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ONLINE APPLICATION
Dear Applicant,
Thank you for interest in KUK. Please follow the instructions before applying online.
INSTRUCTIONS:
All the entries to be made in by the candidate in block letters.
Attested copies of Marksheets, Date of Birth, Caste Certificate & Income Certificate must be attached with this Application form.
Tick “✓” the relevant boxes whereever applicable.
Name of the Centre
Session
Course Applied For
--Choose Course--
B.A.
B.Sc.
B.Com.
B.Ed.
M.A.
M.Sc.
M.Com.
M.Ed.
A.N.M.
G.N.M.
B.Sc. Nurshing
B.P.Ed.
M.P.Ed.
C.P.Ed.
B.S.W
M.S.W
D.M.L.T
ULTRA SOUND TECH.
PGDCA
B. Tech.
M. Tech.
B. Pharm.
M. Pharm.
B.Lib.
BBA
MBA
BCA
MCA
"O" LEVEL
"A" LEVEL
"B" LEVEL
"C" LEVEL
LLB
LLM
Mode of Course
-- Choose Mode --
Regular
Distance
Private
Upload Photo
Upload Signature
CANDIDATE DETAILS
Name of the Candidate
(In Block Letters)
Father's Name
(In Block Letters)
Mother's Name
(In Block Letters)
Address
(Don't repeat name again)
State
Andhra Pradesh
Andaman and Nicobar Islands
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
PIN
CONTACT DETAILS
Residence Contact No.
Parent's Mobile No.
Student's Mobile No.
E-mail
ADHAAR Card No.
Sex
Male
Female
Date of Birth
Category
General
Widow/Divorced
SC
ST
Non Creamy Layer OBC
Non Creamy Layer SEBC
Religion
Hindu
Muslim
Sikh
Christian
Others
ACADEMIC RECORD
Examination Passed
Year of Passing
Full Mark
Pass Mark
Mark Secured
% of Mark
10TH
12TH
+3 (ARTS/SC./COM.)
M.A. / M.SC. / M.COM.
OTHERS
UPLOAD DOCUMENTS
( Originals Documents Submitted by Candidate at the time of admission along with 3 sets of photocopy )
10th certificate / Marksheet
12th Certificate / Marksheet
+3 Certificate / Marksheet
Adhaar card
Caste / Reidence Certificate
Passport Sized Photograph
DECLARATION BY FATHER / GUARDIAN
I
(Father’s / Guardian’s Name) of candidate
Sh./ Ms.
take all the responsibilities for his / her conduct & maintenance of discipline of my Son/Daughter/Wife/Ward during the duration of his / her studies in the BTTI. The Information given by him / her in the form are correct.