DECLARATION
I declare that the particulars furnished in this form are true to the best of my knowledge and belief. I further
declare that in case any of the above information is found to be incorrect at any time, I shall be liable to
forfeit my seat and to such penal action as the college authority may deem appropriate.
Date: Full signature of the Applicant
List of enclosures required:
1. Three recent color passport size self attested photographs.
2. Attested copies of mark sheets and certificates of all the examinations passed.
3. Attested copy of conduct certificate from the institution last attended.
4. Certificate of SC/ST, if applicable.
6. Two Self-Addressed Envelopes (22cmx10cm)
7. Attested copy of Registration Certificate of Utkal University of Culture, if already registered.
8. Migration Certificate in original (students from other university)
9. Copy of the Aadhaar Card.
10. Receipt in support of transfer/deposit of Rs.7500/- in (SBD A/c No-09230103148572,UCO Bank,Main
Branch,Bapuji Nagar,BHubaneswar, IFSC: UCBA0000470) in original towards purchase of form and admission fees.