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MALLU

This document is an application form for an MBA examination submitted by Mallikarjun Hosur. The form provides his personal details like name, father's name, university seat number. It lists the subjects applied for the examination and payment details showing a fee of Rs. 1,060 paid in cash. The principal of the college has certified that Mallikarjun is a student who satisfies the admission and attendance requirements to register for the exam.

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Shankar Angadi
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165 views

MALLU

This document is an application form for an MBA examination submitted by Mallikarjun Hosur. The form provides his personal details like name, father's name, university seat number. It lists the subjects applied for the examination and payment details showing a fee of Rs. 1,060 paid in cash. The principal of the college has certified that Mallikarjun is a student who satisfies the admission and attendance requirements to register for the exam.

Uploaded by

Shankar Angadi
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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VISVESVARAYA TECHNOLOGICAL UNIVERSITY, BELGAUM

APPLICATION FORM FOR MBA EXAMINATION 11 - 2011 ACK NO: 1 2 3 4 UNIVERSITY SEAT NO NAME OF THE CANDIDATE NAME OF THE FATHER/MOTHER SUBJECTS APPLIED
Subject Code
: :

R22001120053

2KL11MBA17 MALLIKARJUN HOSUR SIDDAPPA

Sem 01

10MBA11 10MBA16

10MBA12 10MBA17

10MBA13

10MBA14

10MBA15

Payment Details

Mode of Payment : Cash 5 Fee paid in words Receipt No. with date
: :

Rupees One Thousand Sixty Only

Penal Fee
Total Fee Amount (Rs.)

0.00 1,060.00

6 Address for correspondence with Phone No:

Signature of the candidate with date CERTIFICATE This is to certify that Mr/Ms MALLIKARJUN HOSUR bearing USN 2KL11MBA17 is a student of the college and he/she may be permitted to register for the examination .He/She shall satisfy the condition of admission requirements and minimum attendance as prescribed by the university before writing the examination, falling which his/her application may be rejected.

Date Applied :

18-01-2012

Signature of the Principal with college seal

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