P.E.S. College of Engineering

E-Application

01. Name of Applicant: *

02. Name of Father /Guardian: *

03. Date of Birth: *

04. Nationality/Religion:

05. Mother Tongue:

06. Present Address: *

07. Contact No: *

Residential:

Mobile:

08. Email Address: *

09. Sex

Male Female

10. Blood Group:

11. Category, belongs to:

12. Course: *

13. Branch of Interest with preference:

14. PUC/Plus2:

15. Institution Studied:

16. Sate:

17. Year of Passing:

18. Marks in Optional Subjects:

Physics	Maths	Chemistry	Biology	Average Of PMC/B

19. Degree Name:
20. Aggregate Percentage:
21. Institution Studied:
22. University With State:
23. Year of Passing:

24. CET Ranking:
25. COMEDK Ranking:
26. PGCET/ KMAT Ranking:
27. Hostel Facility Required:

* I here by certify that the above given Information are correct to the best of my knowledge and I am solely responsible for the discrepancy of the Information provided above

CERTIFICATES TO BE ENCLOSED ALONG WITH APPLICATION : 01. SSLC (10th )Marks Card 02. PUC/ Plus 2 Marks Card 03. Degree Marks Card 04. Non-Karnataka Candidates should obtain Migration Certificate after Admission 05. Caste Certificate for claiming under reservation 06. Three sets above documents 07. 3 Recent photographs
FOR OFFICE USE Eligibility of Candidate Non-Karnataka Candidate Approved for Admission
Submit