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LAST DATE FOR SUBMISSION OF FILLED IN APPLICATION: 31-07-2019

DATE OF COUNSELLING CUM ADMISSION: 08-08-2019

UNIVERSITY OF AGRICULTURAL SCIENCES


RAICHUR – 584 104 Affix recent
passport size
photograph
NRI Quota Application Form for Admission to here
Under Graduate Degree Programmes 2019-’20

Indicate Preference for the Courses (Mark √ in the box)

B.Sc. (Hons.)
Preference B.Tech. (Ag. Engg.)
Agriculture
1st
2nd

1. Name of the Applicant : . . . . . . . . . . . . . . .


(In Capital Letters)
2. Present Address : . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
Phone No. & Cell Number : . . . . . . . . . . . . . . .

3. Name of the NRI Parent or : . . . . . . . . . . . . . . .


Guardian who is sponsoring

4. Permanent Address : –––––––––––––––––––––––––––––––––––––––––––


–––––––––––––––––––––––––––––––––––––––––––
–––––––––––––––––––––––––––––––––––––––––––
Phone No. & Cell Number : . . . . . . . . . . . . . . .
Others
5. Academic Eligibility PCB: Total % in
Physics Chemistry Biology Sciences
(PUC Marks) marks PCB
Subject

PCM: Others
Total % in
Physics Chemistry Mathematics Sciences
marks PCM
Subject

6. Name of last attended College/School: . . . . . . . . . . . . . .


. . . . . . . . . . . . . .
. . . . . . . . . . . . . .
7. Date :

Place: Declaration attested by Signature of the Applicant


Date: NRI Parent/Guardian who is sponsoring

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