Candidate's Details

Application Number :

113085

1 Course/s Applied for PGCET 2015 M B A (only)

:
2 Name of the Candidate :

SHRUTHI N SHETTY

3 Name of the Father :

LATE NARAYAN K SHETTY

4 Name of the Mother :

SHRIMATHI N SHETTY

5 Date of Birth :

15:09:1994

6 Gender :

Female

7 Quota :

Karnataka

8 Category :

Category-3B

9 Caste :

BUNTS

10 Religion :

Hindu

11 Income :

20000

12 Eligibility Clause Code:

13 Qualifying Degree / Engineering Branch ?

B.Com (3 Years Degree)

Program Type

FULL TIME

14 Do You Claim Reservation Under Physically Disabled Quota ?

No

15 Do You Claim Reservation Under Ex-Serviceman Quota ?

No

16 Do You Claim Reservation Under 371(J) (Hyderabad Karnataka) Quota ?

No

M.Tech Program Details (Only for M.tech Candidates)

PGCET Appearing under :
PGCET Exam Appearing Course Name :
Have you Appeared for GATE during 2014 or 2015 ?

No

GATE Code :
GATE Score :

Do You Claim Seat under Sponsered Quota?

No

Do You Claim Seat under Quality Improvement Program ?

No

PGCET 2015 Examination Centre

MANGALORE(MANGALURU)

17. Study Information

Have You done BCA, BSc (I.T / Computer Science ) with Mathmatics at 10+2 level or at
Graduate Level ? (for Lateral entry to 2nd Year MCA )

No

Qualifying Exam Status ?

Completed

125481514

Name of the Qualifying Exam

College :

ST ALOYSIUS COLLEGE Name of the University :

University Seat No : (USN)

MANGALORE

Total Number of Years of Study in Karnataka :

Particulars of
Examination

Result

16

Month of Passing

Year of Passing

Maximum Marks

Secured Marks

Pass

May

2013

100

67

Pass

May

2014

100

71.87

Pass

May

2015

100

64.133

Candidate's Postal Address for Communication

Address :

SHREE DURGA PRASAD APARTMENT,OPP IDEAL TRADERS ALLAGUDDA ,KODIKAL

MANGALOREMANGALORE,DAKSHINA KANNADA(MANGALURU),KARNATAKA-575006

Mobile No :

9731249061

Email :

shruthishettyn1@gmail.com

Declaration
I declare that the in formation furnished through online is true and correct to the best of my knowledge and belief. I have
read the Instructions carefully hosted on the KEA website " Information Bulletin for Filling up of Online Application ". In
case any of the information furnished online by me is found to be false or incorrect, I shall forfeit the claim to be considered
or a seat selected and allotted by KEA. I am liable for civil and criminal action, that the State Government or the KEA may
take against me in this regard.

Signature of the
Candidate

Left Hand Thumb impression of

the Candidate

Date:

Principal / Gazetted Officer Signature

Name:
Signature:
Seal:

PAYMENT STATUS
Appno :

113085

NAME OF THE CANDIDATE :

SHRUTHI N SHETTY

APPLICATION FEES :

660

BANK NAME :

State Bank of Mysore

BANK CHARGES :

10

BANK Ref NUMBER :

40149000370960100715

Printed Date

12-07-2015 09-04-35