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MSc. Chem ADMISSION Form

1) This document is an application form for admission to the M.Sc. Chemistry program at Visvesvaraya Technological University's Department of Applied Sciences in Muddenahalli, Chikkaballapur. 2) It requests personal details of the applicant such as name, date of birth, gender, category, address, contact details, and education details including marks scored at SSLC, PUC/12th, and BSc levels. 3) The applicant must declare that the information provided is true and correct and that providing false information will lead to disqualification and forfeiture of fees paid. Enclosures to be provided along with the application are also listed.

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35 views

MSc. Chem ADMISSION Form

1) This document is an application form for admission to the M.Sc. Chemistry program at Visvesvaraya Technological University's Department of Applied Sciences in Muddenahalli, Chikkaballapur. 2) It requests personal details of the applicant such as name, date of birth, gender, category, address, contact details, and education details including marks scored at SSLC, PUC/12th, and BSc levels. 3) The applicant must declare that the information provided is true and correct and that providing false information will lead to disqualification and forfeiture of fees paid. Enclosures to be provided along with the application are also listed.

Uploaded by

vagex32705
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ವಿಶ್ವೇಶ್ವ ರಯ್ಯ ತಾಂತ್ರಿಕ ವಿಶ್ವ ವಿದ್ಯಾಲಯ, ಬೆಳಗಾವಿ

( ವಿತಾವಿ ಅಧಿನಿಯಮ ೧೯೯೪ ರ ಅಡಿಯಲ್ಲಿ ಕರ್ನಾಟಕ ಸರ್ಕಾರದಿಂದ ಸ್ಥಾಪಿತವಾದ ರಾಜ್ಯ ವಿಶ್ವ ವಿದ್ಯಾಲಯ)

Visvesvaraya Technological University, Belagavi


(State University of Government of Karnataka Established as per VTU Act, 1994)

Department of Applied Sciences


Muddenahalli, Chikkaballapur - 562101

APPLICATION FORM FOR ADMISSION TO


M.Sc. in Chemistry Program
PERSONAL DETAILS
Name
(In capital Letters) Recent Passport
Father Name
size photograph
Mother Name
Date of Birth
Gender Male: Female:
Aadhar Card No.
Religion
Caste/ Sub Caste
Category GMR GMK SC ST OBC PH
(Under which seat Special Category (NCC/NSS/Sports/Anglo Indian/Defence/Scouts & Guides)
claimed)
Address for
Correspondence

Mobile Number
Email
EDUCATION DETAILS
SSLC/ 10th
Name of the Institution / Percentage of
Year Max. Marks Marks Obtained
Board and Address Marks

PUC/ 12th /10+2


Name of the Subjects Studies Max. Marks Percentage
Year
Institution / Board Marks Obtained
Languages

Subjects

Total

1
B.Sc.

Name of the Subjects Studies Max. Marks Percentage/


Year CGPA
University Marks Obtained
Subjects Studies

Total
Marks Secured in Chemistry Subject in BSc

Total Marks for Chemistry Subject Marks Secured Percentage

DECLARATION

I hereby certify that all the information furnished above is correct to the best of my knowledge and belief.
Furnishing of any false information will automatically lead to disqualification of my candidature and forfeiture
of all the payments made by me.

Date: Signature of the candidate:


Place: Name of the candidate:

Signature of the Parent/Guardian:


Name of the Parent/Guardian:
List of Enclosures

Particulars Tick if enclosed


SSLC Marks Card
PUC/10+2 Marks Card
BSc Marks Cards
Caste and Income Certificates
Certificates relating to NCC/NSS/Sports/Anglo Indian/Defence/Scouts & Guides
for claiming seat under Special Category
Any other (Please mention)

FOR OFFICE USE

Application No : …………

Candidate Name : ……………………………………………………Percentage of Marks:…….

Category : ……………….

Scrutiny committee Chairperson


2

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