CHINMAYA PRE UNIVERSITY COLLEGE OF SCIENCE & COMMERCE HUBLI

ADMISSION FORM

Student Details

Student's First Name^*^*

Student's Middle Name^*

Student's Last Name^*

Date Of Birth^*

Gender^*
Female Male

Religion^*

Caste^*

Sub-Caste^*

Address^*

Correspondence Address^*

Tel/Mobile No.^*

Upload Photo^*

Parent Details

Father Name^*

Mother Name^*

Parent's Address^*

Parent's Annual Income^*

Income Certificate Applies?
Yes No

Previous School/College Details

Previous School/College Name^*

Previous School/College Address^*

Previous Examination Passed^*

Year and Month^*

Medium^*

Subjects Studied

Marks Obtained

1^st Language ^*

2^st Language ^*

3^rd Language ^*

Science

Mathematics

Social Science

Marks

Extra Curricular Activities

Languages and Combination Offered to Study in the PU Course

Science

Commerce

PUC Medium^*

Languages^*

Online Admission