CUET (UG) 2024 Application - Payal Vishwakarma - PDF

Summary

This is an application form for the Common University Entrance Test (CUET) UG 2024. The form includes applicant details and contact information, as well as selection criteria for various courses.

Full Transcript

COMMON UNIVERSITY ENTRANCE TEST CUET (UG) - 2024 Confirmation Page Application 243550853200 Number...

COMMON UNIVERSITY ENTRANCE TEST CUET (UG) - 2024 Confirmation Page Application 243550853200 Number Do Not Send this Page to National Testing Agency (NTA). Candidate is requested to retain the printout of Confirmation page for future Reference. यितगत योरा (Personal Details) एबीसी आईडी (Abc ID) NA उमीदवार की जम ितिथ उमीदवार का नाम Payal Vishwakarma (Candidate Date of 20-01-2007 (Candidate Name) Birth) माता/अिभभावक का नाम िपता/अिभभावक का नाम Rajesh Vishwakarma (Mother/Guardian Babli Vishwakarma (Father/Guardian Name) Name) िलंग (Gender) Female राटीयता (Nationality) Indian Any Other Valid पहचान संया पहचान का कार (Identity Govt Identity With (Identification 433352483895 Type) Photograph Number) राय का अिधवास वग (Category) Obc(ncl) Madhya Pradesh (State Domicile) या आप पीडयूडी उमीदवार ह  (Are you a PwD No Candidate?) िपता/अिभभावक का िपता/अिभभावक की योयता यवसाय (Father /Guardian Graduate Government Service (Father/Guardian Qualification) Occupation) माता/अिभभावक का माता/अिभभावक योयता यवसाय (Mother /Guardian Matriculate Others (Mother/Guardian Qualification) Occupation) वािषक पािरवािरक आय या आपको मधुमेह ह  (Are No (Annual Family Rs. 500001 – 600000 you Diabetic?) Income) या आप जु ड़वां ह और दोनों CUET-UG 2024 के िलए आवे दन कर रहे ह (Are you twin and both No applying for CUET-UG 2024) िनवास की जगह (Place Of तैयारी का तरीका (Mode RURAL Self-study Residence) of Preparation) योयता परीा म अययन का मायम (Medium of English Study in Qualifying Examination) अय कोटा े णी िववरण (Other Quota Category Details) या आप गरीबी रे खा से नीचे या आप कमीरी वासी ह  (Do you belong to No ह  (Are you Kashmiri No Below Poverty Line ?) Migrant ?) रा कािमक/पूव सै िनकों का एनसीसी कोटा के िलए वाड (Ward of Defence No दावा (Claim for NCC No Personnel / Ex- Quota) Servicemen) खेल कोटा के िलए दावा (Claim for Sports Quota) No या आप िवविवालय कमचारी के वाड ह  (Are No you a ward of University Employee ?) संपक योरा वतमान पता (Contact Details Present Address) पिरसर संया / नाम House No 6 े  (Locality) Tehsil Umreth (Premises No./Name) Sheeladehi उप-मोहला (Sub- Post Gajandoha दे श (Country) India Locality(Optional)) राय/संघ (State/UT) Madhya Pradesh िज़ला (District) Chhindwara मेल पता (Email िपन कोड (Pin Code) 480441 [email protected] Address) मोबाइल नंबर (Mobile कं टी कोड (Country Code) +91 8839687286 Number) वै किपक मोबाइल नंबर (Alternate Mobile NA Number) थायी पता (Permanent Address) पिरसर संया / नाम House No 6 े  (Locality) Tehsil Umreth (Premises No./Name) Sheeladehi उप-मोहला (Sub- Post Gajandoha दे श (Country) India Locality(Optional)) राय/संघ (State/UT) Madhya Pradesh िज़ला (District) Chhindwara िपन कोड (Pin Code) 480441 योयता िववरण (Qualification Details) 10वीं योयता िववरण (10th Qualification Details) पिरणाम िथित (Result उीण वष (Passing of Passed 2022 Status) Year) बोड /िवविवालय का योयता परीा (Qualifying 10th Or Equivalent नाम (Board/University Central Board Of Secondary Education Exam) Name) कू ल/कॉलेज का कार कू ली िशा का थान (Place Urban (Type of School / Private Unaided of Schooling) College) योयता परीा दे श (Qualifying Examination India Country) योयता परीा राय योयता परीा िजला (Qualifying Examination Madhya Pradesh (Qualifying Chhindwara State) Examination District) कू ल/कॉलेज का नाम पता Gyan Sagar Pub Sch कू ल/कॉलेज िपनकोड (School/College Name Junnardeo (School/College 480551 Address) Chhindwara Mp Pincode) रोल नंबर (Roll Number) 19119017 पिरणाम मोड (Result Mode) Percentage कुल अंक (Total Marks) 500.00 ात अंक(Obtained ितशत % (Percentage 326.00 65.20 Marks) %) 12वीं योयता िववरण (12th Qualification Details) उीण वष /उपिथित पिरणाम िथित (Result Appearing (Passing of 2024 Status) Year/Appearing) बोड /िवविवालय का योयता परीा (Qualifying 12th Or Equivalent नाम (Board/University Madhya Pradesh Board Of Secondary Education Exam) Name) कू ल/कॉलेज का कार कू ली िशा का थान (Place Urban (Type of School / Private Unaided of Schooling) College) योयता परीा दे श (Qualifying Examination India Country) योयता परीा राय योयता परीा िजला (Qualifying Examination Madhya Pradesh (Qualifying Chhindwara State) Examination District) कू ल/कॉलेज का नाम पता कू ल/कॉलेज िपनकोड Gyan Sagar Public (School/College Name (School/College 480551 School Junnardeo Address) Pincode) रोल नंबर (Roll Number) 247929786 िवविवालय/ िवषय चयन (University / Subject Selection) िवविवालय का िवविवालय काय म .सं. (S.No.) नाम (University का नाम (University िवषय नाम (Subject Names) Name) Program Name) Banaras Hindu B.sc.(hons.) Biology 1. Subject Test – Biology (304) 2. Subject Test – Chemistry (306) 3. Subject 1. University Group Test – Physics (322) Banaras Hindu B.voc. (modern Office 2. "1. Language Test - English (101) Or Hindi (102) 2. General Test (501)" University Management) B.sc. (hons.) Biomedical Physics, Chemistry, Biology/biologicalstudies/biotechnology/biochemistry, 3. University Of Delhi Science Any One Language Physics, Chemistry, Biology/biological Studies/biotechnology/biochemistry, 4. University Of Delhi B.sc. (hons.) Zoology Any One Language B.sc. (hons.) Biological Physics, Chemistry, Biology/biological Studies/biotechnology/biochemistry, 5. University Of Delhi Sciences Any One Language B.sc. (prog.) Life Physics+chemsitry+ Biology/biologicalstudies/biotechnology/biochemistry, 6. University Of Delhi Science Any One Language Physics, Chemistry, Biology/biological Studies/biotechnology/biochemistry, 7. University Of Delhi B.sc. (hons.) Botany Any One Language Physics, Chemistry, B.sc. (hons.) 8. University Of Delhi Biology/biologicalstudies/biotechnology/biochemistry/mathematics/applied Biochemistry Mathematics,any One Language B.sc. (hons.) Physics, Chemistry, Biology/biologicalstudies/biotechnology/biochemistry, 9. University Of Delhi Microbiology Any One Language "candidates Are Required To Opt As Under: Section Ib – Sanskrit Test Section Ii – There Are Four Domain Specific Subjects - Physics, Chemistry, Biology And Mathematics For This Programme. Out Of These Domains Physics And Chemistry Are Compulsory. Candidates Can Choose Any One Subject Either Biology Or Mathematics As Third Domain Specific Subject. In Case A Jawaharlal Nehru 10. Ayurveda Biology Candidate Opts/appears For Both In Biology And Mathematics, The University Subject/test With Higher Marks Will Be Considered For Merit.section Iii – General Test For The Admission In Jnu.candidates Not Appearing In All The Three Sections, I.e. Section Ib (sanskrit), Section Ii – Physics, Chemistry, Biology/mathematics And Section Iii (general Test), Will Not Be Considered For Admission In Jnu "language (any Of The Listed Languages May Be Chosen.)domain Subject - Babasaheb Bhimrao 11. B. Pharm.* physics, Chemistry, Biology And Mathematics (any Three) *subject To Ambedkar University Approval Of Pharmacy Council Of India (pci)" Babasaheb Bhimrao Diploma In Pharmacy Section Ia Languages (any Of The Listed Languages May Be Chosen.) Section 12. Ambedkar University (d. Pharm.) Ii- Physics/ Chemistry/ Biology/ Mathematics(any Three) B. Sc. B. Ed. (4 Year 1. English 2. Three Domain Specific Subjects Of Which Teaching Aptitude Under Graduate Course Subject Shall Be Considered As Mandatory. Candidates Desiring Admission In Education) A. To Honours Course In Physics Should Have Physics And Maths/ Chemistry. Physics (hons.) B.ed, B. Candidates Desiring Admission To Honours Course In Chemistry Should Have 13. Assam University Chemistry (hons.) B.ed, Chemistry And Maths/physics. Candidates Desiring Admission To Honours C. Zoology (hons.) Course In Zoology Should Have Biology And Chemistry. Candidates Desiring B.ed, D. Botany (hons.) Admission To Honours Course In Botany Should Have Biology And B.ed Chemistry. University Of 5 Year Integrated M.sc 14. Biology,chemistry,physics,mathematics,english Hyderabad (biology) Dr. A.p.j. Abdul B Pharmacy (2nd Year 15. Kalam Technical General Lateral) University Dr. A.p.j. Abdul 16. Kalam Technical B. Pharmacy Physics, Chemistry, Biology/mathematics University 17. Jamia Millia Islamia B.sc. Biotechnology Biology/biochemistry/biotechnology Bachelor Of Science In Noida International 18. Operation Theatre Physics, Chemistry, Biology/ Biochemistry/ Biotechnology University Technician Bachelor Of Science Manipal University 19. Bsc (hons- General Test Jaipur biotechnology) "section Ia (language) English Or Hindi Section Ii (domain Subjects) I. University Of B.sc.- Zoology, Botany, 20. Biology (compulsory) Ii. Chemistry Or Physics (select Any One) Section Iii Allahabad Chemistry (general Test)" "section Ia (language) English Or Hindi Section Ii (domain Subjects) I. University Of B.sc.- Zoology, Botany, 21. Biology (compulsory) Ii. Chemistry Or Physics (select Any One) Section Iii Allahabad Defence Studies (general Test)" B.sc.- Zoology, "section Ia (language) English Or Hindi Section Ii (domain Subjects) I. University Of 22. Chemistry, Bio- Biology (compulsory) Ii. Chemistry Or Physics (select Any One) Section Iii Allahabad chemistry (general Test)" Central University Of 23. B.sc (life Sciences) Physics, Chemistry, Biology Karnataka Indira Gandhi National Tribal Under Graduate 24. University, Biology Zoology Amarkantak, Madhya Pradesh Chandigarh 25. B. Sc (hons) Medical 306-chemistry, 304- Biology/ Biochemistry/ Biotechnology University Dr. Harisingh Gour B.sc. (bio Group) (6 Domain Subjects : Chemistry And Biology From Section Ii + General Test 26. Vishwavidyalaya Semesters) From Section Iii Guru Ghasidas B. Sc. (honours)- 27. Biology Vishwavidyalaya Zoology 4 Year Bachelor In Library And Mahatma Gandhi 28. Information Science General Test Central University (honours With Research) Rajiv Gandhi 29. University And Zoology 1. General Test (501), 2. Biology (304), 3. Chemistry (306) Affiliated Colleges 30. Jamia Millia Islamia B.sc. (h) Chemistry Chemistry Dr. A.p.j. Abdul 31. Kalam Technical B.tech (bio Technology) Physics, Chemistry, Biology/mathematics University Manav Rachna General Test, English, Physics, Chemistry, Biology/computer Science/ 32. Biotechnology University Biotechnology /mathematics, Any Other Subject B.tech Bio Technology Specilization In Stem 33. Sharda University Cell & Tissue English, Physics, Chemistry, Biology/ Biochemistry/ Biotechnology Engineering/ Genetic Engineering 34. Shobhit University B.tech. Biotechnology English, Physics, Chemistry, Math/bio 35. Bennett University B.tech Biotechnology Physics/ Chemistry/ Math/biology/biotechnology/botany/zoology Chhatrapati Shivaji 36. Biotechnology Chemistry And Biology Maharaj University Banaras Hindu B.voc. In Medical Lab "1. Language Test - English (101) Or Hindi (102) 2. Subject Test – Biology / 37. University Technology Biotechnology (304)" 38. Niit University Bio Technology Biology Or Mathematics English, Physics, Chemistry, Biology/biological 39. Shoolini University B Tech Biotechnology Studies/biotechnology/biochemistry/computer Science/ Information Practices Adamas University, 40. B.tech (biotechnology) Biology Kolkata Adamas University, B.tech (biomedical 41. Physics, Chemistry, Mathematics Kolkata Engineering) Ajeenkya D Y Patil B.tech Biomedical 42. Bio Medical Engineering University, Pune Engineering Section Ii : (physics, Chemistry And Maths) Or (physics, Chemistry And 43. Aks University B.tech In Biotechnology Biology) Bachelor Of Amity University 44. Technology Biology Kolkata (biotechnology) Bachelor Of Amity University 45. Technology - Section I A (english) + Section Ii (mathematics / Biology / Biotechnology) Noida (biotechnology) Apeejay Stya 46. B.tech Biotechnology Physics , Chemistry, Biology / Mathematics University Medical Lab 47. Yenepoya University Section I A Biology/physics/ Chemistry Technology-(mlt) Language (english), General Test, Any Of Azim Premji 48. Biology Physics/chemistry/mathematics/computer Science/biology/environmental University Science Bachelor In Medical 49. Coer University Physics, Chemistry,biology, English Laboratory Technology Bachelor Of Science 50. Iimt University Physics, Chemistry And Biology (biotechnology) टे ट पे पर / िवषय चयन (Test Paper / Subject Selection) परीा प (Test .सं. (S.No.) िवषय (Subject) टे ट पे पर / िवषय का मायम (Medium of Test Paper / Subject) Paper) 1 Test Paper 1 English English 2 Test Paper 2 Hindi Hindi Biology/biological 3 Test Paper 3 Studies/biotechnology English /biochemistry 4 Test Paper 4 Physics English 5 Test Paper 5 Chemistry English 6 Test Paper 6 General Test English परीा कद और िववरण (Exam Center And Details) परीा कद के िलए .सं. (S.No.) िवकप (Choice For शहर का नाम (राय का नाम) (City Name (State Name)) Exam Center) 1st Choice For Exam 1 Bhopal ( Madhya Pradesh ) Center 2nd Choice For Exam 2 Indore ( Madhya Pradesh ) Center 3rd Choice For Exam 3 Jabalpur ( Madhya Pradesh ) Center 4th Choice For Exam 4 Chhindwara ( Madhya Pradesh ) Center उमीदवार ारा अपलोड की गई छिवयां (Images Upload by Candidate) PHOTO SIGNATURE शु क भु गतान िववरण (Fee Payment Details) भु गतान का कार (Payment लेन-दे न आईडी Online CPADQNTLO5 Mode) (Transaction ID) शु क जमा िकया गया परीा शु क (Exam Fee) 2025 21-03-2024 12:17:27 PM (Fee Submitted On) भु गतान गे टवे का नाम शु क की पु िट ितिथ (Fee 21-03-2024 12:18:41 (Payment Gateway SBI Epay Confirmed Date) PM Name) घोषणा (Declaration) म घोषणा करता हं ू िक आवे दन प म मे रे ारा दी गई जानकारी सभी कार से सय है और कुछ भी िछपाया नहीं गया है । यिद कोई िविट या जानकारी झठ ू ी पाई जाती है , तो इससे मे रा वे श वत : र हो जाएगा और इसके अलावा म िवविवालय ारा उिचत समझी जाने वाली कारवाई के िलए भी उरदायी हो जाऊंगा। म एतद्ारा वचन दे ता हं ू िक म ने कायम के िलए ॉपे टस म िनधािरत पाता शतों को यानपूवक पढ़ िलया है । म इस बात से सं तुट होने के बाद आवे दन कर रहा हं ू िक म पाता शतों को पूरा करता हं ।ू यिद िकसी भी तर पर यह पाया जाता है िक म यूनतम िनधािरत मानदं ड को पूरा नहीं करता हं ,ू तो मे रा वे श, यिद िदया जाता है , र कर िदया जाएगा और मु झे वे श का कोई अिधकार नहीं होगा। (I declare that information furnished by me in the application form is true in all respect and nothing is concealed. In case any entry or information is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such actions as deemed fit by the University. I hereby undertake that I have carefully gone through the eligibility conditions prescribed in the prospectus for the programme. I am applying after satisfying that I meet the eligibility conditions. If at any stage it is found that I do not fullfill the minimum prescribed criteria, my admission, if granted, shall stand cancelled and I shall have no right to admission whatsoever.) IP Address : 103.113.228.254 Date of Downloading : 12-05-2024 16:32:14 PM Domain name : cuetug.ntaonline.in

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