Application Form
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Personal Information
*Name of the applicant(As in 10th marksheet) (First Name) (Middle Name) (Last Name)
*Date of Birth
Age
*Nationality *Gender
* Student Mobile Number Blood Group
*Caste *Religion
*Email ID *Confirm Email ID
Admission Type Pan Card No.
*Category
Present Address
*Address Line 1 Address Line 2
*Country
*State
*Town/City *District
*Pincode Telephone No.
Alternate email address Alternate Mobile No.


*Permanent address same as Present Address ?    Yes No
Permanent Address
*Address Line 1 Address Line 2
*Country
*State
*Town/City *District
*Pincode Telephone No.
Alternative email address Alternate Mobile No.
Family Details
*Father's Salutation *Mother's Salutation
*Father's Name *Mother's Name
*Parent Mobile Number1 Parent Mobile Number2
Parent Email ID1 Parent Email ID2
Father Office Address
*Father's Occupation
Guardian Details
*Guardian Name Guardian Mobile Number
Accommodation and Transport Requirement Detail
*Do you need hostel ?     Yes    No   
*Do you need transport ?   Yes    No   
Upload Your Photo
Do you want to upload your photo ? Yes  No 
Admission Office
   
*School/ Subject Selection
Business and Commerce  Basic Science 
Social Sciences  Information Technology 
Engineering and Technology  School of Health Sciences 
*Do you have a sibling who studies/ studied in Kaziranga University?
Yes  No 
   
   
Declaration

    1.I hereby declare that all the information furnished herewith are true and correct to the best of my knowledge.
    2.I have read all the eligibility criteria of the course applied and I agree to submit requisite testimonials / certificates at the time of final Admission.
    3.I am also aware that KU Authorities has the right to take appropriate action on being found any incomplete / incorrect information furnished.
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Do you want to upload your Signature ? Yes  No 
 
Payment Details
*Payment Mode Online Offline
Declaration by the Parent /Guardian

The particulars furnished by my son/daughter/ward in his/her application are correct to the best of my knowledge and ticked all required information and I hereby accord my consent to the declaration made above. belief, and that he/she has filled and I undertake the responsibility of paying all dues of my son/daughter/ward regularly, for his/her due compliance with all from time to time in the University and his/her conduct in the Institute.



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    I Agree
   
Student Details
*Application Sequence Number: School:
*Student Name: Course:
Fee Eligibilty Criteria
*Fee Structure of the Particular 80% and above  60% to 79%  45% to 59% 
*Select exam obtained:
*Enter Percentage *Employee ID
*Employee Name
Hostel Type(If Applicable) 2 Seater  3 Seater  4 Seater  2 Seater (AC) 
   
Version 13.07.01