s KAHER


KLE Academy of Higher Education and Research, Belagavi

Accredited 'A' Grade by NAAC (2nd Cycle)              Placed in Category 'A' by MHRD (GoI)

Online Applications are invited for admission to various Under-Graduate courses in the constituent units of the KLE Deemed University for the academic year 2019-2020



PERSONAL INFORMATION
Don't Use Spacial Characters
Name of the Candidate :
Father Name :
Mother Name :
Gender Male Female
Birth Date :
Religion :
Caste :
Aadhaar Number :

COMMUNICATION INFORMATION
Address :
 
 
City : Pin :
District : State :
STD Code : Telephone : (Enter 0, if no Telephone No.)
Mobile : Email Address :

ACADEMIC DETAILS
Month/Year of Passing SSLC/SSC/ 10th :  / 
Percentage in SSLC/SSC/ 10th :

ACADEMIC DETAILS 12th / HSC / PUC
Whether appearing for PUC II/HSC/12th :
Month / Year of Passing PUC II/HSC/12th/D.Pharm (if applicable) :  / 
Name of the PUC II / HSC / 12th Board / D.Pharm :-
Physics Marks :- Chemistry Marks :-
Biology Marks :- Maths Marks  :-
Percentage in PCB :- Percentage in PCM  :-
  Percentage in  12th / HSC / PUC:- Others  Marks ( If Applicable)  :

INSTRUCTION TO CANDIDATES USE FOLLOWING CODES BEFORE FILLING PERFERENCES
Code Course Code Course Code Course
501B.Pharm - Belagavi 507B.P.T. - Belagavi 514B.Sc Cardiac Care Technology
502B.Pharm - Hubballi 508B.Sc.Nursing - Belagavi 515B.Sc Neuro Science Technology
503B.Pharn - Bengaluru 509PC.B.Sc.Nursing - Belagavi 516Bachelor of Public Health
504Pharm.D - Belagavi 510B.Sc Medical Lab Technology 517Bachelor of Public Health(Hons)
505Pharm.D - Hubballi 511B.Sc Radiography 518B.Sc Renal Dialysis Technology
506Pharm.D - Bengaluru 512B.Sc Anaesthesia Technology
513B.Sc Perfusion Technology 520B.Sc Hotel Management 521B.Sc Biostatistics

USE PREFERENCE CODE AS ABOVE
Enter Preference Codes
1. 2. 3. 4. 5.
6. 7. 8. 9. 10.

UPLOAD PHOTO AND SIGN
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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 & Reserach, 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 through KAHER-2019 will be in the courts of Belagavi.
The candidate should cross check all the details filled in the online application, before finally submitting the same, as no correction will be possible later



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