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VTU Exam Application Form

This document contains a student registration form for Siddaganga Institute of Technology in Tumkur, Karnataka. The form requests information about the student's academic details, personal details, contact details, and fees payable. It notes that the collected data will be shared with government departments and portals for availing schemes. The student must confirm the correctness of the information before submitting.

Uploaded by

Niranjan Ds
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
129 views4 pages

VTU Exam Application Form

This document contains a student registration form for Siddaganga Institute of Technology in Tumkur, Karnataka. The form requests information about the student's academic details, personal details, contact details, and fees payable. It notes that the collected data will be shared with government departments and portals for availing schemes. The student must confirm the correctness of the information before submitting.

Uploaded by

Niranjan Ds
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SIDDAGANGA INSTITUTE OF TECHNOLOGY, TUMKUR

Autonomous Student Registration

Student Details

USN Student Name Branch Code Programme

1SI20ME001 ABHISHEK ME UG

Batch SSP ID Course

2020 0 Bachelor of Engineering

College SIDDAGANGA INSTITUTE OF TECHNOLOGY, TUMKUR

Contact Details

Name as in Adhar / Passport

Adhar Number

Date of Birth as in SSLC

Mobile/Phone Number

Email-ID

Personal Details

Gender

Select Gender
Admission Quota
Select Quota
Nationality

Select
State/ Country

Religion

Select Religion
Other Religion

Category

Select Category
Caste

Select Caste

Passport Number

Visa Number

Type Of Visa

Select Type Of Visa


Date of Validity

Jurisdiction of Police

Current Residential Address

Owner's Name

Owner's Contact Number

Academic Details

10th/ CBSE/ ICSE Registration Numer


10th/ CBSE/ ICSE Passing Year

PUC/ DIPLOMA Registration Numer

PUC/ DIPLOMA Year Of Passing

PUC/ DIPLOMA Passing Month

Aggregate Max Marks of Previous 2 Semesters

Aggregate Obtained Marks of Previous 2 Semesters

Aggregate Percent of Previous 2 Semesters

Immediate Previous Year Result

Select

Promoted

Select

Current Semester

Select Sem
Type of Admission

Select Type of Admission


OutStanding Arrear Subjects Count

Select Arrear Subjects Count

Readmission Reference Number ( VTU/ACA/2020-2021/ )

Readmission VTU Order Date

YYYY-MM-DD
Seat Type

Select Seat Type


Registration & Other Fees Payable To University

Declaration

Note 1: This data will be shared with SSP, NAD and Social Welfare Department for availing various
government schemes. Please ensure the correctness of all the data.

Note 2: If any of the information is found to be incorrect or does not match with the information
entered by the student with scholarship and other portals, the person who has entered the
information and College will be held responsible.

I have read the above note and confirm the correctness of the information.

Submit

Cancel (../Dashboard.php)

© ೨೦೧೯ ವಿನ್ಯಾ ಸ ಮತ್ತು ಅಭಿವೃದ್ಧಿ ಪಡಿಸಿದವರು ಯೋಜನಾ ನಿರ್ವಹಣೆ ವಿಭಾಗ (ಪಿ. ಎಮ್. ಸಿ), ಸಿ. ಎನ್. ಸಿ, ವಿ.ತಾ.ವಿ,
ಬೆಳಗಾವಿ. ಕರ್ನಾಟಕ. ಭಾರತ.

© 2021 Designed & Developed by Project Management Cell (PMC), C.N.C, VTU, Belagavi. Karnataka. India.

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