Online Test Series by JNANASUDHA for Pre-Engineering, Pre-Medical,NEET,JEE

Udupi Jnanasudha Application Form

Sr. No. / Reference No.: *

( Sr. No. / Reference No. in enquiry slip provided by College )

Mobile No. for Communication: *

( For viewing enquiry details and other communications ) will be user id to login to portal

Alternate Mobile No.: *

Password: *

Confirm Password: *

Name of the Applicant (As per S.S.L.C. marks card): *

Date of Birth: *

Name of Father (As per S.S.L.C. marks card): *

Name of Mother (As per S.S.L.C. marks card): *

9th Standard Score(out of 100):

Mathematics: *

Science: *

10th Board: *

Karnataka State Board CBSE ICSE OTHERS

Seeking Admission For

Academic Year:

2021-22

Standard:

I PUC

Language: *

Kannada Hindi Sanskrit

Course: *

Science

Branch: *

Name of the previous School [SSLC Studied] (Address with Phone No.): *

Student Details

Student Aadhaar No.: *

Parent's / Guardian's PAN Card No.:

Parent Name & Address:

Guardian Name & Address:

Parent Name: *

Guardian Name:

Parent Address: *

Guardian Address:

Town / City: *

Town / City:

Taluk: *

Taluk:

District: *

District:

State: *

State:

Pin Code: *

Pin Code:

Phone No. with STD Code:

Primary Email Id: *

Parent's / Guardian's Occupation:

Gender: *

Parent's / Guardian's Annual Family Income: *

Physically Challenged ?

Day Scholar

Mother Tongue: *

Nationality: *

Religion: *

Caste: *

Category: *

Have you obtained any testimonials for excellence/merit in co/extra curricular competitions, at a level higher than district in the school you last attended?

Student Photo ( File Types: jpg | jpeg | png ):

Remarks: