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admin
2020-09-26T07:38:53+00:00
JSS Institute of Speech and Hearing, Dharwad
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Documents Required
Scanned passport size photo
Scanned copies of 10th and II PUC/12th Marks card
NEFT/IMPS payment details towards application fee of Rs.500/- (UTR number, Bank name, Deposit date).
Upload Your Passport Size Photo
*
Please upload file less than 2MB
Personal Information
(All fields are mandatory
*
)
Gender
Male
Female
Transgender
Nationality
Indian
Others
Please attach the scanned documents in the given order
Marks Cards of I PUC/II PUC
*
Please upload file less than 2MB
SSLC Marks Card
*
Please upload file less than 2MB
Caste/Reservation Certificate
Please upload file less than 2MB
Payment Details
(All fields are mandatory
*
)
UTR Number
Bank Name
Date of Payment
Bank Details
Account Holder Name
– JSS Institute of Speech and Hearing, Dharwad
Account Number
– 1922000100026401
IFSC Code
– KARB0000192
Bank Name
– Karnataka Bank ltd.
Branch
– KUD circle branch, Dharwad
Declaration By The Applicant
(All fields are mandatory)
*
I hereby solemnly and sincerely affirm that the statement made and information furnished in my application form and also in the enclosures submitted by me are true, should it, however be found that any information furnished there in is untrue in material particulars, I realize that I am liable to criminal prosecution and the seat given to me shall be Liable to be forfeited.
Applicants Declaration
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