail.com 9019642044
DATE OF BIRTH UNIQUE ID PROOF OF APPLICANT
18/Aug/2006 AADHAR CARD(OPTIONAL)
UNIQUE ID PROOF NUMBER OF APPLICANT GENDER
740358074708 MALE
NATIONALITY
Indian
PERSON WITH DISABILITY(PWD) WHETHER YOU NEED SCRIBE?
NO NA
PARENT'S ANNUAL INCOME
MORE THAN RS 10 LACS P.A

Parent's Information

FATHERS'S FULL NAME MOTHER'S NAME

SAMPATH KUMAR C ROOPA R
FATHER/MOTHER OCCUPATION PARENT'S MOBILE NUMBER
GOVERNMENT SERVICE 8660538936
PARENT'S UNIQUE ID PROOF PARENT'S UNIQUE ID PROOF NUMBER
PAN CARD AMYPR9624B

Present Address For Communication Purpose

ADDRESS NAME OF NEAREST POLICE STATION TO

SRIVATSA,GANESH YOUR PRESENT ADDESSS
NAGAR,HANNUMANTHAPURA,TUMKUR SUPERINTENDENT OF POLICE OFFICE
PRESENT ADDRESS STATE ADDRESS OTHER STATE
KARNATAKA NA
PRESENT ADDRESS DISTRICT PRESENT ADDRESS OTHER DISTRICT
TUMAKURU NA
PRESENT ADDRESS CITY PRESENT ADDRESS PIN CODE
TUMAKURU 572104
IS YOUR PERMANENT ADDRESS SAME AS
PRESENT ADDRESS?
Yes

Permanent Address
ADDRESS ADDRESS STATE
SRIVATSA,GANESH KARNATAKA
NAGAR,HANNUMANTHAPURA,TUMKUR
ADDRESS OTHER STATE
NA
ADDRESS DISTRICT ADDRESS OTHER DISTRICT
TUMAKURU NA
ADDRESS CITY ADDRESS PIN CODE
TUMAKURU 572104

Category Details

BELONGS TO BIRTH/DOMICILE
KARNATAKA BY BIRTH
LINGUISTIC MINORITY
NA
DO YOU BELONG TO KALYANA KARNATAKA KALYANA KARNATAKA REGION(HK Region)
REGION (HK Region)? NA
NO CATEGORY
GENERAL MERIT (GM)

Academic Details

QUALIFYING EXAM OTHER QUALIFYING EXAM

2nd PUC NA
QUALIFYING EXAM COMPLETED/ PURSUING MONTH AND YEAR OF PASSING
PURSUING QUALIFYING EXAM
NA
NA
BOARD OF QUALIFYING EXAM
KARNATAKA STATE BOARD (2nd PUC)
OTHER BOARD OF QUALIFYING EXAM NAME OF INSTITUTION LAST STUDIED
NA SRI CHAITANYA PU COLLEGE
STATE IN WHICH YOUR INSTITUTION IS CITY IN WHICH YOUR INSTITUTION IS
LOCATED (LAST STUDIED) LOCATED(LAST STUDIED)
KARNATAKA TUMKUR
ROLL/REG/INDEX NO./UNIQUE ID OF 10TH ROLL/REG/INDEX NO./UNIQUE ID OF 12TH
STD MARKS CARD STD/2ND PUC MARKS CARD
18164686 NA
OTHER ENTRANCE EXAM YOU ARE
APPEARING
IIT-JEE
KARNATAKA-CET
OTHER STATE CET

Exam City Preferences

EXAM CITY PREFERENCE 1 EXAM CITY PREFERENCE 2

KARNATAKA-TUMAKURU (TUMKUR) KARNATAKA-BENGALURU-NEAR PEENYA
EXAM CITY PREFERENCE 3 EXAM CITY PREFERENCE 4
KARNATAKA-BENGALURU-NEAR K R PURAM KARNATAKA-BENGALURU-NEAR ANEKAL
EXAM CITY PREFERENCE 5
KARNATAKA-BENGALURU-NEAR
BANNERGHATTA MAIN ROAD

Payment Details

Amount Payment Mode

2950 online
Payment Status Payment Transaction No.
SUCCESS 19102901261
Order ID Payment Request Time
KAR000471620240204120843 2024-02-04 12:08:43
Payment Response Time
2024-02-04 12:09:58

Student Documents

Photo Signature

Declaration

I declare that I had read the prospectus, instructions and conversant with the Online process of
submission of application.
I understand that fees once paid will not be refunded under any circumstances.
I agree that if a Test City of my choice is not available COMEDK will allot me any other available
Test City.
I am fully aware that the application fee prescribed by COMEDK /Uni GAUGE (ERA Foundation)
will not be refunded for any reason including judicial and other statutory reasons
I hereby declare that the information given above is true and correct to the best of my
knowledge and belief. If the information provided by me is false then COMEDK has the authority
to reject my application/candidature. I further declare to submit all certificates in original at the
time of admission / Counseling relevant to my claims made in the application. I also agree to
forfeit my claim for admission in the event of failure to produce the relevant original certificates.
I shall abide by the Rules and Regulations of COMEDK/Uni GAUGE (ERA Foundation)