APPLICANT DETAILS
Name REVAASHREE.D Application Number 125270032
Email ID [Link]@[Link] Mobile Number +918667479978
Gender Female Date of Birth 06/05/2001 Nationality Indian
CATEGORY DETAILS
Category General Sub Category General
PROGRAM DETAILS
Program Level Postgraduation - PG Stream Allied Health Sciences
Course [Link]. Exercise and Sports Science
Specialization Preference 1 [Link]. (Exercise & Sports Science),Manipal
PARENT OR GUARDIAN DETAILS FOR COMMUNICATION
Full Name [Link] Babu
Email [Link]@[Link] Mobile Number 919444352196
ADDRESS DETAILS
Address Type Address 1 Address 2 City State Country Pincode
Correspondence 39/4 narayanaswamy 2nd Koyambedu Wholesale Market Tamil
Virugambakkam India 600092
Address cross street Com nearby Nadu
39/4 narayanaswamy 2nd Koyambedu Wholesale Market Tamil
Permanent Address Virugambakkam India 600092
cross street Com nearby Nadu
PAYMENT DETAILS
Transaction Id 113766755657 Date 16/05/2025 Amount INR 600.00
DECLARATION
• I hereby confirm that the above-mentioned details are correct. I declare that all the
particulars stated in this application form are true to the best of my knowledge and belief. I
have read and understood all provisions of the admissions process and agree to abide by them. I
also affirm that I fulfill the eligibility requirements for the program(s) applied. I
understand that I can only apply once for each group. In case I apply more than once, only
one of my applications will be accepted, and the application and entrance test fees remitted
will not be refunded.
• If it is found at a later stage, during active verification, that I have provided false, incorrect
or untrue information w.r.t educational qualifications, marks, nationality, etc., or submitted an
eligibility document from an unrecognized board or university, my admission or degree will
be canceled without notice, with forfeiture of all fees paid.
• Jurisdiction for disputes, if any, shall be at the Udupi Court, Karnataka, India only.