KARNATAKA STATE OPEN UNIVERSITY
MANASAGANGOTRI, MYSORE - 570 006
APPLICATION FOR EXAMINATION
FIRST / SECOND / THIRD YEAR B.Com. of MAY - JUNE / SEPTEMBER-OCTOBER 20....

SBM/SBI, MYSORE COPY
STUDENT COPY
BANK COPY
KSOU COPY
(‘P’ for PASSED ‘A’ FOR APPEARING)
Group
III
Option
A/P Title of the Paper Month &
Year
O3 Financial Accounting – III
A1 O4 Income Tax Law & Practice
O5 Cost Accounting
O3 Law & Practice of Auditing
A2 O4 Management Accounting
O5 Business Statistics
O3 Business Law
A3 O4 Marketing Management
O5 Introduction to Computers

1. Name of the Examination Centre:
2. Name of the Candidate (in block letters):
(as in qualifying examination records)
3. Permanent Postal Address
with pin code
(In block letters)
Pin Code:
4. Mark ( ) to which you belong:
Mobile No:....................................................
Landline No:..................................................
Email ID:........................................................
Year of Admission
Affix
Stamp Size
Photo here
Tick a( ) whichever is applicable
REGULATION
R1 R2
Roll / ID Card No.
Karnataka State Open University, Mysore
Name of the Bank &
Place of Remittance .......................................................
Name of the Course B.Com Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUND
SBM-54035420128 S BI-31106997538
Duplicate
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.
501: Examination Fee :
Penal Fee :
Change of Centre Fee :
Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words)............................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
To be retained with the receiving bank
Karnataka State Open University, Mysore
Name of the Bank &
Place of Remittance .......................................................
Name of the Course B.Com Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUND
SBM-54035420128 S BI-31106997538
Triplicate
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.
501: Examination Fee :
Penal Fee :
Change of Centre Fee :
Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words).................................................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
Receiving Bank should send this copy to the Finance Officer,
KSOU, Manasagangotri, Mysore-06
Karnataka State Open University, Mysore
Name of the Bank &
Place of Remittance .......................................................
Name of the Course B. Com Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUND
SBM-54035420128 S BI-31106997538
Quadruplicate
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.
501: Examination Fee :
Penal Fee :
Change of Centre Fee :
Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words)................................................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
Student copy to be retained by the student. No seperate receipt
will be issued
SC ST CAT
I
CAT
IIA
CAT
IIB
CAT
IIIA
CAT
IIIB GM
a
% % %
%
%
% %
% %
Karnataka State Open University, Mysore
Name of the Bank &
Place of Remittance .......................................................
Name of the Course B.Com Class : I / II / III Year
Roll No:
KSOU-500-EXAMINATION FUND
SBM-54035420128 S BI-31106997538
ORIGINAL
SBM, Manasagangotri, Mysore - 06
SBI, New Sayyaji Rao Road, Mysore-01
Name and Address of the Student
Code No: Amount Rs.
501: Examination Fee :
Penal Fee :
Change of Centre Fee :
Total
Amount (in words) Rupees .......................................
Note: Fees once paid will not be Refunded.
Date: Signature of the Remitter
For the use of the Bank
The Amount of Rupees (in words)............................
has been received /
Challan No.
Date & Signature of the Officer
Bank Seal receiving the money
UNIVERSITY COPY
Not to be seperated from the Form
First Year Examination
A/P Subject
Month
&
Year
L1
Group I
Lang L2
FHS
Group II FST
ICHRES
O1 FA –I
O2 BOOM
Group
III
Optional O3 CL&SP
BPP
Third Year Examination
Second Year Examination
A/P Subject
Month
&
Year
L1
Group I
Lang
L2
FIT
Group II
FCA
O1 FA –II
Group III O2 HRM
Optional
O3 BTP
Group IV
AOC C.S/Marketing/O.O.M
I declare that the above information furnished by me is correct to the best of my knowledge.
Place:............................. Date:........................... Signature of the Candidate
Accepted / Rejected FOR OFFICE USE ONLY
............................ ............................
Scrutinized by Checked by
.
IMPORTANT INSTRUCTIONS TO BE FOLLOWED BY THE CANDIDATE
01. Please read carefully the instructions given in the application & as well as in the fee circular and prospectus before filling the
application.
02. IT IS COMPULSORY FOR THE CANDIDATE TO ENCLOSE ATTESTED PHOTO COPIES OF THE PREVIOUS YEAR
MARKS CARDS WITHOUT FAIL.
03. The application along with the Examination Fee Paid Challan(original) and Admission Fee paid challan (Photo Copy) should be
submitted on or before the due date (without or with penal fee as prescribed in the fee circular). Otherwise, the application will
NOT be registered for examination.
04. Freshers, who have enrolled for I, II or III year B.Com. course in the current academic year should compulsorily pay the examination
fee in full and must appear for all the subjects / papers in their respective class.
05. Incomplete applications are liable to be rejected.
06. The prescribed examination fee should be remitted in the bank through the challan printed in the examination form.
07. Examination Fees Once paid will not be readjusted / refunded under any circumstances.
08. Regarding the rates of Examination Fees, separate Circular is enclosed.
09. For all instructions pertaining to the examination Dates, Centres, Assignments, Time Table, Announcement of Result, Convocation
Dates etc., please see the KSOU Website:www.ksoumysore.edu.in.
11. The filled-in application should be submitted to the REGISTRAR (EVALUATION),Karnataka State Open
University, Manasagangotri, Mysore - 570 006.
12. MOBILE PHONES ARE STRICTLY PROHIBITED IN THE EXAMINATION HALL.
5. Sex: Male / Female 6. Medium: Kannada / English
BPP Exam
Appear / Not 6. Year in which I Year II Year III Year
Candidate completed
the Programme
7. Details of fees paid:
Year Amount Paid Name of the Bank Challan No. Date
I Year
II Year
III Year