8/13/2019 6038_2

1/3

Read Instructions given at the end of

Candidate Name :

Gender: Date of Birth:

Address of Communication:

Phone No:

E-Mail :

NAME & ADDRESS OF PARENT/GUA

Parent Name:

Add

the second page carefully.

: Category:

Mobile:

RDIAN

FORM NO

EXAM CODE

andidate Signature

CHOICE OF CENTER

B. P. Semwal

Bank Name:-State Bank of India

I

BHARATI VIDYAPEETH DEEMED UNIVERSITY, PUNE

BAGWAN\M S BagwanDigitally signed by BAGWAN\M S BagwanDN: CN = BAGWAN\M S BagwanReason: I am the author of this documentDate: 2011.02.23 12:09:49 +05'30'

CET online Application Form-2014-15

For Admission to

6038

MBBS/BDS/BAMS/BHMS 2014 11

PREETI SEMWAL

Female 23 Nov 1995 Open

A-7,70-71,SECTOR-17,

ROHINI,DELHI-110089, City :- NEW DELHI, State:- Delhi, Pin:- 110089

011-27859728 9555031042

SUMITGHILDIYAL20@GMAIL.COM

Passin Yearar s ta ne

Outof 352

500

2013

HSC/12th Marks Details

Demand Draft Details

DD No:-770037 Amount:-2200

10th Marks Details

2011

8.6

10

8/13/2019 6038_2

2/3

Add

Declaration - I

Date: Signature of the Candidate

Name of the Candidate:

DeclarationII

A. I, the parent / guardian of (applicant) hereby declare that I am aware of

the financial obligations of admitting my child / ward to the colleges of

Bharati Vidyapeeth University. I also endorse the declaration made above

by my child/ward.B. I agree to pay the Tuition fee and Other Fees to the Institution as fixed

from time to time as per the rules.

C I h d ll h l i h f C E T

A. I hereby declare that the information filled online in this form is true and

Complete to the best of my knowledge. I am aware that if any information

herein is found to be incorrect or incomplete, my application form will be

rejected / admission will be cancelled.B. I have studied and understood the Rules Of Admission Procedure and Fee

Structure and agree to abide by these rules.

C. I have read and understood all the provisions contained in the Prospectus

and hereby agree to abide by these provisions.

D. I am aware that any legal matters arising out of the total admission

process through All India Common Entrance Test of Bharati Vidyapeeth

University, Pune 30 will be subject to courts of Pune jurisdiction

Maharashtra.

PREETI SEMWAL

8/13/2019 6038_2

3/3

This Page to be pasted on a 10 inch X12 inch size envelop

To,

CET-Online Registration Department,2

ndFloor, Bharati VidyaPeeth University

L.B.S. Road, Navi Peth,

Pune, Maharashtra.

Pin:: 411030

Bharati Vidyapeeth Deemed University

Social Transformation through ynamic EducationCET-Online application form for::

From: Form No:

MBBS/BDS/BAMS/BHMS 2014

6038

PREETI SEMWAL

A-7,70-71,SECTOR-17,

ROHINI,DELHI-110089, City :- NEW DELHI,

State:- Delhi, Pin:- 110089