KARNATAKA STATE ELIGIBILITY TEST (KSET) FOR LECTURESHIP

DECEMBER - 2018
Print copy of Application Form
(ONE COPY TO BE SUBMITTED TO THE NODAL OFFICER OF THE TEST CENTER)

To be Filled by the Test Center Only

Roll No.: 10100139

Ref No.: 33621

Prof. S. R. Keshava
Nodal Officer, KSET
Department of Economics,
Bangalore University,
Jnana Bharathi Campus,
Bengaluru . 560 056.
 
Subject Code: 10
Center Code: 10
Category: GEN

Personal Information Affix recent Passport

size Photograph
1. Name : RAJENDRA KUMAR V R signed by the
2. Date of Birth : 02-Jul-1973 candidate and duly
3. Age as on (31-07- attested by the Head
: 45 years, 0 month, 29 day of the
2018)
Dept./Institution or
4. Sex : Male
Class I Gezetted
5. Category : GEN Officer.
6. Visually handicapped
: NO
(VH) (DO NOT STAPLE OR
7. Physically PIN)
: NO
handicapped (PH)
8. Father's Name : LATE V RAJAGOPALAN
9. Mother's Name : LATE RAJALAKSHMI
10. Address for : NO7/2 19THCROSS 20THMAIN ROAD SMS LAYOUT JP NAGAR 5TH PHASE NEAR
Communication TO KALPAVRUKSHA APT BANGALORE - 560078
: NO7/2 19THCROSS 20THMAIN ROAD SMS LAYOUT JP NAGAR 5TH PHASE NEAR
11. Permanent Address
TO KALPAVRUKSHA APT BANGALORE-560078
12. Post Graduation
: Passed
Examination
13. Subject of Post-
: MANAGEMENT
Graduation
14. Subject opted for
: Management
KSET
15. Center of
: Bengaluru - Bangalore University
Examination selected
16. Examination
: Passed
Appearing / Passed
17. Name of the
: ALAGAPPA UNIVERSITY
University
18. Year of Passing : 2016
19. Subject Offered : MANAGEMENT
20. Marks obtained : 588
21. Total Marks : 1000
22. Aggregate % of
: 58.8
marks obtained
23. Mobile No. : 9035147227
24. Email ID : rajendrakumar1973@gmail.com
 Details of Fee Paid

26. Payment Mode : SBDEBIT

27. Bank Reference No. : DU98952093
28. Deposit Date : 10-Sep-2018
29. Amount : Rs. 1050

Declaration

i. I, RAJENDRA KUMAR V R, applicant for KSET - 2018, hereby declare that all statement made in this application are true, complete and
correct to the best of my knowledge and belief and in the event of any information being found false or incorrect or any ineligibility
being detected before or after the test, my candidature is liable to be cancelled and legal action may be initiated against me.
ii. I fullfill all the conditions of eligibility regarding age limit, educational qualification etc. prescribed for the test.
iii. I have gone through the Notification of KSET - 2018 and shall abide by the same.
iv. I have deposited the required fee.
v. I have noted that if my application is found incomplete / defective, the same is liable to be rejected summarily and no correspondence
will be entertained in this regard.
vi. I have read and agree with the Notification for the KSET - 2018, including instructions, enclosures, check list and other relevant
information.

Place: Bengaluru
Date: 10-Sep-2018 Signature of Candidate _______________________