KARNATAKA STATE OPEN UNIVERSITY
MUKTHAGANGOTRI, MYSORE - 570 006
2013-14
APPLICATION FOR ADMISSION TO IInd Year B.A / B.Com DEGREE PROGRAM 2013-14
Note: (1) Please follow the Instructions given in the Circular. (2) Students are advised to Put a ()mark against the column No. 1, 2, 3, 6 & 7
1. Regulation Applied for 2.Medium 3. Admission
Sought
II B.A II B.Com
5. Name of the Applicant
(in Block Letters)
8. Address for
Correspondence
11. Details of Fee Paid
12. Centre opted earlier
4. Roll No. / ID No.
SIM
RI RII
English Kannada
7. Caste/
Category
(Indicate)
SC ST I IIA IIB IIIA IIIB GM
1.
2.
1.
2.
3.
4. FCA
9. Languages
6. Sex
Male Female
Case Worker Supt. Asst. Registrar Dy. Registrar(Admission)
10.Contact Numbers Mobile No:
Pin Code
Signature of the
Receiving Officer
To be sent to the SBM Code No. 40166, Manasagangotri Branch,
Mysore-6 / SBI New Sayyajirao Road, Mysore-1 (Code : 3130) Student Copy - (no separate receipt will be issued)
Signature of the
Receiving Officer
Signature of the
Receiving Officer
Signature of the
Receiving Officer
Off/Res :
Roll No. ..................................................................
Subjects : L1.......................... L2.......................... Opt 1...........................Opt 2............................Opt 3 .......................
Sri / Smt.....................................................................................................................................................................
........................................................................................................................................................................................
............................................................................................................................................................................................
...........................................................................................................................
II nd Year B.A / B.Com Medium Kannada English
Phone No. - - - - - - - - - - - - - - - - - - - - - - - - - -
PIN
(Please write your address in Block Letters)
Roll No. ..................................................................
Subjects : L1.......................... L2.......................... Opt 1...........................Opt 2............................Opt 3 .......................
Sri / Smt.....................................................................................................................................................................
........................................................................................................................................................................................
............................................................................................................................................................................................
...........................................................................................................................
II nd Year B.A / B.Com
Phone No. - - - - - - - - - - - - - - - - - - - - - - - - - -
PIN
(Please write your address in Block Letters)
Date: Signature of the Remitter KSOU COPY
STUDENT COPY
SBM/SBI MYSORE COPY
BANK COPY
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : IInd year B.A/B.Com 2013-14
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: ---------------------
Place of Remittance ---------------------------------------------
S.B.M. Manasagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayyajirao Road, Mysore-01 (Code : 3130)
Roll No. / ID No.
Name & Address of the Student
Programme/ Tuition Fee Rs. ..............................
Penal Fee Rs. ..............................
Re-enrolment fee Rs. ..............................
Total Rs. ..............................
Amount in words : Rupees ..................................................
..............................................................................................
FOR THE USE OF THE BANK
The amount of Rs. ............................................ (in words)
Rupees..................................................................................
Date & Bank Seal
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : IInd year B.A/B.Com 2013-14
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: --------------------
Place of Remittance --------------------------------------------
S.B.M. Manasagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayyajirao Road, Mysore-01 (Code : 3130)
Roll No. / ID No.
Name & Address of the Student
Programme/ Tuition Fee Rs. ...............................
Penal Fee Rs. ...............................
Re-enrolment fee Rs. ...............................
Total Rs. ...............................
Amount in words : Rupees ...................................................
...............................................................................................
FOR THE USE OF THE BANK
The amount of Rs. ............................................ (in words)
Rupees...................................................................................
Date & Bank Seal
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : IInd year B.A/B.Com 2013-14
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: --------------------
Place of Remittance --------------------------------------------
S.B.M. Manasagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayyajirao Road, Mysore-01 (Code : 3130)
Roll No. / ID No.
Name & Address of the Student
Programme/ Tuition Fee Rs. ...............................
Penal Fee Rs. ...............................
Re-enrolment fee Rs. ...............................
Total Rs. ...............................
Amount in words : Rupees ...................................................
...............................................................................................
FOR THE USE OF THE BANK
The amount of Rs. ............................................ (in words)
Rupees...................................................................................
Date & Bank Seal
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : IInd year B.A/B.Com 2013-14
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: --------------------
Place of Remittance --------------------------------------------
S.B.M. Manasagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayyajirao Road, Mysore-01 (Code : 3130)
Roll No. / ID No.
Name & Address of the Student
Programme/ Tuition Fee Rs. ...............................
Penal Fee Rs. ...............................
Re-enrolment fee Rs. ...............................
Total Rs. ...............................
Amount in words : Rupees ...................................................
...............................................................................................
FOR THE USE OF THE BANK
The amount of Rs. ............................................ (in words)
Rupees...................................................................................
Date & Bank Seal
Date: Signature of the Remitter Date: Signature of the Remitter Date: Signature of the Remitter
Medium Kannada English
(To be retained with the receiving Bank)
Students can continue their studies in the Second year irrespective of their result of the I year B.A/B.com Examination or even if they have do not appeared for the Examinations, shall also Remit Second year Tuition Fee.

Instructions to students who would desire to obtain Study Materials in - person
1. Students who would like to obtain Study Materials in-person after remitting the admission fee, have to submit compulsorily their
Identity card and photo copy of fee paid Challan in the Renewal Form.
2. It is better, if students collected their Study Materials in-person, (Study Materials will not be issued to the parents or any other person who
comes on behalf of the students) after checking the particular of Study Materials of their programme. In case it is not possible for any student
to come in person, Study Materials will be despatched for such students only after veryfying their admission.
3. Students seeking admission after a break of ONE year will have to pay a Re-Enrolment fee of Rs.1,000/- for
TWO Years
break will have to pay of Rs. 2,000/- along with regular tuition fee. Those students who have discontinued their studies for more
than two years are not eligible for re-enrolment.
Duly filled in application should be submitted in-person or sent by registered post to The Deputy Registrar (Admissions) Karnataka State Open University, Mukthagangotri, Mysore - 570 006. Application will not be considered if it is sent to other addresses of the University.
Notice : 1) Students admitted for 1st Year B.A./B.Com at the Regional Centres in the Academic Year 2012-13 can directly submit the IInd Year Renewal form at the respective Regional Centre to get admission.
or
2) Students wish to get admission through Post / Person can directly visit to Mysore head office to get the Study Materials in person or they can send the Renewal Application by post to the above mentioned address to get the Study Materials through post.