DIRECTORATE OF DISTANCE EDUCATION ATTACH HERE STAMP-SIZE PHOTOGRAPH DO NOT DEFACE IT BY SIGNATURE OR RUBBER- STAMPING ADMISSION FORM FOR B.Sc.(IT)/M.Sc.(IT) COURSES FOR FRESHERS 20... 1st (Jan/2nd (July) Cycle Application No : G - (Please read carefully IMPORTANT INSTRUCTIONS TO APPLICANTS before filling-up. No column should be left un-filled. Write neatly.) PROGRAMME : B.Sc.(IT)/M.Sc.(IT) Semester Study Centre Code Name of the Study Centre / Place 1. NAME OF THE APPLICANT (in Block letters as per the qualifying certificate ; Any change to be authenticated) 2. Father s/guardian s Name (Relationship) (in Block letters) 3. Date of Birth/Age / Years 4. Sex : Male Female 5. SC/ST/OBC/PH-Physically Handicapped(Attach Proof) 6. Correspondence Address 7. Communication Numbers (O) (R) (Mention the STD code) (M) Email PIN (Please do mention the Pin code) 8. ACADEMIC QUALIFICATIONS Exam. Passed University / Board / Orgn. Year Class / % Marks Mention all eligible qualifications for entry/lateral entry including 10th, (10+2), Degree, NIIT Diploma like DIT, DNIIT, GNIIT etc., and IT-experience/IT-teaching experiences (ITE/ITTE), if applicable (Attach photocopies of all certificates / Diplomas for the above qualifications, duly endorsed by the SC) 9. DD DETAILS (a) In favour of Finance Officer, KU, payable at Shankaraghatta or Shimoga. Crossed Bank Draft No. Dated Amount Rs. 3800/- Name and place of the Bank Crossed Bank Draft No. for Rs. 400/- in case the candidate has to take exam for BC/BUC/FC/ET. (b) In favour of Universal Education Trust, payable at Bangalore. Crossed Bank Draft No. Dated Amount Rs. 4500/- or Rs. 4700/- Name and place of the Bank (Rs.4500/- without Penal fee & Rs. 4700/- with Penal fee, for late submission and 300/- towards BUC books for IV Semester students) Students are advised to write on the back of the Bank Drafts their Name, Application No., Study Centre Name and Programme applied for, without fail. (P.T.O.) (FOR UET OFFICE USE ONLY ; STUDENTS SHOULD NOT FILL THIS) B.Sc.(IT) / M.Sc.(IT) Semester Entrance Test, if applicable Elective Subjects (for M-3 only) MSIT 3 & 3
10. CHECK-LIST OF DOCUMENTS ATTACHED (Please verify & tick this without fail) Completely filled-in Admission Form Exam. Hall Ticket, Cover containing ID-card & 2 Photos 2 DD s Qualifying Examination Certificates or Marks Cards attached. Mention Numbers. 11. Lateral entry to which Programme/Semester (if applicable) B.Sc.(IT) / M.Sc.(IT) Semester. (Proof of elgible entry qualification to be attached) 12. Elective Subjects opted Subject code Name of the Subject MSIT - 3 MSIT - 3 For M.Sc. (IT) 3rd Semester lateral entry candidates only: Please note that Electives once chosen cannot be changed. Please go through General Guidelines for choosing Electives and discuss with the SC Counsellors and also peruse the Study Material before opting, so that it is appropriate for your background & current interests. Note : 1. Candidates are required to attach the following documents with this form : a) Attested photocopies of the Certificate or detailed Marks Cards of the qualifying Examination. b) Two Stamp-size Photographs with Name, Application No. and Programme / Semester written on the back, to be put into a separate Envelope containing the ID-Card and firmly attached to the Application. Do not deface them with Signature or Rubber Stamping. c) Crossed DDs (2 Nos). d) Identity Card to be filled-in neatly and put into the cover along with photographs. 2. Candiates are advised to collect the Student Copy of the Receipt for Admission Form from the Study Centres, as it is their only proof for having submitted the Application. 3. Staple the documents keeping them in the following order : 2 DDs/Admission Form/ Certificates or Marks Cards / Envelope containing ID-card & Photographs/Exam. Hall Ticket. Declaration : I have carefully gone through the prospectus and agree to abide by the Rules & Regulations of the university. I also authenticate and take responsibility for all my Certificates & information furnished by me. Date : STUDY CENTRE FRESH Signature of the Candidate Verified the filled-in Application & original certificates and the attached documents including DDs. Date : (Seal of SC) Authorised Signatory of Study Centre UET FRESH Course eligibility (Programme / Semester) Checked by KU (FOR OFFICE USE ONLY) Entrance Test / Bridge Courses / Back-up-Courses : (If applicable) Electives (For M.Sc.(IT)- 3rd Semester only) Course eligibility (Programme / Semester) Roll No Checked by Verified By
Name of the Study Centre DIRECTORATE OF DISTANCE EDUCATION STUDENT COPY (to be given to the student) Receipt for Fresh Admission Form Date Received Fresh Admission Form No. G - for B.Sc. (IT) / M.Sc. (IT) Semester for 20 1st/2nd Cycle Name & Address of the Candidate Phone No. Email along with KU BANK DRAFTS (a) crossed Bank DD No. Dated Amount and (b) crossed Bank DD No. Dated Amount payable at Shankaraghatta or Shimoga and UET BANK DRAFT crossed Bank DD No. in favour of Finance Officer, KU Dated Amount in favour of Universal Education Trust, payable at Bangalore. Enclosures : Certificates ( Nos) DDs ( Nos.) Stamp-size Photographs (2 Nos.) ID-Card Exam. Hall Ticket. Signature of the Student (to be filled by Student) Authorised Signatory of SC (Please DO NOT send these receipts along with the Application) Name of the Study Centre DIRECTORATE OF DISTANCE EDUCATION STUDY CENTRE COPY (to be retained by the SC) Receipt for Fresh Admission Form Date Received Fresh Admission Form No. G - for B.Sc. (IT) / M.Sc. (IT) Semester for 200 1st/2nd Cycle Name & Address of the Candidate Phone No. Email along with KU BANK DRAFTS (a) crossed Bank DD No. Dated Amount and (b) crossed Bank DD No. Dated Amount payable at Shankaraghatta or Shimoga and UET BANK DRAFT crossed Bank DD No. in favour of Finance Officer, KU Dated Amount in favour of Universal Education Trust, payable at Bangalore. Enclosures : Certificates ( Nos) DDs ( Nos.) Stamp-size Photographs (2 Nos.) ID-Card Exam. Hall Ticket. Signature of the Student (to be filled by Student) Authorised Signatory of SC
DIRECTORATE OF DISTANCE EDUCATION ATTACH HERE STAMP-SIZE PHOTOGRAPH DO NOT DEFACE IT BY SIGNATURE OR RUBBER- STAMPING RE-REGISTRATION FORM FOR B.Sc.(IT) & M.Sc.(IT) COURSES 20... 1st/2nd Cycle Programme : B.Sc.(IT) / M.Sc.(IT) Semester STUDENT ROLL NO. (Given by KU for the 1st Registration) Name of the Study Centre / Place Study Centre Code 1. NAME OF THE APPLICANT (in Block letters as per the qualifying certificate ; Any change to be authenticated) 2. Correspondence Address 3. Communication Numbers (O) (R) (Mention the STD code) (Mention the STD code) (M) Email PIN (Please do mention the Pin code) 4. Elective Subjects opted Subject code Name of the Subject (for M.Sc.(IT) - 3rd & 4th Semesters only) 5. DD DETAILS (a) In favour of Finance Officer, KU, payable at Shankaraghatta, Shimoga Dist. Crossed Bank Draft No. Dated Amount Rs. 3300/- Name and place of the Bank (Final semester students viz. B-6 and M-4 Students are advised to add Rs 220/- towards PPC fees; Take DD for Rs.3520/-) (b) In favour of Universal Education Trust, payable at Bangalore Crossed Bank Draft No. Dated Amount Rs. 4500/- / Rs. 4700/- Name and place of the Bank (Rs.4500/- without penal fee & Rs. 4700/- with penal fee for late submission) Students are advised to write their Names, Roll No., Study Centre Name and Programme applied for on the back of the Bank Drafts, without fail. Also, enclose 2 Nos. Stamp-Size Photographs with your Name. Roll No. and SC Code written on the back along with filled-in Identity Card and put into a separate Envelope and staple it to the Application in the following order : 2 DDs/R-R Form/Exam Hall Ticket/Envelope containing ID-Card and 2 Photographs. Date : Signature of the Candidate STUDY CENTRE Verified the Application including Roll No. and Programme applied for as also the name of the SC Date : UET Verified by KU Verified by Affix Round Seal of SC only here (FOR OFFICE USE ONLY) Programme : B.Sc.(IT)/M.Sc.(IT)... Semester Electives : / (For M3 and M4 only) Programme : B.Sc.(IT)/M.Sc.(IT)... Semester Electives : / (For M3 and M4 only) Authorised Signatory
DIRECTORATE OF DISTANCE EDUCATION STUDENT COPY (to be given to the student) Receipt for Re-Registration Form Name of the Study Centre Date Received Re-registration Form for B.Sc. (IT) / M.Sc. (IT) Semester for 20 1st / 2nd Cycle Name & Address of the Candidate Phone No. Email along with KU BANK DRAFT, crossed DD. No. Dated Amount payable at Shankaraghatta/Shimoga and UET BANK DRAFT, crossed Bank DD. No. in favour of Finance Officer, KU Dated Amount in favour of Universal Education Trust, payable at Bangalore. Enclosures : DDs (2 Nos.) Stamp-size Photographs (2 Nos.) ID-Card Exam. Hall Ticket. Signature of the Student (to be filled by the Student) Authorised Signatory of SC (Please DO NOT send these receipts along with the Application) DIRECTORATE OF DISTANCE EDUCATION STUDENT CENTRE COPY (to be retained by the SC) Receipt for Re-Registration Form Name of the Study Centre Date Received Re-registration Form for B.Sc. (IT) / M.Sc. (IT) Semester for 200 1st / 2nd Cycle Name & Address of the Candidate Phone No. Email along with KU BANK DRAFT, crossed DD. No. Dated Amount payable at Shankaraghatta/Shimoga and UET BANK DRAFT, crossed Bank DD. No. in favour of Finance Officer, KU Dated Amount in favour of Universal Education Trust, payable at Bangalore. Enclosures : DDs (2 Nos.) Stamp-size Photographs (2 Nos.) ID-Card Exam. Hall Ticket. Signature of the Student (to be filled by the Student) Authorised Signatory of SC
DIRECTORATE OF DISTANCE EDUCATION - 577 451 DISTANCE EDUCATION PROGRAMME FOR B.Sc.(IT) & M.SC. (IT) ATTACH HERE STAMP-SIZE PHOTOGRAPH DO NOT DEFACE IT BY SIGNATURE OR RUBBER- STAMPING EXAMINATION HALL TICKET 1. Programme : B.Sc. (IT) / M.Sc. (IT) Semester 2. Examination : May-June / Nov-Dec 2 0 3. KU Student Roll No. : 4. Name of the Student : 5. Name of the SC/Place : 6. Study Centre Code : Date : Signature of the Study Centre Co-ordinator Signature of the Student (Students and Study Centres should not write anything below this line) (FOR OFFICIAL USE ONLY) B.Sc. (IT) (Against each paper, tick ( ), if Registered) B.Sc. (IT) I Semester ELE B.Sc. (IT) II Semester B.Sc. (IT) III Semester ELE BSIT-11 BSIT-12 BSIT-13 BSIT-14 BSIT-1P BSIT-ET BSIT-21 BSIT-22 BSIT-23 BSIT-24 BSIT-2P BSIT-31 BSIT-32 BSIT-33 BSIT-34 BSIT-3P BSIT-BC B.Sc. (IT) IV Semester ELE BUC B.Sc. (IT) V Semester B.Sc. (IT) VI Semester BSIT-41 BSIT-42 BSIT-43 BSIT-44 BSIT-2P BSIT-31 BSIT-34 BSIT-51 BSIT-52 BSIT-53 BSIT-54 BSIT-5P BSIT-61 BSIT-62 BSIT-63 BSIT-64 BSIT-6P M.Sc. (IT) (Against each paper, tick ( ), if Registered) M.Sc. (IT) I Semester ELE M.Sc. (IT) II Semester 11 12 13 14 1P FS 21 22 23 24 2P M.Sc. (IT) III Semester M.Sc. (IT) IV Semester Compulsory Paper ELE ELECTIVES Compulsory Paper ELECTIVES 31 32 33 BC 3A 3B 3C 3D 3E 3F 41 42 43 Project 4A 4B 4C 4D 4E 4F EXAM CENTRE (For Office use only) Registrar (Evaluation) (Seal) Director (DDE)
EXAM ATTENDANCE (Invigilators Initials with date) 1 st day 5 th day 2 nd day 6 th day 3 rd day 7 th day 4 th day 8 th day ABBREVIATIONS USED : ELE : Entry Level Examination BUC : Back-up-courses ET : Entrance Test BC : Bridge Course 1P, 2P, etc. : Practical Examinations Red ( ) : Present Semester Papers (Already Registered) Green ( ) : Repeater (Backlog) Papers, Registered
KUVEMPU UNIVERSITY STUDENT IDENTITY CARD (Enclose Two Stamp-Size Photographs) NAME OF CANDIDATE. : APPLICATION NO. / ROLL NO. NAME OF STUDY CENTRE/PLACE. 7. Name of the Student : 8. Postal Address : DIRECTORATE OF DISTANCE EDUCATION STUDENT IDENTITY CARD 9. Tel. Nos. : Off : Res : 10. Student s Signature : Mobile : E-Mail : 1. Name : 2. Roll No. : 3. programme : B.Sc.(IT)/M.Sc.(IT) Semester 4. Year/Cycle : 20 1st/2nd Cycle 5. Name of SC/Place : 6. SC Code : Affix Stamp - Size Photo Here Do not Deface Date Seal of SC Authorised Signatory of SC Note : Student should neatly fill-in this ID-Card (except 2 & 3) & submit it along with the Admission / Re-Registration Form. Date Seal of KU Authorised Signatory of KU