Download Application Form for Common Entrance Test(CET) 2009

THE J&K BOARD OF PROFESSIONAL ENTRANCE EXAMINATIONS APPLICATION FORM FOR COMMON ENTRANCE TEST -2009 Form No. Roll No. IMPORTANT LETTERS:- Please read the instructions given in the brochure carefully before filling up the form. Use Black Ball point pen only. Writ in capital letter only. Staple documents with the duplicate copy of the application form. Note: Writ the relevant codes in the Boxes. 1. Course for admission, in order of preference (See codes on back side) 2. Category Code 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 (see code on back side) 3. Full Name, as recorded in matriculation certificate, leave a box between parts of the name. 4. Father's Name , leave one box between parts of the name 5. Date of Birth 6. Age as on 31-12-2009 7. Sex 8. Are you a state subject DD MM YY YY MM DD 9. Marital Status 10. Examination Centre Code option 11. Subjects combination offered (Write the code of centre in the box) 12. Govt. Run Medical Colleges options 13. College options for B.D.S for MBBS, in order of preference in order of preference 1 2 3 1 2 3 14. University option for B.V.Sc & A.H in order of preference 15. Marks obtained 16. Marks obtained 1 2 In Biology in Chemistry 17. Marks obtained 18. Marks obtained 19. Marks obtained 20. Percentage of marks in Physics in Mathematics in class-XII in class-XII 21. Percentage of marks 22. Percentage of marks in Bio. + Chem.+ Phy. Chem. Phy. + Mathematics. 23. Write Name & Complete Mailing Address in Block Letters 24. Left hand thump Impression of the candidate 25 Signature of the candidate Sign in the box Telephone No.______________________ E-Mail ID._________________________ SCANNABLE Code M1-Male M2-Female Code Y1=Yes Y2=No. Code M1= Married U2= Unmarried Code Code J1 1= Jammu S33= Srinagar Code A1= Physics, Chemistry, Math or B2 = Physics, Chemistry, Biology or C3 = Physics, Chemistry, Math, Bio Distt. Pin Code PHOTOGRAPH 1. Paste here photo (do not staple) 2. The photo should not exceed this box 3. The photo to be affixed should be attested. 4. If the photo is not clear the application will be rejected. 26. Declaration: I hereby solemnly declare that the information recorded above is correct and nothing has been concealed. In the event of any information found false or incorrect and detected before or after the examination, the BOPEE is authorized to cancel my candidature for selection / admission. Besides, I shall also be liable for civil and criminal proceedings. I have read the provisions in the information Brochure and I hereby undertake to abide by them. Place:____________ Date:____________ Signature of candidate I have fully read the information furnished by my Son / Daughter / Ward and affirm that it is true and if it is proved that the information is fraudulent. I shall be liable to criminal persecution. Date: _____________ Signature of Father / Mother / Guardian (*if Father & Mother not alive) I. CODES FOR FILLING APPLICATION FORM 1. Codes for courses of study ( SR. No.1) A. MBBS : Govt. Medical College, Srinagar. B. MBBS : Govt. Medical College, Jammu. C. MBBS : SKIMS, Srinagar. D. MBBS : ASCOMS (Payment Seats) E. MBBS : (Poor & Backward) F. BDS : Govt. Dental College, Srinagar G. BDS : Govt. Dental College, Jammu H. BDS : Institute of Dental Science, Sehora (Payment Seats) I. B.V.Sc : SKUAST, Kashmir (Free Seats) J. B.V.Sc : SKUAST, Jammu ( Free Seats) K. B.V.Sc : SKUAST, Kashmir (Payment Seats) L. B.V.Sc : SKUAST, Jammu (Payment Seats) M. BAMS : Jammu Institute of Ayurveda & Research, Jammu (Payment Seats) N. BAMS : Jammu Institute of Physiotherapy (Payments Seats) O. Physiotherapy : Jammu Institute of Physiotherapy (Payment Seats) P. Physiotherapy : Jammu Institute of Physiotherapy (Poor & Backward) Q. B.E : (GCET & Private Engineering Colleges) R. B.Sc. Agri, B.Sc Forestry, B.Sc. Sericulture, B. Tech Agri. Engineering, B.Sc. Horticulture, B.F.Sc. (SKUAST-Kashmir, SKUAST-Jammu ( Fee & Payment Seats) Nursery etc. Courses, SKIMS, Srinagar. IV. CODES FOR DENTAL COLLEGES (SR. NO.13) J1 : Govt. Dental Colleges, Jammu. J2 : Govt. Dental Colleges, Srinagar. J3 : Private Dental College, Sehora (payment Seats) II. CODES OF CATEGORIES (SR. NO.2) A06: Open Merit B07: Schedule Caste (SC) C08: Schedule Tribe Gujar & Backerwal (STGB) D09: Schedule Tribe Leh. Distt. (STL) E10: Schedule Tribe Kargil Distt. (STK) F11: Other Schedule Tribes (STO) G12:Weak & Under Privileged Classes (OSC) H13:Residents of Backward Area (RBA) I14: Residents of Area Adjoining Actual Line of Control (ALC) J15: Children of Defence Personnel Permanent Resident of J&K State (CDP) K16:Sports Category (SP) L17:Children of State Police Personnel & Paramilitary Forces Permanent Resident of J&K State (JKPM) M18:Poor & Backward Families V : CODES UNIVERSITIES FOR B.V.Sc & A.H.(SR. No. 14) J1 : SKUAST, Jammu. J2 : SKUAST, Srinagar III : CODES FOR GOVERNMENT RUN MEDICAL COLLEGES SR. NO. 12 A01 : Govt. Medical Colleges , Srinagar B02 : Govt. Medical Colleges, Jammu C03 : SKIMS Medical College, Bemina Srinagar