SVNK PU COLLEGE. H. B. Halli.

Student Details

Student Name ^* :

Date Of Birth * :

Gender * :

Female Male

Religion * :

Caste * :

Sub-Caste * :

Address * :

Tel/Mobile No. * :

Pin Code-landline No. OR Mobile No

Photo * :

Parent Details

Father Name ^* :

Mother Name ^* :

address ^* :

Parent's Annual Income ^* :

Income Certificate Applies? ^* :

Yes No

Previous School/College Details

School/College Name ^* :

School/College Address ^* :

Previous Examination Passed ^* :

Year and Month ^* :

Medium ^* :

Subjects Studied Marks Obtained

1^st Language ^* :

2^nd Language ^* :

3^rd Language ^* :

Science ^* :

Mathematics ^* :

Social Science ^* :

Extra Curricular Activities ^* :

Languages and Combination Offered to Study in the PU Course

Science

PUC Medium ^* :

Languages ^* :

Optional Subjects ^* :

Admission Form