Sr. No.

______________

PUNJAB AGRICULTURAL UNIVERSITY, LUDHIANA

APPLICATION FORM FOR
FOR OFFICE USE ONLY Whether correct amount deposited

CET

AAT

(Tick " the appropriate box) Yes No Name of the Programme ____________________

Paste a passport size photograph with gum and then get it attested

Academic Session 2013-14

__________________________ Signature of the checking official IMPORTANT: The candidate must read the instructions at overleaf.

Roll No.

ENTRANCE TEST FEE

(To be filled in by the Candidate) Amount Rs. ________________________

1. Candidate's Name in Capital Letters (leave one box between First, Middle and Surname)

2. Father's Name in Capital Letters (leave one box between First, Middle and Surname)

Bank Draft No. ______________________ Dated _____________________________

3. Mother's Name in Capital Letters (leave one box between First, Middle and Surname)

Bank _____________________________ Branch ____________ City ____________

4. Address for correspondence (in Capital Letters)

NOTE: 1. Bank Draft of ` 2360 should be in favour of the Comptroller, PAU,Ludhiana. 2. Write Sr. No. of application Form, your name and mobile number on the Back of Bank Draft.

Pin Code _________________________ Ph. No. with STD Code ___________________________ Mobile ______________________________ 5. Stream for CET applicants 6. Stream for AAT applicants Medical General Science SC Yes ST No Yes Yes Non-Medical Agriculture BC SP FF AF TA DP KM TSA GEN Agriculture

7. Category* (ies) under which admission is sought 8. Are you a Ward of PAU Employee/Faculty

(If yes, Please specify place of Posting) ____________________ No No

9. Are you a resident of Punjab/Union Territory of Chandigarh 10. Whether passed 10th standard from PAU Model School, Kauni 11. Particulars of Qualifying Examination Passed/Appeared Examination University/Board College/School

Subjects/Stream

Year of Passing

Marks Obtained

Total Marks

%age of Marks

12. Are you pursuing any degree?

Yes

No

(If yes, Please specify when it will be completed) ___________________

13. I solemnly declare that I have filled in the application form in my own hand. I further confirm that I am a resident of Punjab/ Union Territory of Chandigarh. I understand that if the above information is found incorrect at any stage, my candidature for the CET/AAT (PAU) and admission based on the test shall stand cancelled. (Signature of the Candidate)

I certify that the overleaf information provided by my ward, whose photograph appears on this form, is correct.

Place ________________________________

Date ___________________

(Signature of the Parents/Guardian)

14. Attestation by the Head of the Institution being attended or last attended/Gazetted Officer It is certified that the particulars given in this form by ______________________________________________________________________ S/D/o _________________________________________________________________________ are correct to the best of my knowledge and he/she bears a good moral character. He/She has passed/appeared in _________________ examination in the year __________________

(Signature of the Attesting Authority with seal)

ABBREVIATIONS USED AT OVERLEAF

CET : Common Entrance Test for admission to B.Sc. Agriculture (Honours) 4-Year programme, B.Sc. Biotechnology (Honours) 4-Year programme, B. Tech. Food Technology (Honours) 4-Year programme and 5Year Integrated M.Sc. (Hons) programme in Biochemistry, Botany, Chemistry, Microbiology, Zoology. AAT : Agriculture Aptitude Test for admission to B.Sc. Agriculture (Honours) 6-Year programme PAU : Punjab Agricultural University *CATEGORY: SC ST BC SP FF AF TA DP : Scheduled Caste : Scheduled Tribes : Backward Class : Sports Person : Freedom Fighter : Armed Forces : Terrorist Affected : Disabled Person

IMPORTANT INSTRUCTIONS
1. At the time of applying for CET/AAT (PAU), only this Green colour application form (with 2 passport size photographs), Admit card and Bank draft should be submitted. No other document/certificate is required to be submitted with this form. 2. Admit card with photograph affixed on it (not stapled) and three signatures at the bottom of the admit card should be submitted. 3. Bank draft for ` 2360/- must be in favour of the Comptroller, PAU, Ludhiana payable at Ludhiana should be submitted (otherwise application will be rejected). 4. The applicants who have downloaded the application form from the PAU website are required to submit the bank draft of ` 3600/- in favour of the Comptroller, PAU, Ludhiana payable at Ludhiana (otherwise application will be rejected). 5. The application form must be signed by the candidate, parents/guardian and duly attested by the competent authority. 6. Application form is to be submitted well in advance so as to reach on or before the due date in the office of The Registrar, Punjab Agricultural University, Ludhiana141004. 7. Candidates who have qualified entrance test for CET/AAT must bring the white color form alongwith documents at the time of counseling.

KM : Kashmiri Migrant TSA : Tsunami Affected GEN : General

Last date for receipt of application form: Without late fee With late fee of ` 1000 08-05-2013 15-05-2013