Online Application Form


* Indicates Mandatory Field
*Name of the Candidate
(in block letters only & as in S.S.L.C. marks card):
*Address of the Candidate:
*Place/City:
*Data of Birth:
*Nationality:
*Religion / Caste:
*Name of Parent / Guardian:
*Educational Qualification:
Father:
Mother:
*Occupation, Income of Parent / Guardian:
Occupation:
Income:
*Year of Passing SSLC or equivalent Examination with Reg. No.: Year: Reg. No.:
*Last school attended:
*Date of leaving:
*Whether eligibility certificate enclosed:
(Note: Applicable to Non-Karnataka and candidates taken equivalent exam)
Yes No
*Number of full years the candidate actually studied in Karnataka:
*Course applied for:
*E-mail ID: