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Application Form

SHREE DEVI INSTITUTE OF TECHNOLOGY
BALLALBAGH, MANGALORE - 575 003


1.Application for*
2. Name of the candidate in full to be entered as found in the certificate of the qualifying examination*
3. Father's Name
4. Name of the guardian and relationship (if father is not alive)
5. Permanent address of father or guardian
6. Telephone number*
7.Email Id*
8. Religion and Caste
9. Wether you belong to SC/ST/OBC - If yes mention category
10. Occupation of father / guardian
11. Annual Income of father / guardian
12. a] Date of Birth (dd/mm/yyyy)
b] Place of Birth (Here enter Place, Taluk & District)
c] State
d] Mother tongue
e] Languages which you can read, write and speak
f] Nationality
13. Are You -
a] Have you applied to VTU for Eligibility Certificate? Yes No 
b] Did you appear for private Examination ? Yes No 
14. Academic Particulars


Exam Passed Name and Address of the School / College Name of the Board / University Percentage Year of Passing
a.) SSLC / Matric
b.) PUC / (10+2) or Equivalent Examination
c.) Degree Examination

15.Total marks obtained and percentage of marks secured in Physics,Chemistry and Mathematics or Physics, Mathematics and Biology at the 10+2 level


Marks out of
Aggregate Percentage

16.Professional Experience if any
17. Hobbies
18. Sports


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