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    Application 109283 25062020 151306 PDF

    Uploaded by

    Arokya Mary
    This document contains the application details of Vijayalakshmi V who is applying for the M.C.A full time course through the PGCET. The summary includes her personal details like name, date of birth, gender, family income. It also mentions her educational qualifications including the qualifying degree of B.C.A, years of study in Karnataka and exam results. The document also states that she does not claim reservation under any quotas and provides her communication address in Mysore.

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    Application 109283 25062020 151306 PDF

    Uploaded by

    Arokya Mary
    14 views2 pages
    This document contains the application details of Vijayalakshmi V who is applying for the M.C.A full time course through the PGCET. The summary includes her personal details like name, date of birth, gender, family income. It also mentions her educational qualifications including the qualifying degree of B.C.A, years of study in Karnataka and exam results. The document also states that she does not claim reservation under any quotas and provides her communication address in Mysore.

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    application_109283_25062020_151306.pdf

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    This document contains the application details of Vijayalakshmi V who is applying for the M.C.A full time course through the PGCET. The summary includes her personal details like name, date of birth, gender, family income. It also mentions her educational qualifications including the qualifying degree of B.C.A, years of study in Karnataka and exam results. The document also states that she does not claim reservation under any quotas and provides her communication address in Mysore.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views2 pages

    Application 109283 25062020 151306 PDF

    Uploaded by

    Arokya Mary
    This document contains the application details of Vijayalakshmi V who is applying for the M.C.A full time course through the PGCET. The summary includes her personal details like name, date of birth, gender, family income. It also mentions her educational qualifications including the qualifying degree of B.C.A, years of study in Karnataka and exam results. The document also states that she does not claim reservation under any quotas and provides her communication address in Mysore.

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    Candidate's Details

    Application Number : 109283


    1 Course/s Applied for PGCET : M C A (only)FullTime

    2 Name of the Candidate : VIJAYALAKSHMI V


    3 Name of the Father : VENUGOPAL S
    4 Name of the Mother : PRAMODA DEVI V
    5 Date of Birth : 27:10:1999
    6 Gender : Female 7 Quota : Karnataka
    8. Marital Status Single Spouse Name

    9. Annual Income of the family from All Sources (If married include your spouse 30000
    income also)
    10 Category : Category-2A 10 a. Sub-Caste : DEVANGA
    Income RD Number (RD00-------) RD0038882348461
    Caste RD Number starting with (RD0--------)

    11 Religion : Hindu
    12 Eligibility Clause Code: a
    13 Qualifying Degree / Engineering Branch ? B.C.A (3 Years Degree)

    Study Information
    Qualifying Degree Status ? Appeard University Seat No : (USN) BC170245
    Qualifying Degree College Name : SBRR MAHAJANA FIRST Qualifying Degree University UNIVERSITY OF MYSORE
    GRADE COLLEGE Name :
    Total Number of Years of Study in Karnataka : 17
    Particulars of Result Month of Passing Year of Passing Maximum Marks Secured Marks
    Examination
    1 Pass May 2018 1600 1160

    2 Pass May 2019 1650 1107

    3 Awaiting August 2020 800 574

    14 Do You Claim Reservation Under Physically Disabled Quota ? No


    15 Do You Claim Reservation Under Ex-Serviceman Quota ? No
    16 Do You Claim Reservation Under 371(J) (Hyderabad Karnataka) Quota ? No
    16 (a) 371(J) RD Number starting with (RD0--------)

    M.Tech Program Details (Only for M.tech Candidates)


    PGCET Appearing under :

    PGCET Exam Appearing Course Name :


    Have you Appeared for GATE during 2019 or 2020 ?

    GATE Code :

    GATE Score : 0

    Do You Claim Seat under Sponsered Quota?

    17. PGCET Examination Centre MYSORE (MYSURU)

    Candidate's Postal Address for Communication


    Address : 862 1 KAMATAGERI MANDI MOHALLA MYSORE,,MYSURU,MYSORE(MYSURU),KARNATAKA-
    570001
    Mobile No : XXXXXXXXXX
    Email : XXXXXXXXXX@XXXXXXXX

    Declaration
    I declare that the above information is true and correct to the best of my knowledge and belief. I have gone through the
    relevant Government Orders, Admission Rules and all Notifications / Website Notification issued by competent Authorityfor
    PGCET-2019 and understand the same.If any of the information furnished above is found to be false or incorrect, I shall
    automatically forfeit my claim to be considered for a seat or the seat already been opted by me in a Professional College in
    Karnataka. In such event, I will also liable for such civil and criminal action as the State Government / KEA may take against me
    in this regard.

    Signature of the Left Hand Thumb impression of Date:


    Candidate the Candidate

    Principal / Gazetted Officer Signature


    Name:
    Signature:

    Seal:

    PAYMENT STATUS
    Appno : 109283 NAME OF THE CANDIDATE : VIJAYALAKSHMI V
    APPLICATION FEES : 650 BANK NAME : NEFT/RTGS/IMPS Payments from
    any Bank Account to Corporation
    Bank
    BANK CHARGES : 0 BANK Ref NUMBER : 1190932747

    Printed Date 25-06-2020 03-13-06

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