b.a. exam application
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EXAMINATION APPLICATION FOR FIRST/SECOND/THIRD YEAR B.A PROGRAMME Month...............Year.........
Mukthagangotri, Mysore - 570 006 KARNATAKA STATE OPEN UNIVERSITY
6.*Category
7.*Sex :
5.*Address of the Student for Correspondence (Do not write name again)
Single Mark ( ) is for shading the appropriate circle completely. e.g -
Entries must be filled by the candidates in** Capital Letters..
Instructions :
1.**Register Number
3.*Name of the Examination Center
4.*Name of the Candidate (As per SSLC)
NOTE :- Subjects/Papers for which to appear - Please shade the appropriate circle in front of subject appearing for the Examination.
2.* Year of Admission
Regulation :
R1 R2
- - -
Residence
Mobile
9. **Telephone Numbers (with STD code)
+91
0
SC ST GM.CAT-I OBC P.H
I II III
Male
Female
8.*B.A :
I II III
LANGUAGE (SELECT ANY TWO)LANGUAGE (SELECT ANY TWO)If passed writeyear & month
If passed writeyear & month
If passed writeyear & month
1. Kannada 1. Kannada2. English 2. English3. Hindi 3. Hindi4. Urdu 4. Urdu
7. Tamil 7. Tamil5. Sanskrit 5. Sanskrit6. Telugu 6. Telugu
OPTIONAL SUBJECT (SELECT ANY THREE) OPTIONAL SUBJECT (SELECT ANY THREE)
1. Kannada 1. Kannada7. Education 7. Education
8. Psychology 8. Psychology
9. Hindi 9. Hindi
10. Urdu 10. Urdu
11. Anthropology 11. Anthropology
12.Geography 12.Geography
2. English 2. English
5. Economics 5. Economics
6. a. Pol-Science
6. a. Pol-Science
b. Pub-Adminisration b. Pub-Administration(Select Any One) (Select Any One)
BPP Applies For Regulation I (R1) students only
Compulsory Optional Subject : ICHR & ES Compulsory Optional Subject : ICHR & ES
3. History 3. History
4. Sociology 4. Sociology
OPTIONAL SUBJECT (SELECT ANY THREE)
First Year Examination Second Year Examination
Third Year Examination
KANNADA (III)
ENGLISH (III)
KANNADA (IV)
ENGLISH (IV)
KANNADA (V)
ENGLISH (V)
HISTORY (III)
HISTORY (IV)
HISTORY (V)
SOCIOLOGY (III)
SOCIOLOGY (IV)
SOCIOLOGY (V)
ECONOMICS (III)
ECONOMICS (IV)
ECONOMICS (V)
POL-SCIENCE (III)
POL-SCIENCE (IV)
POL-SCIENCE (V)
PUB-ADMN (III)
PUB-ADMN (IV)
PUB-ADMN (V)
EDUCATION (III)
EDUCATION (IV)
EDUCATION (V)
PSYCHOLOGY (III)
PSYCHOLOGY (IV)
PSYCHOLOGY (V)
ANTHROPOLOGY(III)
ANTHROPOLOGY(IV)
HINDI (III)
HINDI (IV)
HINDI (V)
URDU (III)
URDU (IV)
URDU (V)
ANTHROPOLOGY(V)
GEOGRAPHY (III)
GEOGRAPHY (IV)
GEOGRAPHY (V)
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I declare that the above information furnished by me is correct to the best of my knowledge.
Date ...........................
.............................................
Place............ .............. Signature of the Candidate
FOR OFFICE USE ONLYAccepted / Rejected
Scrutinized by Checked by
............................ ............................
IMPORTANT INSTRUCTIONS TO BE FOLLOWED BY THE CANDIDATE
1. Please read carefully the instructions given in the application, as well as in the prospectus and fee circular before filling the application.
2. IT IS COMPULSORY FOR THE CANDIDATE TO ENCLOSE ATTESTED PHOTO COPIES OF THE PREVIOUS YEAR MARKS CARDS WITHOUT FAIL.
3. The application along with the Examination (original) and Admission (xerox copy) Fee paid challans should be submitted on or before the due date (with or without penal fee as prescribed in the fee circular). Otherwise, the application will be rejected.
4. Freshers, who have enrolled for I, II or III year B.A. course in the current academic year should compulsorily pay the examination fee in full and must appear for all the subjects/papers in their respective class.
5. Incomplete applications are liable to be rejected.
6. The prescribed examination fee should be remitted in the bank through the challan printed in the examination form.
7. Examination Fees once paid will not be re-adjusted / refunded under any circumstances.
8. Regarding the rates of Examination Fees, separate Circular is enclosed.
9. For all instructions pertaining to the examination Dates, Centres, Assignments, Time Table, Announcement of Result, Convocation Dates etc., please see the KSOU Website:www.ksoumysore.edu.in.
10.The filled - in application should be submitted to the REGISTRAR (EVALUATION), Karnataka State Open University, Mukthagangotri, Mysore - 570 006.
11. MOBILE PHONES ARE STRICTLY PROHIBITED IN THE EXAMINATION HALL.
KSOU
COPY
KSOU-500-EXAMINATION FUND
Name of the Bank &
Place of Remittance..............................................Name of the Course B.A : I / II / III
SBM : 54035420128 SBI : 31106997538
Karnataka State Open University, Mysore
Roll No :
ORIGINAL
SBM, Mukthagangotri, Mysore - 06 Code -40166SBI, New Sayyaji Rao Road, Mysore - 01 - Code-3130
Amount Rs.
501 : Examination Fee : Penal Fee : Change of Centre Fee :
Amount ( in words) Rupees ......................................
...................................................................................Note : Fees once paid will not be Refunded.
Date : Signature of Remitter____________________________________________
For the use of the Bank
The Amount of Rupees ( In words).............................
.....................................................................................has been received / Challan No.Date & Bank Seal Signature of the Officer receiving the money UNIVERSITY COPY Not to be separated from the Form
Name and Address of the Student
10. Sex: Male / Female
12. Year in which Candidate completed the Programme
13. Details of the fee paid :
Year Amount Paid
BPP Exam Appeared / Not I Year II Year III Year
Name of the Bank Challan No. Date
I Year
II Year
III Year
11. Medium : Kannada / English
-
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1: B.A2: PAGE23: PAGE 3
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