1. CENTRAL UNIVERSITIES COMMON ENTRANCE TEST
(CUCET 2015)
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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 ::..
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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 ::..
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