Online Admission Application

1. Basic Personal Information

Salutation

First Name (as per SSLC) *

Last Name / Surname *

Date of Birth *

Gender *

Blood Group

2. Parent / Guardian Details

Father's Name *

Mother's Name

Father's Occupation

Mother's Occupation

Annual Family Income (₹)

Parent / Guardian Mobile *

Alternate Mobile

Parent Email *

Permanent Address

Local Guardian Name (if applicable)

Local Guardian Mobile

3. Student Contact Details

Student Mobile

Student Email

Emergency Contact

Present / Correspondence Address

4. Academic Records

Lateral Entry (Diploma holders seeking direct 3rd Semester)

SSLC / 10th Standard

School Name

Board

Year

%

Register / Seat No.

SSLC Marks Card (PDF/Image)

PUC / 12th Standard

PU College Name

Board

Year

%

Register No.

Subjects (PCM/PCMB etc.)

PUC Marks Card (PDF/Image)

5. Entrance Exam Details

Admission Category *

CET (Karnataka)

COMEDK

Management Quota

NRI Quota

JEE Mains

6. Supporting Documents

Upload scanned copies (JPG/PNG/PDF, max 5MB each). Original documents must be produced at the time of admission.

Transfer Certificate (TC)

Study Certificate

Conduct / Character Certificate

Caste Certificate (SC/ST/OBC)

Income Certificate

Aadhar Card Copy

Passport Size Photos (4 copies)

7. Course / Branch Selection

Preferred Branch *

Second Preference (optional)

8. Hostel & Transport

Hostel Required?

Yes

No

Transport Required?

Yes

No

9. Declaration & Undertaking

Student Declaration: I hereby declare that all the information furnished in this application is true, correct and complete to the best of my knowledge.

Parent / Guardian Declaration: I certify that my ward has not been debarred from any examination and undertake responsibility for his/her good conduct.

Anti-Ragging Undertaking: I/We solemnly affirm that I/We will not indulge in or abet ragging in any form. I am aware that violation of this undertaking is punishable under law.

Original Documents Undertaking: I understand that original documents must be submitted at the time of joining. Admission is liable to be cancelled if documents are found to be false.

You will receive a reference number after submission.

S.G.Balekundri Institute of Technology ಎಸ್.ಜಿ.ಬಾಳೆಕುಂದ್ರಿ ತಾಂತ್ರಿಕ ಮಹಾವಿದ್ಯಾಲಯ