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KARNATAKA REDDYJANA SANGHA

(Approved by AICTE New Delhi, Government of Karnataka and Affiliated to VTU Belagavi, Karnataka)

#1, Mahayogi Vemana Road, Koramangala, 3rd Block, Bengaluru-560 034.

Admission cell : 6361750686,821 Off : 080-25529874 /75, : www.vemanaitedu.in

APPLICATION FOR ADMISSION TO B.E. FOR THE ACADEMIC YEAR 202.... - 202....

COURSE OF STUDY
UG Courses :
1. Computer Science & Engg.
Affix a recent
2. Information Science & Engg. passport size
3. Electronics & Communication Engg. photograph
4. Mechanical Engg.
5. Civil Engg.
6. Articial Intelligence & Machine Learning

NAME OF THE APPLICANT (IN BLOCK LETTERS) AS PER 10th STANDARD MARKS CARD

Date of Birth : D D M M Y Y Y Y Place of Birth : State :

Mother Tongue : Caste : Religion : Nationality :

Category : SC / ST / OBC / GM / BT / Others :( ) Physically Handicapped : Yes No

CET / COMEDK Register No. : Rank :

Allotment Order No. : Validity Period :

NAME OF THE FATHER / MOTHER (IN BLOCK LETTERS) AS PER 10th STANDARD MARKS CARD

Qualication : Organization :
Occupation : Phone Landline :
Annual Income : Mobile :
PAN No. : email-id :

PERMANENT ADDRESS : Karnataka Non-Karnataka

ADDRESS FOR CORRESPONDENCE :

Educational Qualications :

Examination Register Number Institute Board / University Specialization Marks % Class

Max. Obtained

10th Std.

12th Std.

Diploma
(Lateral Entry)

Details of the marks obtained relevant to the entry above.

12th Standard :

Subject Physics Mathematics Bio / Chem / CS / EC Total Percentage

Marks Obtained

Maximum Marks

Diploma (For Lateral Entry) to UG

Semester I II III IV V VI Total Percentage

Marks Obtained

Maximum Marks

NAME OF THE GUARDIAN (IN BLOCK LETTERS)

Relationship with Candidate : Landline :

Address (along with pincode) : Mobile :
 UNDERTAKING BY THE CANDIDATE

I,.................................................................................................................................................................... son / daughter of

..........................................................................................................................................................................., undertake that

the above particulars furnished by me are true to the best of my knowledge and belief.
I shall abide by the prevalent rules & regulations of the Institute and other regulatory bodies.

I do understand that ragging is a cognizable offence. I shall not indulge in ragging / eve teasing in any form. I will
report any such observed incidences immediately to the authorities.
I shall follow the stipulated dress code of the Institution.
I shall accept the decision of the concerned authorities in all matters of teaching, training, conduct and
discipline.
I am fully aware that the fee paid to the Institute at the time of admission and subsequently will not be refundable
under any circumstances.
I shall maintain a minimum of 85%of attendance in all subjects of study as per VTU norms.

Date : Signature of the Candidate

UNDERTAKING BY THE PARENT / GUARDIAN

I,............................................................................................................................................... Father / Mother / Guardian

of.........................................................................................................................................., fully concur with my son’s /

daughter’s UNDERTAKING and

I know the nancial obligation of my ward towards the Institute and I will pay the Tuition / Institute / Other fees
xed by the Institute / Management / University / Government from time to time, within the stipulated period.
I am aware that if my ward discontinues the course, I shall have to pay the dues as fees xed by the
Management to receive the original documents.
I will be visiting the Institute frequently / attend parent-faculty meetings to know the progress of my ward.
I hereby undertake that in case of non-availability of my PAN number, I shall be held responsible for the
consequences.

Date : Signature of the Parent / Guardian

TRANSPORT FACILITY REQUIRED : YES NO

HOSTEL FACILITY REQUIRED: YES NO

FOR OFFICE USE ONLY

Mr./Ms. .......................................................................................................................................................................................

S/D/o. Mr./Mrs . .....................................................................................................................................................................

admitted to I / III Sem ........................................................................................................................................ Branch under

CET/Mgmt/COMED-K for BE for the academic year ...................................................................................................

FEE DETAILS :

Fee Paid
Fee Fixed
Amount in (Rs.) Receipt No. Amount Balance
& Date (Rs.) (Rs.)

Tuition Fee

College Fee

Total Fee

Remarks .......................................................................................................................................................................................

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CET/Comed-K
.......................................................................................................................................................................................................

Veried by Principal President / Gen.Secretary