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    P.G. Application 2024 25

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    P.G. Application 2024 25

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    P.G.-Application-2024-25

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    P.G. Application 2024 25

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    For Office Use:

    DEPARTMENT:
    zÁªÀtUÉgÉ «±Àé«zÁ央AiÀÄ Affix

    DAVANGERE UNIVERSITY
    Passport size
    photo
    APPLICATION NO:
    REGISTRATION NO: Shivagangothri, Davanagere–577007. Karnataka

    APPLICATION FOR ADMISSION TO POST-GRADUATE DEGREE /P.G. DIPLOMA/


    DIPLOMA /CERTIFICATE PROGRAMS 2024-25

    NOTE: Candidates are advised to read the instructions in the Prospectus before filling the application.
    Incomplete applications are liable to rejection. Separate applications must be submitted for different
    programs to the respective departments.
    ✓
    M.A./M.V.A./M.Sc./M.Com./M.B.A./M.C.A./
    PROGRAM APPLIED FOR: () P.G. DIPLOMA/DIPLOMA /CERTIFICATE PROGRAMS
    SUBJECT: M.Com
    1. Name of the Applicant:
    (In block letters) (As per SSLC Marks card) JEEVAN D . P
    2. Father’s Name: PRAKASHACHARI D .P
    3. Mother’s Name: SUVARNAMMA G.M
    4. a) Postal Address:
    JITHENDRA NILAYA ,MOUDGAL ANJANEYA SWAMY BADAVANE
    MUDDENAHALLI ,AGARABANNIHATTI (POST) CHANNAGIRI (Tq)

    b) Contact WhatsApp Number: 8073894641


    c) E-mail ID: jdp6880@gmail.com
    5. Date of Birth and Place: 27-02-2003
    (As per SSLC Marks card)
    6. Gender (): Male: ✓ Female: others:
    7. Nationality (): Indian: ✓ Foreign:
    8. Religion, Caste, Sub-Caste: HINDU VISHWAKARMA
    9. Category/Reservation Claimed:
    (Certificate to be enclosed) () GM ✓ SC ST C-1
    2A 2B 3A 3B
    10. Divyang(PH)/Sports/NSS/NCC/Rovers
    & Rangers/Children of Defense PH SP NSS NCC
    Personnel/ Kalyana Karnataka(HK) - RR DP HK KM
    371(J) / Kannada Medium/CSF*
    (Certificate to be enclosed) () CSF*
    11. Qualifying Examination: B.Com

    12. Marks Obtained in the Cognate Program: B.Com


    Courses/Papers for which P.G. Admission Max Marks Aggregate
    is sought. (Please enclose copies of the Year Percentage
    Marks Obtained Percentage
    mark sheets for all Six semesters/Three I Year 1450 1168 80.55% 81%
    years.) II Year 1400 1040 74.2% 74%
    Note: For the MSW program, include
    marks for all Courses/Papers, including III Year 1400 1070 76.4% 76%
    languages. TOTAL 77.1% 77%
    4250 3278
    * Supernumerary seat for Children of Suicide victim Farmers.
    13. Father’s/Guardian’s Occupation:
    GOVERNMENT SCHOOL TEACHER

    14. Annual Income of the Parent’s/Guardian’s: MORE THAN 8,00,000

    15. Candidate’s Relationship with the Guardian: FATHER

    16. a) Name and Address of Parent/Guardian: JITHENDRA NILAYA ,MOUDGAL ANJANEYA SWAMY BADAVANE
    MUDDENAHALLI ,AGARABANNIHATTI -577213 (post)
    CHANNAGIRI (Tq)
    b) Contact Number:
    9980759171

    c) E-mail:
    dpprakashachari@gmail.com
    17. Application Fee Paid: Amount Rs.
    DD/Receipt/
    Bank Challan No.
    Date:
    Place:

    DATE:
    PLACE: CHANNAGIRI

    DECLARATION
    I hereby solemnly and sincerely declare that the statements made and information
    furnished by me in the Application form and also the enclosures submitted by me are true and
    correct. I know that I am liable for prosecution and forfeiture of the seat allotted to me, if in case
    of false/incorrect information furnished by me.
    I have understood that in the event of my admission to the University Post-Graduate/P.G.
    Diploma/Diploma/ Certificate Program 75% attendance is mandatory. I am aware of the fact: I
    am not eligible to get the refund of fees paid for the admission process. I agree to abide by the
    Academic requirements of the Program and the Rules and Regulations of the University.

    SIGNATURE OF THE PARENT/GUARDIAN SIGNATURE OF THE APPLICANT

    UNDERTAKING
    Name of the Candidate:______________________________________________________
    JEEVAN D.P
    M.Com
    Program Applied for:_______________________Category______________________
    GM
    I wish to take admission under Enhanced Fees (EFS) Seat, irrespective of the category to
    which I belong to, I am prepared to pay prescribed fee in full for the said Program. I agree to
    abide by all the Rules and Regulations of the University if admitted under the Enhanced Fees
    Structure.

    SIGNATURE OF THE PARENT/GUARDIAN SIGNATURE OF THE APPLICANT

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