KLE Academy of Higher Education & Research, Belagavi


Deemed-to-be-University
(Formerly known as KLE University)

Accredited 'A' Grade by NAAC              Placed in Category 'A' by MHRD (Gol)

Admissions for Pharmacy, Physiotherapy, Nursing Courses &
Allied Health Sciences - 2021-22

Select Course Apply for
For the Year :-

PERSONAL INFORMATION
Name of the Candidate :
Father Name : Mother Name :
Gender Male Female Birth Date :
Religion : Caste :
Aadhaar Number :

COMMUNICATION INFORMATION
Address :
Don't Use
Spacial
Character's
City : Pin :
District : State :
Mobile : 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 Standard College & Place


DETAILS OF MARKS
Subjects Max.
Marks
Marks
Obtain
Percentage
Language - 1
Language - 2
Physics
Chemistry
Biology % in PCB
Maths % in PCMB
Other (if not applicable enter 0)
Total Marks % in PUC

UPLOAD PHOTO AND SIGN
Check the Instruction to Candidate before uploading the Photo & Signature
Upload Photo
(JPG FORMAT AND MAXIMUM SIZE 35KB) -->

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

Upload PUC / 12th Marks Sheet / Card
(PDF Format size Max 100KB)

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 through KAHER-2021-22 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



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