Name of the Applicant (in Capital Letters)
Date of Birth
Age
State whether Nagartha Vysya or Brahmin

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Please fill the address
Father name
Father's Occupation
Income of Father / Guardian
Name, Address & Occupation of the Father / Guardian, if Father is not alive
Name, Address & Occupation of the nearest relative of the applicant in Bangalore
Marks obtained in the previous Examination & the year of Passing
College / Institution and class in which the applicant has sought admission
State whether the applicant had received facilities in this Institution / any other Institution?

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Details of all the Testimonials attached
Roll number
Course
Obtained marks
Total marks
Result
Files must be less than 25 MB.
Allowed file types: png gif jpg jpeg.

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