Online Application Form


ASSOCIATION OF MINORITY PROFESSIONAL COLLEGES IN KARNATAKA (Regd.)(A.M.P.C.K)

No.77005,No.10,Rajaram Mohan Roy, Road, Sampangiramnagar, Bengaluru, Karnataka, 560 027

Ph.No: 080-40999008       Email: info@ampck.in    Website: www.ampck.in

APPLICATION FOR UNDERGRADUATE COMMON ENTRANCE TEST-2025-26 (Engineering)

(Incomplete application is liable for rejection)

PRINTED APPLICATION SHOULD BE SENT ADDRESSED TO THE CHIEF EXAMINER.

DETAILED ADDRESS AS INDICATED ON THE TOP OF THE APPLICATION FORM.

Name of the Applicant * :
Upload Photo *
( Max Upload File Size 100kb.
jpg, png, jpeg file accept)
:   
Date of Birth* :
Gender* :
Telephone No
( with STD Code )
:
E-Mail* :
Nationality* :
Mobile Number* :
Address of Correspondence* :
State* :
City* :
Resident of Karnataka :
Preferred Examination Centre :
Father/
Guardian's Name
*
:
Occupation* :
Annual Income* :
Mother's Name * :
Occupation :
Annual Income :
X STD/SSLC/SSC OR EQUILENT:
SSLC School Name * :
State * :
Year of Passing * :
XII STD/PU OR EQUIVALENT:
Name of College * :
State * :
Year of Passing * :
Photo Id/ Address Proof *
( Max Upload File Size 100kb.
jpg, png, jpeg file accept)
:   
Linguistic Cerificate
:   
SSLC / X STD Marks Card *
( Max Upload File Size 100kb.
jpg, png, jpeg file accept)
:   
PUC / XII STD Marks Card*
( Max Upload File Size 100kb.
jpg, png, jpeg file accept)
:   
Enclose the Following Photo copies of Certificate (ATTESTATION NOT REQUIRED)

a.  X STD / SSLC / SSC or Equivalent Mark Card

b.  XII STD / PU / PUC or Equivalent Mark Card

c.   Photo Id / Address Prrof

d.  Passport size color photo 1 No

 I solemnly and sincerely affirm that the above information furnished by me is true and correct.


LEGAL JURISDICTION : BANGALORE-KARNATAKA
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