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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 undergraduate programme |
| 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)
Name of the Candidate in full as in marks card (Block letters) |
Mr.
/ Miss.
Sex : Male
Female
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2) a) Date
of birth in words (as entered in SSLC / X Std Marks Card)
b) Place of birth, Village, Town & Country
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a)
b) |
3) a) Nationality
b) Mother Tongue
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a) Indian
NRI
b) |
4) a) Religion
b) Community
|
a)
b) |
| 5) Please tick
Caste / Comm / Group Tribe to which you belong, if you come under
reservation. |
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6)
Permanent address :
Email:
Phone
No. Fax
No. |
7)
Local Address ( for Correspondence) :
Email:
Phone
No. Fax
No. |
8)
a) Name of Parent / Guardian :
b) Occupation :
Email: Phone
No. Fax
No. |
9) a) Name
of the Institution last attended
b) Month & Year of Passing Qualifying Exam
c) Name of the Examination passed with Reg.No.
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a)
b)
c) |
10) Marks
obtained in the qualifying examination
a) Name
the optional subjects studiedAnd average marks
b) Average of all subjects
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| Sl.No. |
Subject |
Maxmarks |
Min.
Marks for Pass |
Marks
obtained |
| 1 |
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| 2 |
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| 3 |
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| 4 |
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| 5 |
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| 6 |
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| 7 |
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| Total |
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a)
b)
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11) a) Course
opted (Please tick the Course)
b) Language opted under part I (Please tick in the appropriate box)
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| B.Sc |
Computer Science, Physics, Maths |
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Computer Science, Statistics, Maths |
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Microbiology, Chemistry, Zoology |
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Genetics, Biochemistry, Microbiology |
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Biotechnology, Chemistry, Zoology |
| B.C.A. |
Bachelor of Computer Application |
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B.B.M |
Bachelor of Business Management |
| B.Com
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Bachelor of Commerce |
| B.Com(Comp.)
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Bachelor of Commerce with Computers |
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| Kannada
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Hindi
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Adli.
English |
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| Tamil
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Urdu
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Arabic
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| Malayalam
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Persian |
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Any other
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12. Extra Curricular
activities games / Athletes / Debating)
Essay writing / Drawing / Quiz etc. Attach a copy of the certificate.
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13. Tick the
list of documents enclosed (attach copies)
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14. Has the
admission fee been paid?
If so mention :
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Bank Cheque
No.
Amount Rs. |
15. Any other
Particulars the candidate would like to furnish.
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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 :
|
Signature of the Candidate |
I
agree to the admission of my son / daughter / ward to
Course and I shall be responsible for his / her conduct and good
behaviour during the period of his / her college career. |
Place :
Date :
|
Signature of the Parent/Guardian |
NOTE : Post this application to college address. |