presidency college b'lore
TRANSCRIPT
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7/30/2019 Presidency College b'Lore
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GAIN MORE KNOWLEDGE
REACH GREATER HEIGHTS
PRESIDENCY COLLEGE(Affiliated to Bangalore University & Approved by AICTE, New Delhi)Bangalore
Appl ication for Admission
(USE ONLY BLOCK LETTERS)
Appl ication No.
Course applied for
Total marks scored for qualifyingExamination
Percentage of Marks scored
Affix Photo
Name of the applicantAS SHOWN IN CERTIFICATES
Gender
Date of Birth
Nationality
Caste(tick which is applicable)
Permanent Address
Marital status
Country of Birth
Religion
Mother TongueGen / SC / ST / OBC - Cat-1/2A/2B/3A/3B
Mr. Mrs. Ms.FIRST NAME MIDDLE NAME SURNAME
Male Female
CITY PIN
COUNTRYSTATE
MOBILE Email
CITY PIN
STATE COUNTRY
EmailMOBILE
FATHER
FATHER
FATHER
MOTHER
MOTHER
MOTHER
CITY PIN
COUNTRYSTATE
EmailMOBILE
Telephone(Include country and area code)
Name & Address of
Local Guardian
Telephone(Include country and area code)
Name of the Parent
Occupation
Annual Income
Office Address
Telephone(Include country and area code)
Whether the candidate belongs to SC/ST/OBCWhether the candidate is NRI / Foreign National
YesYes
NoNo
If Yes, enclose certificateIf Yes, enclose certificate
Please indicate your proposed course of study at Presidency (Preference-wise)
B.ComM.Sc.-Biotech
BCAM.Sc.-Bio Chemistry
BBMMCA
B.Sc-BiotechnologyMBA
BA-JournalismMIB & PGPM
BBA
APPLICATION PROCEDURE
(Application cannot be considered until all steps below have been completed)
1. Please ensure that you have signed this application form in all the designated spaces.
2. Attach copies of all documents and certificates till date.
3. Address : PRESIDENCY COLLEGE, 33/2C & 33/2D, Kempapura Hebbal, Bangalore - 560 024 Phone :91-80-42478700 / 01 / 02, 9243117175
"A" Grade accreditation by NAAC
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Language studied at 12th Std./ equivalent - First Language Second Language
No. of Attempts :
What kind of activities are you involved outside school? i.e. societies, volunteering, sports, extra curricular activities etc.
Do you need Presidency Hostel accommodation YES / NO
Please list your medical conditions or disabilities, if any, which may affect your studies
Percentage
Level Marks Obtd.
Degree
Educational Record
Register No. Month & Yearof Passing
Name of Board / University Subjects Studied Max. Marks
Percentage
12th Standard
Percentage
10th Standard
Name & address ofthe Institution last attended
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ToThe PrincipalPresidency CollegeBanalore
1. I do hereby declare that I will not
a. Cause any damage to any property of the College such as furniture, switch boards,laboratory equipments, sports equipments, library items such as books, magazines,newspapers etc. and any public property in the vicinity of the College or elsewhere.
b. Deface the desks, chairs, walls of the college, hostel / class-rooms, blackboards, toilets,etc. with any writing whatsoever. This also includes all property of the college not
mentioned herein.2. I will be regular to all my classes throughout the year and I will maintain a minimum of 75% of
attendance as per the rules of the University. If for any unforeseen reason I am forced to beabsent from classes for long time without prior intimation to the Principal, I shall submit avalid explanation in writing signed by Parent/Guardian at the earliest. I am aware that if 75%attendance is not maintained in all subjects, I will not be allowed to appear for the UniversityExamination.
3. I shall attend all Test & Examinations, conducted by the College without fail. I shall attend thePreparatory Examination as and when conducted by the College.
4. I shall complete all the assignments, records books, home assignments in al the subjectsthroughout the year. I promise to stay in the College to complete the assigned work, if I am
unable to submit the same within the time limit.
5. I shall keep up the good name of the College in all my thoughts, behavior and actions in theclassroom in the campus, and in the hostel.
6. I shall commit myself to be disciplined and devoted to the chosen course of study.
7. I shall not indulge in ragging or in any other kind of misbehavior.
8. I shall implicitly accept the decision of the Management as final in all matters of discipline.
9. I will not use any obscene or unparliamentary language anywhere, especially with the staffof the college.
10. I will submit the original certificates due, by 30th J uly 20___
I____________________________________________ have read the rules and condition for
my admission to the Graduate Courses
I declare that the above information is true and correct to the best of my knowledge and belief.
Place :________________________
Date :________________________
Signature of the Candidate
DECLARATION BY THE STUDENT
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DECLARATION BY THE PARENT / GUARDIAN
1. I hereby declare that I know the financial obligation of my ward andI can afford to pay all the requisitecost towards the college. I undertake to pay the tuition and other fees on time to the College under therules in force and which may be framed from time to time by the management. I agree to pay thesemester fess of each semester before the end of the previous semester. I am aware that the feepaid to the College for admission will not be refunded in case he / she does not join the course, his/herdiscontinuation of the studies, he/she is expelled from college for any reason. I also stand by the
declaration given by my son/daughter to the College and shall ensure that he/she abides by the rulesand regulations of the College
2. I have read the above rules and conditions for my ward and agree to the applicant's admission. I shallbe responsible for his / her good conduct, attendance and discipline during the period of his/her stay inthe College. I understand that the promotion / admission to the next higher class is not automatic. Iassure that my ward will not indulge in any act which will tarnish the image of the college. If he/shedoes so, he/she may be expelled from the College. I will not claim whatsoever for the refund of fees, ifmy ward leaves the College on his/her own or expelled by the College for breach of conduct, disciplineand rules of the College.
3. I will personally come to the College every Semester to ascertain the status of attendance & academicprogress of my son / daughter.
Place:
Date :Signature of the parent / guardian
How did you come to know about Presidency College?a. Career Advisor / Education consultantd. Advertisementg. Present students of Presidency College / Friends
b. Parents / Familye. Internet Site
c. Education fair / exhibitionf. Company / Organisation
Note : (Documents to be submitted)
! Attested copy of Marks Card, Transfer Certificate and Conduct Certificate.
! Migration Certificate
! Three stamp size and six passport size photographs.! Students claiming reservation should submit the certificate duly verified by the competent authority as
per latest G.O.
! All originals (MC, TC, Migration Certificates etc.) to be produced at the time of admission.
! Address proof please enclose proof of residency (photocopy of telephone bill / domestic gas bill.) Billmust be in the parent's name only.
! Proof of Date of Birth X Std. Marks Card
Addi tional documents in case of foreign s tudents
! Valid student Visa! Passport Copy! Residential Permit
! Eligibility Certificate
FOR OFFICE USE ONLY
Admission No.:_____________________
Fees receipt No.:___________________
Date :____________________________
KAR / NON - KAR / NRI / FOREIGN
ORIGINALS ATTESTED COPIES
Transfer CertificateMarks CardMigration CertificateCaste CertificatePhotosAddress Proof
Transfer CertificareMarks CardMigration CertificateCaste CertificateAddress ProofD.O.B. Proof
Passport copyVisa copy
FOREIGN STUDENTS
Eligibility Certificate for foreign students only
Date : Admission Officer Signature of the Principal