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APPLICATION FORM APPLICATION NUMBER

PHOTOGRAPH

Paste your recent passport size colour photograph not older than 3 months. Do not

pin or staple

V- JET 2020 BBA / BCA

NAME OF THE APPLICANT (AS IT APPEARS IN CLASS X OR EQUIVALENT MARKS CARD)

DATE OF BIRTH SEX (TICK) COURSE CHOICE (Tick) Inter / +2 (group)

DATE MONTH YEAR MALE FEMALE BBA BCA

RELIGION CATEGORY (TICK)

BC SC ST PwD Others

NAME OF THE PARENT / GUARDIAN

ADDRESS FOR CORRESPONDENCE

DOOR / HOUSE NO.

STREET NAME LOCALITY / MANDAL

TOWN / CITY

DISTRICT PINCODE

STATE

STD CODE TELEPHONE NUMBER MOBILE NUMBER

EMAIL ID

...

SIGNATURE OF APPLICANT

PLEASE TURN OVERLEAF

READ DETAILED INSTRUCTIONS GIVEN SEPARATELY BEFORE FILLING THE APPLICATION FORM

VIGNAN’S

Foundation for Science, Technology & Research

(

Deemed to be

UNIVERSITY)

-Estd u/s 3 of UGC Act 1956

VIGNAN’S

Foundation for Science, Technology & Research

(

Deemed to be

UNIVERSITY)

-Estd u/s 3 of UGC Act 1956

(2)

V- JET 2020 BBA / BCA

PARENT OCCUPATION Govt. Service Private Sector Agriculture Self Employment PARENT ANNUAL INCOME 1 - 3 Lakhs 3 - 5 Lakhs 5 Lakhs and above

RESIDENTIAL AREA Urban Rural

How do you come to know about Vignan’s University?

Tick Mark in the appropriate box only

Newspaper Ads TV Friends Relatives Present Intermediate Campus

Interested extra Curricular activities : Write in the appropriate Box only. (for example) 1.

2.

DECLARATION : I hereby declare that all the particulars stated in this application are true to the best of my knowledge and belief. I have read and understood all provisions of the admission procedure and agree to abide by them. In the event of submission of fraudulent, incorrect or untrue information or suppression or distortion of any fact like educational qualification, marks etc., I understand that my admission is liable for cancellation.

Further I understand that my admission is purely provisional subject to the fulfilment of the eligibility criteria.

... ...

SIGNATURE OF PARENT / GUARDIAN SIGNATURE OF APPLICANT

PLACE : DATE :

ACADEMIC DETAILS 1. X Class

Year of Pass Board

State

Grade obtained

2. INTERMEDIATE or equivalent examination

College last attended

Campus Place

Year of Pass Board

Inter / +2 Hall ticket No.

SUBJECT WISE - INTERMEDIATE EXAMINATION *

SUBJECT GRADE / TOTAL MARKS GRADE POINTS /

MARKS OBTAINED % OF MARKS

CGPA / % MARKS

Note : * If the final result is not declared at the time of filling this application form, entrer Jr. Inter / 11th Class marks

VIGNAN’S

Foundation for Science, Technology & Research

(Deemed to be UNIVERSITY)

-Estd u/s 3 of UGC Act 1956

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