KLE Academy of Higher Education & Research, Belagavi
Deemed-to-be-University
Accredited 'A+' Grade by NAAC (3rd Cycle) Placed in Category 'A' by MoE (Gol)

Online Application 2024-2025

Select Course :

Select Course :
For the Year :

Student Information :

Name of the Candidate (As per 10th Mark Card) :
Father Name :
Mother Name :
Gender	Male Female
Birth Date :
Religion :
Caste :
Aadhaar Number :
Name as per Aadhaar Card :

Communication Information :

Address :


City :		Pin :
District :		State :
Mobile : +91		Email Address :

Academic Details of 10th / 12th Standards

Month/Year of Passing SSLC/SSC/ 10th :
Percentage in SSLC/SSC/ 10th :
Month & Year of Passing 12th Std
12th / PUC Percentage if applicable
Qualification :

Details of Marks Diploma in Nursing / GNM (Use Tab Key to Enter Marks)

Year	Max. Marks	Marks Obtain	Percentage
First Year
Second Year
Third Year
Total Marks

Upload Photo and Signature :

Upload Photo (JPG FORMAT AND MAXIMUM SIZE 35KB) -->		Upload Sign (JPG FORMAT AND MAXIMUM SIZE 30 KB) -->

Upload First to Final Year Marks Cards (In a single PDF file) -->

Declaration :

1.	I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled.
2.	If admitted to any of the constituent units of KLE Academy of Higher Education & Research, Belagavi. I shall abide by its Rules and Regulations.
3.	I have read and understood all the provisions contained in the brochure and hereby agree to abide by these provisions.
4.	I am aware that, any legal matters arising out of the total admission process of any Course will be in the courts of Belagavi.

The candidate should cross check all the details filled in the on-line application, before finally submitting the same, as no correction will be possible later