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Kindly remit the cost of the application of Rs.100/-
Account Name : K.P.NATIONAL COLLGE
A/C NO: 1112135000002814
Bank: KARUR VYSYA BANK
Branch: BATLAGUNDU
IFSC Code: KVBL0001112

Upload Bank Challan(Paid)/Payment Reference Number at the End

Name in Block Letters *

Enter Marks Secured in Part III out of 400 *

Course Interested to Join

 B.A – English Literature
 B.Sc. Physics
 B.Sc. Computer Science
 B.Sc. Information Technology
 B.B.A.
 B.Sc Mathematics
 B.Sc Mathematics with Computer Application
 B.Com. General
 B.Com (C.A)
 M.Com. - General
 M.Sc. – Computer Science
 M.Phil. – English
 M.Phil – Commerce

Birth Date *

Gender
MaleFemale3rd Gender

Nationality *

Religion *

Caste *

State *

Mobile Number *

Aadhar Number *

Present Address*

Street Address *

Street Address Line 2 *

City *

State *

Postal / Zipcode *

Country *

Permanent Address*

Street Address *

Street Address Line 2 *

City *

State *

Postal / Zipcode *

Country *

E-mail *

Father's Name *

Mother's Name *

Metion the qualifying Examination Passed HSC or Equivalent-Academic stream/Vocational Stream *

	Subject	Marks Secured	Maximum Marks	Year of Passing	Register Number	No Of Attempts
Part-I Language
Part-II English
1. Part-III Subject 1
2. Part-III Subject 2
3. Part-III Subject 3
4.part-III Subject 1

Whether the applicant is Disabled Person? *
yesno

Distinction in Sports/NCC/NSS? *
yesno

Plus 2 Mark Statement

HSC Mark Statement

Community Certificate

UPLOAD FEE CHALLAN

BANK REFERENCE NUMBER *

Declaration
I certify that, to the best of my belief, the information I have provided is complete and true.

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