KLE University
Formerly known as KLE Academy of Higher Education & Research, Belagavi
[Declared as Deemed-to-be-University u/s 3 of the UGC Act, 1956 vide Government of India Notification No.F.9.19/2000-U.3(A)]
Accredited 'A' Grade by NAAC (2nd Cycle)              Placed in Category 'A' by MHRD (GoI)

KLEU - AIET - 2017-18 APPLICATION FORM (Other PG)

M.Pharm, MPT, M.Sc. Nursing )

CENTRE / COURSE
Exam Centre :
Course :     

PERSONAL INFORMATION
Name of the Candidate :
Father Name :
Mother Name :
Gender : MALE           FEMALE
Birth Date :
Religion :
Caste :
Aadhaar Number :

COMMUNICATION INFORMATION
Address :
 
 
City : Pin :
District : State :
STD Code : Telephone : (Enter 0, if no Telephone No.)
Mobile : Email Address :

ACADEMIC DETAILS   
Qualifying Exam:
University Name :
Collage Name :
Month / Year of Passing :  / 
Month / Year of Internship Completed / Completing :
(if applicable)
 / 
Final Year Percentage :  %
Aggregate Percentage :
(if result is waiting put 0)
 %

UPLOAD PHOTO AND SIGN
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DECLARATION
1. I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled.
2. If admitted to any of the constituent units of KLE University, Belagavi. I shall abide by its Rules and Regulations.
3. I have read and understood all the provisions contained in the brochure and hereby agree to abide by these provisions.
4. I am aware that, any legal matters arising out of the total admission process of any Course through KLEU AIET-2017  (Other PG) will be in the courts of Belagavi.
The candidate should cross check all the details filled in the online application, before finally submitting the same, as no correction will be possible later



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