BANGALORE UNIVERSITY

ADMISSION APPLICATION FORM 2011 - 2012

1. General Details CANDIDATE NAME PHILIP NORANHA STUDENT TYPE KARNATAKA MEDIUM KANNADA FATHERS NAME WOLTER 2. Contact Details POSTAL ADDRESS C/O MANJUNATHA, THAVAREKERE STREET, MAGADI MAIN RO Pin Code 560091 3. Previous Academic Details QUALIFICATION EXAM P.U.C(KARNATAKA) 4. Applying Course Details COURSE NAME B.B.M DATE OF ADMISSION 24/6/2011 5. Subjects Choosen PART I ( Languages ) ENGLISH ADD ENGLISH PART II ( Optional ) BUSINESS ECONOMICS FUNDAMENTALS OF ACCOUNTING BUSINESS MANAGEMENT C1S16 C1S17 C1S18 ENGB11 ADEB11 COURSE TYPE C18 B.B.M FEES 8000 Semester NA MARKS OBTAINED 406 Out Of 600 Grade NA MOBILE 9164291714 TELEPHONE 9164291714 SEX MALE RELIGION CHRISTIAN MOTHERS NAME ANNIE Date Of Birth 22/11/1987 CASTE CATEGORY 2A GAURDIANS NAME WOLTER

APPLICATION ID : 5285

BUSINESS MATHEMATICS BUSINESS ENVIRONMENTS

C1S19 C1S27

Page 2
6. Previous college details ( Applicable only for transfer candidates ) Reg No NA 7. Signature 8. Thumb Impression College

9. Declaration I here by verified the Documents submitted by the Candidate and confirm that the above information is true and Correct.

Signature of the Principal with Seal (with in this box ) Note :

1. Merely submitting the application form and payment of admission fees does not entitle the 2. 3.
Candidate's admission to the course unless and until all documents are verified and found correct. Any information given , if later found to be incorrect , the admission of the Candidate will be cancelled without prior notice to the concerned Principal or Candidate. The Principal will be soley held responsible for fake Certificates / Documents submitted from fake / Non - recognized boards / Institutions / University / Organizations, to the University

9. Bangalore University OFFICE USE Approved Verified by 1: 2: Yes No Checked by

Incharge Officer

BANGALORE UNIVERSITY
ADMISSION APPLICATION FORM 2011 - 2012
1. General Details CANDIDATE NAME PHILIP NORANHA STUDENT TYPE KARNATAKA MEDIUM KANNADA FATHERS NAME WOLTER 2. Contact Details POSTAL ADDRESS C/O MANJUNATHA, THAVAREKERE STREET, MAGADI MAIN RO Pin Code 560091 3. Previous Academic Details QUALIFICATION EXAM P.U.C(KARNATAKA) 4. Applying Course Details COURSE NAME B.B.M DATE OF ADMISSION 24/6/2011 5. Subjects Choosen PART I ( Languages ) ENGLISH ADD ENGLISH PART II ( Optional ) ENGB11 ADEB11 COURSE TYPE C18 B.B.M FEES 8000 Semester NA MARKS OBTAINED 406 Out Of 600 Grade NA MOBILE 9164291714 TELEPHONE 9164291714 SEX MALE RELIGION CHRISTIAN MOTHERS NAME ANNIE Date Of Birth 22/11/1987 CASTE CATEGORY 2A GAURDIANS NAME WOLTER

APPLICATION ID : 5285

BUSINESS ECONOMICS FUNDAMENTALS OF ACCOUNTING BUSINESS MANAGEMENT BUSINESS MATHEMATICS BUSINESS ENVIRONMENTS

C1S16 C1S17 C1S18 C1S19 C1S27

Page 2
6. Previous college details ( Applicable only for transfer candidates ) Reg No NA 7. Signature 8. Thumb Impression College

9. Declaration I here by verified the Documents submitted by the Candidate and confirm that the above information is true and Correct.

Signature of the Principal with Seal (with in this box ) Note :

1. Merely submitting the application form and payment of admission fees does not entitle the 2. 3.
Candidate's admission to the course unless and until all documents are verified and found correct. Any information given , if later found to be incorrect , the admission of the Candidate will be cancelled without prior notice to the concerned Principal or Candidate. The Principal will be soley held responsible for fake Certificates / Documents submitted from fake / Non - recognized boards / Institutions / University / Organizations, to the University

9. Bangalore University OFFICE USE Approved Verified by 1: Yes No Checked by

Incharge Officer

2: