.. Cucet 2015 __.
- 1. CENTRAL UNIVERSITIES COMMON ENTRANCE TEST (CUCET 2015) Change Password LogOut Application Form First Year CUCET Admissions 2015 Application Form Program Applied For: MPhil/Ph. D Programs Personal Details APPLICATION ID: DR15102815 Candidate's Name: VIJENDRA SINGH CHAUHAN Father's Name: BHANU SHASHI SINGH Mother's Name: BASANTA CHAUHAN Gender: Male Date of Birth: 19/10/1989 Category: Other Backward Classes Person with Disability: NO Type of Disability: State of Domicile: Rajasthan Nationality: Indian Kashmiri Migrant No Ward of Defense Personnel: No Is Employed No Details Of Qualifying Exams Name of University/Board Rajasthan university of health sciences jaipur Passing Year: 2014 Percentage 66.50 Details if enrolled in some other university Enrolled in some other university? No Name of University Name of Degree Passing Year: Exam Centre(Test City) Choice/Preference (The Competent Authority reserves the right to allocate Exam Centre) Examination Centre AJMER, BANDARSINDARI(CURAJ) Communication Details Address Line1: 14 MADHUKAR NAGAR BPO GOVT JAIN GURURUKUL SR SEC SCHOOL UDAIPUR ROAD BEAWAR Address Line2: State: RAJASTHAN District: AJMER PIN Code: 305901 Landline No: EmailID: vijay_chauhan89@yahoo.com Mobile No.: 7597725789 Home PUs Important Dates Programs Syllabus Apply Contact Us 5/6/2015 ..:: CUCET 2015 ::.. www.cucet2015.co.in/Preview.aspx 1/2
- 2. Courses Applied For University Code: Central University of Rajasthan(CURAJ) Course-1: Pharmacy(RP33) Course-2: Course-3: University Code: Course-1: Course-2: Course-3: University Code: Course-1: Course-2: Course-3: NET/CSIR/JRF(Other) Year of Passing: Marks Scored: Declaration 1) I declare that the above furnished information is correct to the best of my knowledge. If found incorrect at any point of time, my candidature can be cancelled. 2) I undertake that I will abide by the rules and regulations of the CUCET 2015 and PU’s. 3) I hereby declare that I have gone through and understood the eligibility criteria. 4) I understand that my admission is subject to the fulfilling of eligibility criteria of the University/Programme and course I am applying for. 5) I will be solely responsible for my eligibility and I shall be denied admission if I am not found eligible at the time of admission. Date: 06/05/2015 Candidate's Signature ( VIJENDRA SINGH CHAUHAN ) Printed On: 06/05/2015 9:44:27 PM Updated On: 18/04/2015 12:20:00 PM Payment Status: Payment Not Received 5/6/2015 ..:: CUCET 2015 ::.. www.cucet2015.co.in/Preview.aspx 2/2