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BRINDAVAN COLLEGE
(Formerly National First Grade College)
(Appd. by AICTE, Recongnised by Govt. & Affiliated
to Bangalore University)
2nd Cross, Bhoopasandra, R.M.V. Extension, II Stage,
Bangalore – 560 094, INDIA.
E-mail : info@brindavancollege.com , E-mail : enquiry@brindavancollege.com
Website : www.brindavancollege.com
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Application
for admission to Post-Graduate Programme
for the year of 200 - 200
M.C.A. / M.B.A. / M.Sc., Microbiology / M.Sc., Biotechnology |
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Course
…………………………………Year
of admission 200 - 200
File
No ………………ID No. …………………
Password …………..
Note : Candidates
are requested to submit individual application for each
course.
Admit ………………………………..
Date ………..
Principal
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| 1.
PERSONAL RECORD |
Name
(Block letters) :
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Nationality
: a) Indian
NRI
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Residential
Address :
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Date
of Birth:
| Day |
Month |
Year |
Age
in Years |
Sex |
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M |
F |
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Are
you Kannadiga by birth or domicile
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| 2.
PARENTAL RECORD |
Father’s
Name:
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Mother’s
Name:
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Guardian’s
Name:
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Profession
(Enclose Guardian’s Certificate)
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Father/Mother/Guardian’s
Address (O)
Email :
Phone No : Fax.No
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Father/Mother/Guardian’s
Address (O)
Email :
Phone No : Fax.No
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| 3.
ACADEMIC RECORD |
a)
i) Degree obtained
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ii) Institution and University last attended
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iii) The District in which this college is located.
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b)
Have you already obtained a Master Degree of Bangalore University
or other University.
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Date
of Admission
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Date
of leaving
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c)
Marks obtained in qualifying examination
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| Year |
Optional
i
Subject |
Optional
ii
Subject |
Optional
iii
Subject |
Total
of Optionals |
Total
of Languages |
| Max.Marks |
MarksScored |
Max.Marks |
MarksScored |
Max.Marks |
MarksScored |
| I Year |
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| II Year |
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| III Year |
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| Total |
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4)
a) Do you wish to be considered for admission on the basis of reservation
of seats for SC’s / ST’s and others Backward Castes?
If so, please tick the appropriate box. Please enclose valid and
current copies of caste/income certificate / of participation.
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| S.C. |
S.T. |
Cat
I |
Cat
IIa |
Cat
IIb |
| Cat
IIIa |
Cat
IIIb |
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b)
Are you a sportsman having participated in any State/National Level
sports event? Attach the Certificates/affidavit as per Govt. rules.
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c)
Were you a N.C.C. with ‘C’ Certificate or N.S.S. Volunteer
or had Participated in Literacy Cultural Competition at the Inter
– University State/National Level?
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d)
Do you suffer from any Physical Handicap? You may mention the nature
of it and attach a certificate issued from an authorised Doctor.
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e)
Are you claiming admission under any one of the following? Attach
proof/Certificate.
1) Dependant Children of defence personnel/ ex-serviceman
2) Political Sufferer
3) Children of Bangalore University
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DECLARATION
1.
I promise to abide by the rules and regulations of the college /
University Faithfully.
2. I declare that the particulars and documents furnished are
correct.
3. I have read and understood the rules of the college as stated
in the college prospectus & I abide by the same.
4. Subject to Bangalore Jurisdiction.
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Place
:
Date :
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Signature
of Father / Mother / Guardian |
Signature
of the Applicant |
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