COMMON APPLICATION FORM FOR JOINT ENTRANCE EXAMINATION
FOR ADMISSION TO PROGRAMMES IN CENTRAL UNIVERSITIES OF BIHAR, JHARKHAND, KARNATAKA, KASHMIR, KERALA,
RAJASTHAN AND TAMIL NADU
CUCET 2010
(Please read instructions carefully before filling up the form. Candidate will be responsible for all errors / omissions. ) FILL IN BOTH APPLICATION AND HALL TICKET FORMS AND RETURN. DO NOT DETACH HALL TICKET FORM
1. NAME .
2. FATHER’S NAME .. 3. DATE OF BIRTH
4. ADDRESS ...
..PIN
5. CONTACT INFORMATION Phone (STD code). (No)..
CELL... Email
6. CATEGORY (mention one) SC / ST / OBC / PH / OTHERS (Please specify) ..
7. DETAILS OF QUALIFYING EXAMINATION
Name of the Degree University Year of passing Percentage (eg. 55.50%
A B
8. PROGRAMME APPLIED FOR
9. UNIVERSITY YOU WISH TO STUDY IN (CODE) A
B
10. INDICATE YOUR EXAMINATION CENTRE
11. DETAILS OF FEES PAID
NAME OF BANK.. DD No DATE AMOUNT.
SIGNATURE OF CANDIDATE ________________________________________________________________________________________________________
Affix self attested colour photo here.
Fill in Code Number of Programme as given in instructions. You may apply for up to two programmes in a form of any university. However please check eligibility carefully before applying. Universities will not be responsible for clash of dates of entrance examinations.
Fill in the Examination Centre code as given in the list. THIS CANNOT BE CHANGED AT A LATER STAGE UNDER ANY CIRCUMSTANCES.
Also please note that the University (s) reserve the right to cancel / merge the examination centre in case of non-feasibility in number of students there.
Please check the programmes offered by various universities. In case you choose a course offered by more than one university, then indicate your preference for the university. See instructions for details.
CENTRAL UNIVERSITIES COMMON ENTRANCE TEST (CUCET) HALL TICKET FOR ENTRANCE EXAM (2010)
NAME . ..
(as recorded in matriculation certificate)ADDRESS ...
..PIN
PROGRAMME(S) ....
CENTRE.. (to be filled by office)
Date SIGNATURE OF CANDIDATE...
Affix self attested colour photo here
H.T.No (To be filled by office)
INSTRUCTION SHEET FOR FILLING IN APPLICATION AND HALL TICKET FORM
1. NAME Exactly as it appears in class X Board certificate.
2. FATHERS NAME Exactly as it appears in class X Board certificate.
3. DATE OF BIRTH Exactly as it appears in class X Board certificate.
4. ADDRESS Hall ticket and correspondence will be at this address 5. CONTACT INFO. Please provide all details. University will contact through
email / sms too.
6. CATEGORY Please indicate clearly. You need not provide any proof at this stage which will have to be done at the time of admission. Please note that false / incorrect claim at this stage may lead to legal action against you later.
8. PROGRAMME APPLIED FOR
PROGRAMMES CODE PROGRAMME CODE INTEGRATED PROGRAMMES MASTERS PROGRAMMES
M.A. MASTERS IN BUSINESS ADMINISTRATION MBA
ENGLISH IEN MASTERS IN COMMERCE MCOM
GEOGRAPHY IG M.SC. / M.TECH. PROGRAMMES
ECONOMICS IE M.SC. CHEMISTRY MSC
PSYCHOLOGY IEP M.TECH. COMPUTER SCIENCE &
ENGINEERING
MTECH
HISTORY IEH M.SC. STATISTICS MS
CULTURAL STUDIES ICS M.SC. BIOTECHNOLOGY MBT
MASS COMMUNICATION IMC M.SC. ENVIRON MENTAL SCIENCE MES BUSINESS ADMINISTRATION MBA M.SC. COMPUTER SCIENCE MSCS
M.Sc. M.SC. GEOSPATIAL APPLICATIONS IN REGIONAL DEVELOPMENT
MSGR PHYSICS IP M.SC./M.A. STATISTICS (ACTUARIAL) MSTA
CHEMISTRY IC M.SC. TECH. MATHEMATICS MSTM
MATHEMATICS IM M.SC. MATHEMATICS MSCM
APPLIED PHYSICS IAP M.SC. INFORMATION TECHNOLOGY MSCIT APPLIED CHEMISTRY IAC M.SC. BIOCHEMISTRY & MOLECULAR
BIOLOGY
MSBMB
LIFE SCIENCES ILS M.SC. ANIMAL SCIENCE MSCAS
NANO TECHNOLOGY INT M.SC. GENOMIC SCIENCE MSCGS
WATER ENGINEERING &
MANAGEMENT
IWEM M.SC. PHYSICS MSCP
M.A. PROGRAMMES P.G. DIPLOMA
MA (ENGLISH) MAEN P.G. DIPLOMA IN ECO-CRITICISM PGD
M.A. (TAMIL) MAT M.Phil. PROGRAMMES
M.A. (KANNADA) MAK ECONOMICS MPE
M.A. (REGIONAL STUDIES) MARS HISTORY MPH
M.A. ECONOMICS MAE ENGLISH MPEN
M.A. (COMPARATIVE LITT.) MACL GEOGRAPHY MPG
M.A. / M.Sc, (DEV. STUDIES) MADS PSYCHOLOGY MPPSY
IMPORTANT NOTE
1. PLEASE NOTE THAT THE SAME FORM IS AVAILABLE ONLINE AND OFFLINE. ONLINE APPLICANTS WILL HAVE TO SCAN AND UPLOAD THE PHOTOGRAPHS AND SIGNATURE AS PER INSTRUCTIONS PROVIDED.
2. THE OFFLINE FORM TO BE FILLED AND SIGNED IN BLACK INK ONLY.
3. THIS FORM CAN BE USED TO APPLY FOR MAXIMUM OF TWO PROGRAMMES.
4. NO ENCLOSURES NEED TO GIVEN AT THIS STAGE.
5. MERE APPLICATION DOES NOT MEAN YOU ARE ELIGIBLE. ELIGIBILITY TO BE DECIDED AFTER VERIFICATION BY UNIVERSITY CONCERNED at time OF ADMISSION.
6. ENTRANCE FEE ONCE PAID IS NOT REFUNDABLE UNDER ANY CIRCUMSTANCES
9. CHOICE OF UNIVERSITY
UNIVERSITY CODE CENTRAL UNIVERSITY OF BIHAR CUB CENTRAL UNIVERSITY OF JHARKHAND CUJ CENTRAL UNIVERSITY OF KARNATAKA CUK CENTRAL UNIVERSITY OF KASHMIR CUKR CENTRAL UNIVERSITY OF RAJASTHAN CUR CENTRAL UNIVERSITY OF TAMIL NADU CUTN CENTRAL UNIVERSITY OF KERALA CUKE
10. EXAMINATION CENTRE (indicate code from one exam centre as below)
CENTRE CODE CENTRE CODE
Ajmer 01 Jamshedpur 16
Allahabad 02 Jodhpur 17
Bangalore 03 Kasargod 18
Belgaum 04 Kochi 19
Bubaneshwar 05 Kolkata 20
Chennai 06 Madurai 21
Coimbatore 07 Mumbai 22
Delhi 08 Mysore 23
Dhanbad 09 Patna 24
Dharwar 10 Ranchi 25
Gulbarga 11 Silchar 26
Guwahati 12 Srinagar 27
Hyderabad 13 Thiruvananthapuram 28
Jaipur 14 Thiruvarur 29
Jammu 15 Udaipur 30
11. DETAILS OF FEES PAID
1. A sum of Rs. 300/- will be charged for general candidates and Rs. 200/- for SC/ST candidates towards the prospectus & form fee for one programme. Add Rs. 200/- (Rs, 100/- for SC / ST candidates) for the second programme that you wish to appear for in entrance exam.
2. Candidates applying online will have to bring DD and submit it to the examiner at Examination Hall failing which he / she will not be allowed to appear for the exam.
3. Hall ticket will be automatically generated for online applicants which they have to carry to the entrance test along with DD.
4. All DD’s are to be drawn on any nationalized bank favouring
“COORDINATOR – CUCET 2010” and payable at Gulbarga (Karnataka) only.
5. Students who submit downloaded forms will have to attach DD of Rs. 250/- (in case on general candidates) / Rs. 150/- (in case of SC / ST candidates) and additional entrance fee as indicated in 1 above and their hall ticket will be dispatched by post. The duly filled in application forms should be sent to :
OR
EXERCISING PREFERENCE: In case a programme chosen by you is offered in more than one university, please indicate the first choice in 1st box of row A and then subsequent choice. This way you can choose up to four universities where you wish to join the programme. The final allocation will be merit allocation based on preferences. In case you are applying for two programmes, then indicate the universities in the next row of boxes at B in order of preference.
PLEASE NOTE THAT
EXAMINATION WILL BE
CONDUCTED AT A CENTRE ONLY IF A MINIMUM OF 20 CANDIDATES ARE APPEARING AT THAT CENTRE. IN CASE ON
NON AVAILABILITY OF
REQUISITE NUMBER, THE EXAM CENTRE WILL BE MERGED TO THE NEXT NEAREST FEASIBLE CENTRE. CANDIDATES WILL HAVE TO APPEAR AT THE NEW CENTRE AT THEIR OWN COST.
Coordinator – CUCET
Central University of Karnataka
2
ndFloor, Karya Soudha Gulbarga University Campus
GULBARGA – 585 106 Phone (08472) – 267 663
OSD (Admin)
Central University of Kashmir
101, Baghi-Hyder, Hyderpora,
Srinagar – 190 005 (J&K)
Phone (0194) - 2440960
