Affix a

Passport size
photograph

COLLEGE OF FINE ARTS

Karnataka Chitrakala Parishath
(An Autonomous Institution, Affiliated to Bangalore University)
Quality & Excellence in Higher Education B - Accreditation by NAAC
‘Art Complex’, Kumara Krupa Road, Bangalore - 560 001
Phone : 91 80 22261816, Fax : 91 80 22263424
E-mail : principalcfa@gmail.com
www.karnatakachitrakalaparishath.com

APPLICATION FOR ADMISSION TO B.V.A / M.V.A. / PG DIPLOMA

1. Name of applicant (Write in Block Letters) as in your X / XII Marks Card

2. Sex : Male : Female : Nationality :

3. Name of Father / Guardian / Spouse :

4. Name of Mother :

5. Mother Tongue, Religion & Caste :

6. Date of Birth : Place : Age :

7. Postel Address for

Correspondance :

Tele / Mobile No : E-mail :

8. Parent’s Annual Income : Languages know :

9. Claiming for reservation : SC ST BC BT Rural/Urban GM

Any other category

Ex Servicemen : Children of Defence Ex. Defence Person Sports NCC

10. Academic Records 1. Institution / School / College / University last attended
Admission Leaving
Date Month Year Date Month Year

Name of the last examination appeared and passed with Reg. No.

College Name :

Registration No. : Year : Class :

Percentage : State : Country :

Painting : Applied Art : Sculpture : Graphic : Art History :

Date : Place : Signature of the Applicant

Declaration by the Candidate

1. All the particular stated in this application are true to the best of my knowledge and belief.
2. I hereby declare that I have carefully read the rules of Admission and I shall abide them.
3. If selected for admission I promise to abide by the rules and disciplines of the institution.
Signature of the Applicant
Undertaking by Parent / Legal Guardian
1. In the event of the above applicant who is my son / daughter ward being admitted
to the institution I here by give an undertaking to pay regularly all his/her fees
due to the institution till completion of his / her course, studies within the
prescribed deadline.
2. I also undertake to the responsible to for his/her conduct Signature of the Parent / Guardian

*Enclose Rs. 300/- DD drawn in favour of “Karnataka Chitrakala Parishath, Bangalore

Note : Attested Photo Copies of “

1. Attested marks Card (SSLC and 2nd PUC Marks Cards)
2. Reservation Certificates in the event of student claiming Reservation should be produced in original
at the time of interview
3. All the originals should be produced at the time of admission
4. Seven (7) years study certificate in Karnataka or domicile Exemption Certificate
5. Transfer Certificate and Rural Study Certificate
Note : All the columns to be duly filled up Compulsory

For Office Use only

On verification, the application and other records of the candidate are in order

Mr / Mrs. may be admitted

Admission No. to For the academic year

Principal Date :