PRESIDENCY COLLEGE. Admission For: MBA (BU) o MBA (BhU) o MCA o MFA o MIB o MCOM o. Application No. PG: 2014:0001

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1 Application No. PG: 2014:0001 GAIN MORE KNOWLEDGE REACH GREATER HEIGHTS PRESIDENCY COLLEGE BANGALORE NAAC accredited A Grade Affiliated to Bangalore University & Approved by AICTE, New Delhi 33/2C & 33/2D, Kempapura, Hebbal, Bangalore Ph: / General Enquiry: / For Admissions: / Affix Photo Admission For: MBA (BU) o MBA (BhU) o MCA o MFA o MIB o MCOM o (USE ONLY BLOCK LETTERS) Name of the Student Mr. Ms. Mrs. (as per previous qualifying exam) FIRST NAME MIDDLE NAME SURNAME Date of birth Country of birth Gender Male Female Marital Status Father Name Mobile No Occupation Annual Income Mother s Name Mobile No Occupation Annual Income Nationality Religion Country of Birth Mother Tongue Caste Permanent Address: H No GEN SC ST OBC- CAT-1/2A/2B/3A/3B (Enclose Certificate) Karnataka Non Karnataka NRI Foreign Area City PIN State Country Name of Local Guardian: Address: H No. Landline / Mobile No Area City PIN State Country Landline / Mobile No How did you get to know about Presidency College? Paper Advertisement Website Students of Presidency College/Friends Company/Organization Family Education Consultant Hoardings

2 DETAILS OF QUALIFYING EXAMINATION: Level : Degree Name & Place of the Institution Last Attended Name of Board/ University Register No. Month & Year of Passing Semester Wise Max. Marks Marks Obtd. Including language Marks Obtd. Excluding language I SEM II SEM III SEM IV SEM V SEM VI SEM Total Marks Obtd. Total Marks Obtd. Excluding Languages Total Marks Obtd. With Languages Total Percentage Obtd Written Supplementary Exam? Yes: No: No. of Attempts: Extra Curricular Activities:

3 DECLARATION BY THE STUDENT To The Principal Presidency College Bangalore I hereby declare that, I will not 1. Cause any damage to any property of the College such as furniture, switch boards, laboratory & sports equipments, library items such as books, magazines, newspapers etc. and any public property in the vicinity of the College or elsewhere. 2. Deface the desks, chairs, walls of the college, hostel/class-rooms, blackboards, toilets, etc. with any writing whatsoever. This also includes all property of the college not mentioned here. 3. I will be regular to all my classes throughout the year and I will maintain a minimum of 75% of attendance as per the rules of the University 4. If for any unforeseen reason I am forced to be absent from classes for longtime without prior intimation to the Principal, I shall submit a valid explanation in writing signed by Parent/ Guardian at the earliest. This also includes all property of the college not mentioned herein 5. I am aware that if 75% attendance is not maintained in all subjects, I will not be allowed to appear for the University Examination. 6. I shall attend all the Tests & Examinations, conducted by the college without fail. 7. I shall attend the Preparatory Examination as and when conducted by the college. 8. I shall complete all the assignments, records books, home assignments in all the subjects throughout the year. 9. I promise to stay in college to complete the assigned work, if I am unable to submit the same within the time limit 10. I shall keep up the good name of the College in all my thoughts, behavior and actions in the classroom, campus & hostel. 11. I shall commit myself to be disciplined & devoted to the chosen course of study 12. I shall not indulge in ragging or in any kind of misbehavior 13. I shall implicitly accept the decision of the Management as final in all matters of discipline 14. I will not use any obscene or unparliamentary language anywhere, especially with the staff of the college 15. I am aware and I agree to give an undertaking that my admission is subject to the approval of Bangalore University. (Letter must be issued & signed by the Student/Parent stating the same). I declare that the above information is true and correct to the best of my knowledge & belief. I have read the rules & conditions for my admission. Place : Signature of the Candidate

4 DECLARATION BY THE PARENT / GUARDIAN 1. I am aware that if my ward does not maintain 75% attendance in all subjects, he will not be allowed to appear for the University Examination. 2. I hereby declare that I know the financial obligation of my ward and I can afford to pay all the requisite costs towards the college. 3. I undertake to pay the tuition and other fees on time to the college under the rules in force and which may be framed from time to time by the management. 4. I agree to pay the semester fees of each semester, at the beginning (within the first month) of each semester. 5. I am aware that the fee once paid to college is not refundable in case He/she does not join this college, His/her discontinuation of the studies, He/she is expelled from college for any reason. 6. I will not claim whatsoever for the refund of fees, if my ward leaves the college on his/her own or expelled by the college for breach of conduct, discipline & rules of the college 7. I also stand by the declaration given by my son/daughter to the college and shall ensure that he/she abides by the rules of the college 8. I have read the above rules & conditions for my ward & agree to the applicant s admission 9. I shall be responsible for his/her good conduct, attendance & discipline during the period of his/her stay in the college 10. I understand that the promotion/admission to the next higher class is not automatic 11. I assure that my ward will not indulge in any act which will tarnish the image of the college. 12. If he/she does so, he/she may be expelled from the college 13. I will personally come to the college every semester to ascertain the status of attendance & academic progress of my son/daughter 14. Hostel Accomodation Required : Yes: No: Hostel fee must be paid for 1 year, not refundable Signature of Parent/Guardian Place & Signature of Principal DOCUMENTS TO BE SUBMITTED Attested Copies : Original Certificates : 1 Transfer Certificate 2 X, XII & Degree Marks Card 3 Migration Certificate 4 Caste Certificate 5 Conduct Certificate 6 Address Proof Aadhar Card 1 Transfer Certificate 2 X, XII & Degree Marks Card 3 Migration Certificate 4 Caste Certificate 5 Photos : 4 Passport Size 3 Stamp Size Others (Specify) Others (Specify) Note Students claiming reservation should submit the certificate duly verified by the competent authority as per latest G.O. In Case of Foreign Students: Passport & Visa Copy o Residential Permit & Eligibility Certificate o

5 PRESIDENCY COLLEGE Kempapura, Hebbal, Bangalore FOR OFFICE USE ONLY Stamp Size Photo CONCESSION DETAILS Name of the Student: Type of Concession ( Tick) ( ) ( ) Certificates Enclosed: ( Tick) ( ) ( ) Defense/ Police/KV(only 11th &12th) Address proof Economic Scholarship Economic Scholarship Certificate Ex-Presidency ID card Merit X, XII & Degree Marks Card Minority Below Poverty Line Card Physically Handicapped Medical Certificate Reference Letter of Approval from the Reference SC/ST Caste Certificate Single Parent Death Certificate Sports/Extra Curricular Sports Certificate Staff Concession Request Letter from Staff Consultant Concession Admission For Mail from Consultant & Management MBA (BU) o MBA (BhU) o MCA o MFA o MIB o MCOM o Total Course Fee: Concession Given Only For: Consultant Name: I SEM o II SEM o III SEM o IV SEM o V SEM o VI SEM o ALL o (Specify Amt.) Management Principal Accounts Dept Admission Dept Student PRESIDENCY COLLEGE Kempapura, Hebbal, Bangalore ADMISSION NOTE Name of the Student: Percentage: Admission For: Karnataka Non - Karnataka NRI Foreign Photocopy of Marks Card Verified By: Source: Walk-In Ex - Presidency Consultant Corporate Consultant Name: o MBA (BU) o MBA (BhU) o MCA o MFA o MIB o MCOM Contact No. Amount : Address : Consultant Signature: Authorised Signatory: