• Anubhava Mantapa, Kotenayakanalhalli, B.H Road, Tiptur.
  • 8073930535
  • Cromepu.Tiptur@Gmail.Com
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Apply Online

 
1. Student Name With Initials [Capital Only] :

2. Gender :

3. Date Of Birth :

4. a) Nationality :

    b) Religion :

   c) Caste :

    d) Whether Candidate Belongs To SC/ST :

5. Place Of Birth And State :

6. Mother tongue :

7. Name Of The School Last Studied :

8. Class in which Student was studying at the time of leaving :

9. Medium of Instruction :

10. Number and date of Transfer Certificate:

11. Percentage of marks secured at the last Examination :

12. Class into which admission is sought :

13. Paticulars of Parents :

Father

Mother


a) Name :



b) Occupation :

c) Education Level :

d) Annual Income :

14. Address of The Parents :

15. Phone No :

16. Email :

17. Name and address of the local Guardian(only if the student is staying with a local Guardian) :