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BTech Application Details for Alisha K A

The document contains the application details of Alisha K A for an undergraduate engineering program, including personal information, contact details, and payment information. It confirms her eligibility and agreement to the admissions process, stating the consequences of providing false information. The application also specifies the jurisdiction for any disputes as the Udupi Court in Karnataka, India.

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alishaashraf767
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3 views1 page

BTech Application Details for Alisha K A

The document contains the application details of Alisha K A for an undergraduate engineering program, including personal information, contact details, and payment information. It confirms her eligibility and agreement to the admissions process, stating the consequences of providing false information. The application also specifies the jurisdiction for any disputes as the Udupi Court in Karnataka, India.

Uploaded by

alishaashraf767
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

APPLICANT DETAILS

Name ALISHA K A Application Number 125135303

Email ID [Link]@[Link] Mobile Number +919845169123

Gender Female Date of Birth 17/07/2007 Nationality Indian

CATEGORY DETAILS

Category General Sub Category General

PROGRAM DETAILS

Program Level Undergraduation - UG Stream Engineering

Course BTech

Tentative Test Location 1 Bangalore Tentative Test Location 2 Mysuru Tentative Test Location 3 Mangalore

PARENT OR GUARDIAN DETAILS FOR COMMUNICATION

Full Name Ashraf K A

Email sabinazubair@[Link] Mobile Number 918088110964

ADDRESS DETAILS

Address Type Address 1 Address 2 City State Country Pincode

Correspondence Address Ferns residency, K narayanapura Cross, Hennur Road Bangalore Karnataka India 560077

Permanent Address Ferns residency, K narayanapura Cross, Hennur Road Bangalore Karnataka India 560077

PAYMENT DETAILS

Transaction Id 113587435181 Date 25/12/2024 Amount INR 2000.00

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.

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