Online Application PUC

APPLICATION FOR ADMISSION

STUDENT INFORMATION

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1. *Name of the Student as Entered in SSSLC / CBSE Marks Card

2. *Mobile NO: 3. *Aadhar No:

4. *Email-ID : 5. Date of Birth:

6.Permanent Adress: Correspondence Adress:

* Pincode: 7. Gender: Male Female

8. Category: SC ST GM II A II B IIIA IIIB

9. Religion: Caste: Sub Caste:

10. If Caste Certificate Enclosed: Yes No 11. Other Reservation: NCC Sports PHC EX Service

12. Name of the Parents: Father Name: Mother Name:

13.Name of the Parents with Adress:

14.Parents Annual Income: Is Income Certificate Enclosed: Yes No

15. Name & Address of School Last Studied:

16.SSLC/Equivalents Examination Passed:

Reg No: Year: Month:

17. Qualifying Examination: State Board (SSLC) CBSE ICSE Others

Particulars SSLC / Equivalent Examination Passed

1. Reg No: 2. Year: 3. Month:

Subjects	Marks Obtained
1st Language :
2nd Language :
3rd Language :
Mathematics :
Science :
Total Marks Obtained :
Percentage of Marks :
Result :

5.Participation in Sports/Extra Curricular Activities

Subjects: Languages & Combination Opted to Study in the PU Course

Part-1 (Language)	Part-2 (Science / Commerce)
1. English
2. Kannada / Hindi / French

6. Medium of Instruction in Pu Course : Kannada English

7. Day Scholar: Residential:

8. Medical History of the Student :

Student's & Parent's / Guardian's Undertaking

I hereby accept that i will abide by the rules & regulations of the college

Name of the student: Name of the Parents:

Planck Educational Trust(R)

Sir M.Visvesvaraya PU & Degree College

SIR M VISVESVARAYA PU & DEGREE COLLEGE is a well established educational institute for imparting quality in Secondary and undergraduate education. The TRUST. It is located in Alapanahalli, Hoskote, a rural district of Bangalore and college was established in 2014 under the flagship of PIANCK EDUCATIONAL is well connected to the city.

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PU & Degree College

Alappanahalli, Hoskote,
Banglore Rural - 562114

+91 9164480305

808-29901856
+91 7349600277

smvpu2022@gmail.com

Planck Academy

2nd Floor, No.1, KHB Colony, Gandhinagara, Yelahanka Old Town, Bangalore - 64

+91 9632964646

+91 9741870305
+91 8660195342

smvcollege7130@gmail.com