KARNATAKA STATE OPEN UNIVERSITY
APPLICATION FOR ADMISSION TO FINAL YEAR M.Sc. GEOGRAPHY (III & IV SEMESTER) DEGREE
PROGRAMME 2013-2014
1. Regulation Applied for
2.Medium
3. Admission Final Year M.Sc
Sought
4. Roll No/ ID No.
SIM
RI RII
English Kannnada
5. Name of the Applicant
(in Block Letters)
6. Sex Male Female
7. Caste/ SC ST I IIA IIB IIIA IIIB
8. Address for
Correspondence
11. Details of Fee Paid
Category
GM
Amount
Challan No.
Date
Name of Bank
Signature of the Candidate
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
9. Name of the Course: M.Sc.Geography
MUKTHA GANGOTRI, MYSORE - 570 006
2013-14
(Indicate)
(P)
(P)

Case Worker Supt Asst. Registrar Dy. Registrar(Admission)
10. Contact Numbers
Pin Code
Date: Signature of the Remitter
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : FINAL YEAR M.A/M.COM 2012-13
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: ----------------------
Place of Remittance ---------------------------------------------------
S.B.M. Mukthagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayajirao 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
Signature of the
Receiving Officer
Student Copy - (no separate receipt will be issued)
Date: Signature of the Remitter
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : FINAL YEAR FINAL YEAR M.Sc GEO 2013-14
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: ----------------------
Place of Remittance ---------------------------------------------------
S.B.M. Mukthagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayajirao 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
Signature of the
Receiving Officer
To be sent to the SBM Code No. 4166, Manasagangotri Branch, Mysore-6 /
SBI New Sayajirao Road, Mysore-1 (Code : 3130)
Date: Signature of the Remitter
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : FINAL YEAR M.Sc. GEOGRAPHY 2013-14
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: ----------------------
Place of Remittance ---------------------------------------------------
S.B.M. Mukthagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayajirao 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 Signature of the
Receiving Officer
Date: Signature of the Remitter
Karnataka State Open University, Mysore
CHALLAN FOR RENEWALS : FINAL YEAR M.Sc. GEOGRAPHY 2013-14
"GENERAL FUND ACCOUNT" SBM 54035420117
SBI 31051187090 Programme / Subject: ----------------------
Place of Remittance ---------------------------------------------------
S.B.M. Mukthagangotri , Mysore-6 (Code : 40166)
S.B.I. New Sayajirao 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 Signature of the
Receiving Officer
(To be retained with the receving Bank )
Mobile No: Off / Res :
Roll No. ..............................................................................
II nd Year M.Sc. Geography
Sri / Smt................................................................................................................................................................................................
........................................................................................................................................................................................................................
.................................................................................................................................................................................................................
................................................................................................................................................
Phone No. - - - - - - - - - - - - - - - - - - - - - - - - - - PIN
(Please write your address in Block Letters)
Roll No. ..............................................................................
Sri / Smt................................................................................................................................................................................................
........................................................................................................................................................................................................................
.................................................................................................................................................................................................................
................................................................................................................................................
Phone No. - - - - - - - - - - - - - - - - - - - - - - - - - - PIN
(Please write your address in Block Letters) II nd Year M.Sc Geography
Med : Kan Eng
Med : Kan Eng
Students can continue their studies in the Second year irrespective of their result of the Ist year M.Sc.
Geography Examination or even if they have do not appeared for the Ist year M.Sc. Geography Examination, shall also remit Second Year Tuition Fee.

Instructions to students who would desire to obtain lesson 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 xerox copy of fee paid Challan in the Renewal Form.
2. It is better, if students collected their lesson 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 lessons of their programme. In case it is not possible for any student to come in person, lessons will be despatched for such students only after verifying their admission.
3. Students seeking admission after a break of ONE year will have to pay a Re - Enrolment fee of Rs.1000/- 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 The Deputy Registrar, Admission Section, Karnataka State Open University, MukthaGangotri, Mysore - 570 006. Application will not be considered if it is sent to other addresses of the University.