St. George College Bangalore

St.GEORGE COLLEGE

Affiliated to Bangalore North University Approved by AICTE, New Delhi

(Recognized by the Government of Karnataka)

Student Details

Name of the Applicant

DOB

Sex

Male Female

Telephone Number

Landline :

Mobile :

Email :

Address for Communication

Religion

Specify : SC ST OBC GEN

Nationality

ACADEMIC RECORD

Examination	Board/ University	Month/Year Passed	Subjects	Grade / Class/ Percentage
SSLC/Equivalent 10th Standard School certificate
Pre‐University Course/ Higher Secondary

Name of the Entrance Exam taken

MAT CMAT PGCET KMAT

Score Obtained :

Percentile score:

Valid Till :

If the applicant is not an Indian citizen, furnish the following particulars:

Passport No

Valid till :

Visa Category

Student Visiting Others

Visa No

Valid till :

Parent / Guardian Details

Name of the Parent / Guardian

Occupation

Annual Income

Telephone Number

Landline :

Mobile :

Email :

Medium of Instruction

Hostel Facility required

Yes No

Particulars furnished above is true to the best of my knowledge and belief. Wrong information if any will lead to rejection of application which i agree