JSS MAHAVIDYAPEETHA
JSS ACADEMY OF TECHNICAL EDUCATION, Bengaluru
ADMISSION APPLICATION
1. Name of the Applicant *
Your answer
2. Gender *
3. Date of Birth
MM
/
DD
/
YYYY
4. Blood Group *
5. Caste Category *
6. Address of Applicant *
Your answer
7. Course *
8. Department *
9. Do you require Hostel facility? *
10. Do you require Transport Facility? *
Entrance Exam Details
11. CET/COMED-K Exam Reg.No.
Your answer
12. CET/COMED-K Exam Rank
Your answer
13 .CET/COMED-K Allotment Order No
Your answer
Fathers Information
14. Father Name *
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15. Mobile No *
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16. Email-ID
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17. Permanent Address *
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18. Company/Institute Name & Address *
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19. Job Role/Designation *
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20. Annual Income *
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21. Other Details
Caste *
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Religion *
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Nationality *
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22. S.S.L.C Information
Name of the Board *
Your answer
Year of Passing *
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Total Marks of All Subjects *
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Total Percentage *
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23. PUC/12th Information
Name of the Board *
Your answer
Year of Passing *
Your answer
Total Marks of All Subjects
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Total Percentage
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24. Marks obtained in PUC/12th
Physics *
Your answer
Mathematics *
Your answer
Chemistry
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Average Marks of PCM *
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25. For Diploma Students
Total Max Marks
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Total Marks obtained
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Total Percentage For Diploma
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Documents to be submitted at the time of Admission

CET/COMEDK Rank List
CET /COMEDK Application copy
Allotment letter Issued by KEA
Class X / SSLC Marks Card
Class XII/ PUC Marks Card
Study Certificates
Caste and Income Certificate (If applicable)
Relevant Category Certificates (Allotted quota)
Migration Certificate from previous board / University (If Applicable)
Transfer Certificate / Leaving Certificate
Character Certificate
Aadhaar Card and PAN Card Copy (if available)
Bank Account Number (Cover Page print)
Student Photograph: 6 Nos. – passport size
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