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    Application Number:: Mukthagangotri, Mysuru-570006

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    appaeducationtrust2015
    as requested and summarizes the key details in 3 sentences or less.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Number:: Mukthagangotri, Mysuru-570006

    Uploaded by

    appaeducationtrust2015
    13 views2 pages
    as requested and summarizes the key details in 3 sentences or less.

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    as requested and summarizes the key details in 3 sentences or less.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views2 pages

    Application Number:: Mukthagangotri, Mysuru-570006

    Uploaded by

    appaeducationtrust2015
    as requested and summarizes the key details in 3 sentences or less.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    KARNATAKA STATE OPEN UNIVERSITY

    Mukthagangotri, Mysuru-570006

    Application Number : 20120188 Date : 31/12/2020

    Online admission Application for M.Com I YEAR 2020-21 July Session Level: LEVEL-2

    Applicant's Basic Details

    Name BHAGYASHRI
    Father/Husband/Guardian
    Name DHANAPPA GADE

    Mother Name NILAMMA

    Email Id bhagyashrigade175@gmail.com

    Mobile 7483101929

    Date of Birth 08/04/1999

    Gender FEMALE

    Nationality Indian

    Domicile State KARNATAKA Category IIB

    Bank Account Number 34808385854 Caste VIRASHYA


    LINGAYATH
    Account Holder Name BHAGYASHRI Sub Caste LINGAYATH

    Bank Branch Name STATE BANK OF INDIA, ALAND Religion HINDU

    Bank IFSC Code SBIN0011580

    Communication Address

    TQ : ALAND DIST : KALABURAGI - 585302

    Applicant's Program Details


    Program & ProgramType M.Com I YEAR

    Regional Centre KALBURGI

    Study Centre ANANYA DEGREE AND MSW COLLEGE KALABURGI - BA/BCOM

    Medium of Instruction ENGLISH

    Applicant's Subjects Details


    OPTIONAL MCOM
    SKILL DEVELOPMENT SUBJECT COMPUTER FUNDMENTALS
    Applicant's Other Details

    Aadhaar Number 737517380627

    Applicant Profession STATE GOVERNMENT

    Applicant's Quota Details


    Differently Abled No

    Defence No

    Rural Yes

    Urban No

    BPL(Womens Only) No

    Kalyana Karnataka(HK) Yes


    KARNATAKA STATE OPEN UNIVERSITY
    Mukthagangotri, Mysuru-570006

    Applicant's Qualification Details

    Qualification Board /University Year of Pass Register No

    SSLC KSSEB 2015 20150162272

    PUC PUC 2017 704458

    BCOM GULBARGA UNIVERSITY 2020 91852843

    Applicant's Processing fee payment details

    Application No Course Payment Id Amount Paid Date

    Applicant's Admission fee payment details

    Application No Course Payment Id Amount Paid Date


    20120188 M.Com pay_GJLvHQZUJIUayR 6,200.00 31/12/2020 12:08:15AM

    Declaration by the Applicant


    I do hereby declare that information furnished is true and correct to the best of my knowledge and belief. I agree to
    the Terms and Conditions for given in the University prospectus.

    Signature of the Applicant

    UNDERTAKING

    I understand that it is my responsibility to note of the relevant regulations of the course for which I am admitted in this
    University and to satisfy the requirements in full. I will abide by the rules of CONDUCT and DISCIPLINE imposed by the
    University and abstains from practicing RAGGING in any form. Further, I declare that I shall be responsible if I fail to
    satisfy any of the conditions. I understand that the University is at liberty to take such suitable action as it deems fit
    against me in the event of not registering SATISFACTORY PROGRESS and possessing SATISFACTORY CONDUCT.

    Date : Signature of the Applicant

    Place : BHAGYASHRI

    For Office Use Only


    Application No Roll Number Course Date of Admission

    20120188 M.Com I YEAR

    Payment Date Payment Id Payment Fee Paid Fee in Rupees


    Status Amount
    31/12/2020 pay_GJLvHQZUJIUayR Success 6200.00 Rupees Six Thousand Two Hundred Fifty Only.

    Total Fee 6200.00 Rupees Six Thousand Two Hundred Only.

    Case Worker Superintendent Regional Director

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