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Candidate Application Details for Diploma CET

Candidate Details provides information for an application submitted by PRASANNA for admission to an Evening Engineering College. The document includes personal details like name, date of birth, family income, as well as education details such as diploma pursued, college and year of passing, and percentage scores over years of study. It also captures contact information, declaration of truth of the information provided, and payment details including application fees paid.

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Dheeraj reddy DJR
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13 views2 pages

Candidate Application Details for Diploma CET

Candidate Details provides information for an application submitted by PRASANNA for admission to an Evening Engineering College. The document includes personal details like name, date of birth, family income, as well as education details such as diploma pursued, college and year of passing, and percentage scores over years of study. It also captures contact information, declaration of truth of the information provided, and payment details including application fees paid.

Uploaded by

Dheeraj reddy DJR
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

Candidate Details

Application No : 2021119664
Name of the Candidate PRASANNA
[As in SSLC or 10 Std Marks Card] * :
Name of the Mother *: PRASANNA
Name of the Father : PRASANNA
Date of Birth * : PRASANNA
Gender * : Male Mother Tongue * : KANNADA
Annual Income of the family from all sources * : 250000 Religion * : Hindu
Nationality * : Indian Caste * : Category-3B
Eligibility Clause Code * : a Category Name * : LINGAYATHA

Course Details
Course Type * : Evening Engg College
Diploma Holder in * : AE - AERONAUTICAL ENGINEERING

Group Code * : 1
Diploma register number * : 1274894
Place where you wish to appear for Diploma CET * : GULBARGA

Study Information
Total number of comleted years of study in Karnataka * : 10
Are you a Rural Candidate ? No
Are you a Kannada Medium Candidate ? No
Are you claiming seat under Hyderabad-Karnataka reservation ( Article 371 ( j ) ) ? No
Special Category : NCC,EX-CENTRAL ARMED POLICE FORCE

Candidate's Postal Address for Communication


Full Address * : CTA, CTA, CTA, CHITRADURGA, CHITRADURGA , KARNATAKA - 112323
Email Address * : Draftcopy@[Link]
Mobile Number * :

Study Details
Do you possess a certificate of Diploma or Equivalent Examination ? * No
Are you Awaiting for any Diploma results or Equivalent Examination ? * Yes
Name & Place of the Board / University * : bangalore
Name of the College * : bangalore
College Address : bangalore
IS your qualification marks card issued in grade points ? * No
Year Status of Month of Year of Max. Total Marks Percentage
Result Passing Passing Marks obtained
1 Pass NOVEMBER 2015 1 1 1
2 Fail NOVEMBER 2016 9 9 9
3 Pass JUNE 2017 1 1 1
4 Pass JANAURY 2018 100 100 100

Declaration
We declare that the information furnished through online is true and correct to the best of our knowledge and belief. We have read
the Instructions carefully hosted on the KEA website "Information Bulletin for Filling up of Online Application". In case any of the
information furnished online by us is found to be false or incorrect, we shall forfeit the claim to be considered or a seat selected and
allotted by KEA. We are also liable for civil and criminal action, that the State Government or the KEA may take against us in this
regard.

Signature of the Candidate Left Hand Thumb impression of Date: 10:06:2021 05:55:30
the Candidate

Printed Date: 11:06:2021 01:16:34


Payment Status
Application Number: 119664 Name of the Candidate: PRASANNA
Application Fees: 650 Bank Name: Axis Bank
Bank Charges: 10 Bank Ref Number: 568074
Total Amount: 660 Date of Payment: 10-06-2021

Note (For Evening Engg College): candidate after obtaining the diploma, must have minimum of Two Years Full Time Work experience in
a registered firm / Company / Industry / Educational and / Government Autonomous Organizations in the relevant field in which admission
is sought by he / she and in which he/she holds a Diploma as on 1st July, 2021, of the year of admission.

Printed Date: 11:06:2021 01:16:34

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