For Admissions + 080 - 29731688 / 8217209239    


Recognized by School Education (Pre-University), Govt. of Karnataka

#68, Chokkanahalli, Thanisandra Main Road, Bangalore - 560064

Ph : 080- 29731688 / 8217209239 Web:

Application Form

Government of Karnataka

Department of Pre-University Education

I/IIPUC Admission Application Form 20  -  20

2.   a) Date of Birth :

      b) Gender :

  Male     Female     Others

      c)  Place of Birth :

6.  Address of the Parent :

Address Line1

Address Line2

8.  Name and address of the School :

Name of the School / College

Address Line1

Address Line2

Reg No :

Year :

Month :

Subjects Marks Obtained Percentage of Marks
I Languiage


II Language
III Language

Total Percentage of Marks

Social Science
Total Marks Obtained

12.  Subjects Languages and Combination in the PU Course :

Languages :


Combination :

Science :

Commerce :

Humanities / Arts :

The following documents to be brought on the day of interaction :

  1. Photocopy of 10th Std Mid term Exam
  2. Photocopy of Aadhar card of student
  3. 1 Passport size of photograph

Names entered in the registration form should be as per Birth Certificate /Aadhar Card / Passport submitted

Incomplete forms will be rejected.

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