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Student Details - Empty Application

This document is a student exam application form for Visvesvaraya Technological University. It requests information such as the student's name, USN number, branch, programme, batch, college, contact details, personal details, academic details, type of admission, outstanding subjects, readmission details, and seat type. It includes declarations that the information provided is correct and will be shared with other government departments and portals.

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Jeevitha T
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
59 views

Student Details - Empty Application

This document is a student exam application form for Visvesvaraya Technological University. It requests information such as the student's name, USN number, branch, programme, batch, college, contact details, personal details, academic details, type of admission, outstanding subjects, readmission details, and seat type. It includes declarations that the information provided is correct and will be shared with other government departments and portals.

Uploaded by

Jeevitha T
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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12/15/22 8 27 PM VTU Exam Applicaton Form

VISVESVARAYA TECHNOLOGICAL UNIVERSITY BELAGAV

DON BOSCO INSTITUTE OF TECHNOLOGY. BANGALORE

Student Details

USN Student Name Branch Code Programme

Batch Previous SSP ID Course

College

Contact Details

Name as in Aadhar/ Passport

Aadhar Number/ Passport Number

Date of Birth as in SSLC

Mobile / Phone Number

Email ID

Personal Details

Gender
Select Gender

Admission Quota

Select Quota

Nationality
V'fY Exam Apphcatum Fom
12 15/22 &28 PM

Select
Statel Country

Religion
Select Religion
Other Religion

Category
Select Category
Caste

Select Caste

Passport Number

Visa Number

Type Of Visa

Select Type Of Visa

Date of Validity

Jurisdiction of Police

/ Hostel Address
Current Residential

Owner's/ Principal Name

Contact Number
Owner's/ Principal

Academic Details

10th/ CBSE/ ICSE Registration Numer

10UhCBSE /ICSE Passing Year


PUC/ DIPLOMA Registration Numer

PUCI DIPLOMA Year of Passing

PUC/ DIPLOMA Passing Month

Current Semester

Select Sem
Scheme Studied in Immediate Provious Semestor

Select Scheme
Scheme Applicable for Current Semester

Select Scheme

Click Here for Scheme of Study Circular (.1./Assets/Documents/Scheme_Grularpdi)

Type of Admission

Select Type of Admission


OutStanding Arrear Subjects Count

Select Arrear Subjects Count

Readmission Reference Number ( VTUIACA/2021-2022/)

Readmission VTU Order Date

Seat Type

Select Seal Type

Regular Subjecls

Registration & Other Fees Payable lo Urnversity


1215/22 8 28 PM VUExam Appicaton Form

Declaration

Note 1: This data will be shared with sSP, NAD and social welfare department for
availing various government schemes. Please ensure the correctness of all the data.

Note 2: If any of the information is found to be incorrect or does not match with the
informalion entered by the student with scholarship and other portals, thee person who
has entered the information and College will be held responsible.

I have read the above note and confirm the correctness of the information.

Submit

Cancel (.JDashboard.php)

30.0, 23ero. 3DFéST. 2Dds.


2022 Designed & Developed by Project Management Cll (PMC), C.N.C, VTU, Belagavi. Karnataka.
India.

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