BANGALORE UNIVERSITY

Jnanabharathi,Bengaluru 560 056, Karnataka State

APPLICATION FOR HOSTEL ADMISSION FOR THE ACADEMIC YEAR 2023-24

Application Number & Receipt No 20GAECE013 202304BUHOS32620170

Name GANESH KUMAR B K

Degree B TECH

Course ECE

College/Department Name UVCE

Category IIA
Present Address
Social Welfare No/SSP ID
Kalidasa nagara sira
Date of birth 2001-12-17

Gender MALE

Father Name Krishnakumar

Mother Name Parvathi

Gaurdian Name

Relationship(If gaurdian)

Caste certificate Yes

Address of the Local Guardian
Caste Certificate RD No RD0039085245336

Income certificate Yes

Income certificate RD No RD0039085245336

Fee Paid At BU/CET BU

Reciept No DUK4466379

Reciept Date 2023-01-23

Distance from home to 120

college

CellNo: 8951101324 House No 150

Email: gk92868@gmail.com Street Jyothi nagara

Locality/Village Sira

Hobli Sira

State KARNATAKA

District TUMAKUR

Taluk SIRA

Pincode 572137
 Phone No of Gaurdian 8951101324

Year/Semester 3

Hostel Name UVCE HOSTEL PAYING(CITY CAMPUS)

Applied for BCM 0

Remarks

DECLARATION

The above information is completely true to the best of my knowledge, belief and nothing has been concealed. If
found the application/admission is liable to be cancelled at any level.

Signature of the Parents/Guardian Signature of the Candidate

Date : 04/12/2023

Place :