| Application Information |
| |
| 1 |
POST
|
|
SENIOR |
| 2 |
Form No. |
|
202500081 |
|
Personal Information
|
| 4 |
Applicant's Name (नाम) |
|
SINCHANA SHREEKRISHNA BHAGWTH |
| 5 |
Applicant's Date of Birth |
|
29-March-2001 |
| 6 |
Applicant's Mobile Number |
|
8277611962 |
| 7 |
Applicant's E-Mail ID |
|
[email protected] |
| 8 |
Gender |
|
F |
| 9 |
Father's Name |
|
SHREEKRISHNA |
| 10 |
Mother's Name |
|
JAYALAKSHMI |
| 11 |
Address |
|
Hosmane balagar yellapur uttarakannada pin code:581359, UTTAR KANNAD, KARNATAKA, 581359 |
|

|
|
|
|
| |
|
Educational Qualification
|
| |
| S.No. |
|
Baord/Univ. |
Year |
Result |
| 1. |
Senior Secondary |
PRE UNIVERSITY BOARD |
2018 |
91 |
| 2. |
Third Year or VI Semester |
KARNATAK UNIVERSITY DHARWAD |
2021 |
88.22 |
| 3. |
Post Graduation / Last Semester |
KARNATAK UNIVERSITY DHARWAD |
2023 |
77.39 |
| 4. |
Any Other |
|
00 |
|
|
| |
|
Payment Details
|
| |
| 1. |
Payment Method |
|
| 2. |
Transaction ID |
T2512022357389806368769 |
| 3. |
Fees Amount |
500 |
|
| 16-04-2026 |
|
| Date |
Signature
|
| |