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Personal Details
Student Name*
(As per SSLC / 10th marks card)
Name is Required
Gender*
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Date of Birth*
Date of Birth is required
Category*
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Nationality*
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Aadhar Number *
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Father's Name And Occupation
*
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Name *
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Occupation *
Mother's Name And Occupation
*
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Name *
Enter Mother's occupation
Occupation *
Annual Family Income
Annual Family Income is Required
Online Scholarship (Post metric) Registration No.
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Permanent Address*
All fields in Address are required
Communication Address*
All fields in Address are required
Conatct No.
Contact No. is required
Email ID
Email ID is required
Basic Details
Do you belong to Below Poverty Line Family (BPL)
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If you are the only Girl child of your parents?
(Enclose an affidavit from the compentent authority)
(Enclose an affidavit from the compentent authority)
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Have you studied 7 years in Karnataka?
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Are you a Kashmiri migrant?
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Are you a student of Hyderabad-Karnataka?
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Are you a student of Jammu & Kashmir State?
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Have you studied in Rural Area upto 10th Std ?
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Have you studied in Kannada Medium upto 10th Std ?
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Are you a son/daughter of B’luru Central University
Employee? (If yes, choose between teaching or non-teaching)
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Mention whether you claim any of the following quota?
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Previous Academic Details
Details of qualifying examination
Have you studied Mathematics in Pre-University
[10+2]?
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Have you studied Biology in Pre-University [10+2]?
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SSLC Reg. No.
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University Studied
If Other Universities, Mention here
Filed is Required as you have selected University
other than BCU
Degree *
Degree is Required
Reg. No. *
Reg. No. is Required
Class- I/ II/ III
*
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Passing month / year*
Passing month is Required
Max. Marks*
Max. Marks is Required
Sec. Marks*
Sec. Marks is Required
Percentage
Marks in Degree
All fields Required
Languages
Maximum Marks
Marks scored
Optionals
Maximum Marks
Marks scored
Have you passed any Postgraduate Degree?
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Reg. No.
Reg. No. is Required
Class- I/ II/ III
*
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Passing month / year*
Passing month is Required
Max. Marks*
Maximum / Secured Marks are Required
Sec. Marks*
Other examinations passed?
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If you are a Sponsored candidate – mention
Organization’s Name & enclose a copy of the
certificate
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Any other information you would like to furnish?
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Total Number of enclosures attested by self?
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