KARNATAKA STATE OPEN UNIVERSITY

Instructions : All entries must be filled by the candidates himself / herself in English (Capital Letters)

2. Medium KANNADA ENGLISH

5. Application submitted in KSOU Head Office / Regional Center (Mention the Name)

6. Name of the Learner Support centre (Study centre)

7. Name of the candidate (As mentioned in SSLC Marks Card)

9. Mother Name

11. Father / Husband / Guardian Name

8. Date of Birth

D D M M Y Y Y Y

10. Gender

MALE FEMALE TRANSGENDER

12. Nationality

14. Whether Belongs

Differently abled

Defence

Rural

Urban

BPL (Women Only)

Hyderabad Karnataka

19. Aadhaar No.

20. Applicant’s occupation

17. Annual Income

13. Address of the student for correspondence

S/o D/o W/o C/o

PINCODE

APPLICATION FOR ADMISSION TO Ist YEAR M.SC PROGRAMME 20....................

15. Category Caste & Sub Caste

Full time Service Part time Service BusinessState Government Central Government

Agriculture Unemployed Home Maker Retired Other

3. Course

For Fees Exempted SC/ST Students - Yes No - Online No

1. Roll No.

18. E-Mail

16. Telephone Numbers

Mobile +91

Landline No.

Affix your recent passport size photo

Strictly Avoid Staple Pin

Affix PhotoM.Sc

4.

MUKTHAGANGOTHRI, MYSURU-570006

GM

SC

ST

CAT-I

IIA

IIB

IIIA

IIIB

Muslim

Parsee

Christian

22. Skill Development Training (Mandatory for UG & PG) (Shade any one only)

1. Computer Fundamentals 2. Web Designing 3. Computer Hardware Technology 4. Desk Top Publishing

5. Basics of Networking 6. Communication skills 7. Adalitha Kannada Bhashe (Administrative Kannada)

(Office use only)

21. FOR M.Sc ONLY (SHADE ANY ONE OF THE FOLLOWING SUBJECTS)

5. Environmental Science 1. Bio-Chemistry

2. Bio-Technology

3. Chemistry

4. Clinical Nutrition and Dietetics

7. Geography

8. Information Science

9. Mathematics

10. Micro-Biology

11. Physics

12. Psychology

6. Computer Science

AdmissionType

Spot

Postal

1. Admission Processing fee

2. Registration Fee

3. Tuition Fee

4. Skill Development Fee

5. Eligibility Fee

6. Penal Fee

7. Other Fee ( specify) :

M.S

c M

.Sc

M.S

c M

.Sc

M.S

c M

.Sc

Sl

No.

P

arti

cula

rs

Am

oun

t

1.

A

dmis

sion

Pro

cess

ing

Fee

2.

R

egis

trat

ion

Fee

3.

T

uiti

on F

ee

4.

S

kill

Dev

elop

men

t F

ee

5.

E

ligi

bili

ty F

ee

6.

P

enal

Fee

7.

O

ther

Fee

(sp

ecif

y) :

T

otal

Sl

No.

Par

ticu

lars

A

mou

nt

1.

A

dmis

sion

Pro

cess

ing

Fee

2.

R

egis

trat

ion

Fee

3.

T

uiti

on F

ee

4.

S

kill

Dev

elop

men

t F

ee

5.

E

ligi

bili

ty F

ee

6.

P

enal

Fee

7.

O

ther

Fee

(sp

ecif

y) :

T

otal

Sl

No.

Par

ticu

lars

A

mou

nt

1.

A

dmis

sion

Pro

cess

ing

Fee

2.

R

egis

trat

ion

Fee

3.

T

uiti

on F

ee

4.

S

kill

Dev

elop

men

t F

ee

5.

E

ligi

bili

ty F

ee

6.

P

enal

Fee

7.

O

ther

Fee

(sp

ecif

y) :

T

otal