APPLICATION

YASHAS COMPOSITE PU COLLEGE #155, Kempapura Road, Maruthi Nagar, Bengaluru, Karnataka 560090

APPLICATION FOR COLLEGE

Student Name:

Date Of Birth:

Father Name: Mother Name:

Phone Number 1: Phone Number 2:

Email ID:

Gender:Male Female

Address:

Combinations:Science Commerce

Science:PCMC PCMB

Commerce:CEBA SEBA

SCHOOL DETAILS

School Name:

School Address:

School Phone Number:

SSLC Board:State ICSE CBSE

Register Number:

Marks Obtained

Kannada	English	Hindi	Mathematics	Science	Social	Computer	Physical Education

Total Marks Obtained:

Percentage:

Contact For Enquri

Phone: 9901058643 / 7829814447

E-mail: yashaspucollege@gmail.com

Website: www.yashasvidyakendra.org

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