Comed K Broucher

7/29/2019 Comed K Broucher

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Instructions For Filling the Application Form

Candidates are advised to go through the instructions carefully before filling up

the application form.

General Instructions to Candidates

Please ensure that you have the following documents ready at hand before you

start filling up the Online Application Form

Note: Send the Application in A4 size envelope only. Do not fold the application

form.

Demand Draft drawn in favour of"COMEDK", payable at Bangalore for

Rs.700/- for 3 subjects (PCM or PCB) for MBBS/BDS or B.E and Rs.900/-

for 4 subjects (PCMB) for MBBS/BDS and B.E. Check for the bankers signature on the Demand Draft before sending to

COMEDK.

Look to the sample filled in online application before you start filling your

online application.

Ensure that the online application form is filled up properly and completely.

After you have filled your online application form, click on the Preview

button. This will enable you to check all the entries made by you and to

correct, if necessary.

Once you are satisfied about all the entries, click on the submit button.

The server will assign you an application number, and provide the facility to

view/print your online application form with the details you have filled, along

with the application number.

Only after verifying the details take a printout of the Online Application

Form and Online Date of Birth Certificate / Identity proof (COMEDK

and Candidate Copy)

The completed application form must have the signature, left forefinger

impression of the candidate and candidates parent/guardians signature.

Kindly do not send any original documents along with the application

form.

Kindly stick your recent (not older than six months) passport size colour

photograph only in the space provided. Application Form with smudged /tampered / hazy photograph or photograph older than 6 months will be

Rejected.

Photographic mismatch would result in debarring the candidates writing

COMEDK UGET-2010

Do not staple or pin the photograph on the application form. Do not Sign and

no attestation is required on the photograph.

Please adhere to the time schedule enlisted in the calendar of events.

Incomplete / incorrect applications are liable to be rejected without prior

information to the candidate.

Multiple application form received from the same candidate will result in

confusion and may result in disqualification.


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Demand Drafts in excess of the prescribed fee (Rs.700/- or Rs. 900/-) if sent

by the candidate will not be refunded.

Non refundable fee for taking COMEDK UGET-2010 and attending

centralized counseling if eligible is Rs. 700/- or Rs. 900/-.

COMEDK is not responsible for any error the candidate makes while filling

up the Application Form. COMEDK will not entertain any changes in the application form and no

refund will be made.

Candidates who are listed in the Red List featured on our website need to

contact COMEDK Help desk (080-41132810) for clarifications.

COMEDK is not responsible for any loss / delay / damage which might occur

during Postal or Courier delivery.

Any application received after the last date will be rejected.

Completed application forms are not received in person either in

COMEDK office or any member institution.

Candidates who send Rs.900/- DD for the Entrance Test but have marked

or opted for only 3 subjects (PCM/PCB) would be allowed only for thesame 3 subjects as indicated.

Please send the following along with the completed Application Form:

Demand Draft drawn in favour of"COMEDK", payable at Bangalore for

Rs.700/- (Seven Hundred Only) for 3 subjects (PCM or PCB) for

MBBS/BDS or B.E and Rs.900/- (Nine Hundred Only) for 4 subjects

(PCMB) for MBBS/BDS and B.E. Application number, applicants name &

contact Number to be written at the back of the Demand Draft . Check for thebankers signature on the Demand Draft.

An additional copy of your recent passport-size colour photograph with the

application number & applicants name to be written on the back of the

photograph.

Printed Online Application Form

Printed Online COMEDK Copy of the Date of Birth Certificate / Identity

Proof(Once you submit your online form, you will also have a provision to

print a format of this form, which must be attested by the Head of the Institution

where he/she last studied or Gazetted officer not below the rank of Tahsildar of

the area in which he/she is a resident). The online candidate copy of Date of

Birth Certificate / Identity Proof should be retained with the candidate.

Note: Avoid stapling of Demand Draft and additional photograph to the application

form. Instead use clips

Note: The recent passport size photographs to be provided have to be identical.

It should not be more than 6 months old. Application with smudged/tampered or

hazy photograph will not be accepted. Any application received not adhering to

these specifications will be rejected without any clarifications and no refund will

be made. The decision of the COMEDK Committee on this would be final and

binding.


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The completed Application Form has to reach the COMEDK office by Speed Post or

Courier on or before Saturday the 17th April 2010 to the following Address.

The Executive Secretary - COMEDK,

# 37, First Floor, Ramanashree Chambers,Lady Curzon Road, Bangalore-560001,

Karnataka.

Explanation of the fields that needs to be filled up in the application form

1. Applicant Name

Enter your full Name (as it appears in your 10th STD Marks Card), your name

should not exceed 30 characters including the blank spaces.

2. Date of BirthProvide your date of birth in DD/MM/YYYY format only.

For e.g.: If your date of birth is 3rd September 1989, fill as 03/09/1989.

3. Test Location Choice

Please select the city/town of your choice, where you wish to take up your entrance

examination.

For e.g.: If you wish to take up the exam in Bangalore, select Bangalore from the

list of test centers.

4. Course Applying for

For e.g.: If you intend to apply for MBBS/BDS, select MBBS/BDS, if you intend to

apply for BE, select BE, if you intend to apply for both then select Both.

5. Gender

Select the appropriate option.

6. Nationality

Select your nationality.

7. Belongs to

Select the type of Domicile Karnataka / Non-Karnataka.By Birth/Domicile

If Karnataka, Select type of Domicile i.e. By Birth / By Domicile.

If you do not fall into the above two categories please select Non-Karnataka.

8. Category

Select the Category you belong to. (Applicable to Karnataka origin candidate/s only)

OBC

If OBC, Select CAT 1, CAT 2A, CAT 2B, CAT 3A and CAT 3B. (Applicable to

Karnataka origin candidate/s only)

Note: By selecting Minority option you can claim only for Linguistic or Religiousminority, if you belong to any.


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Minority

Select Linguistic / Religious Minority

Claims of Minority Status (Religious/Linguistic) made by candidates as belonging to

Karnataka origin, is not verified while sending Test Admission Ticket for COMEDK-

UGET 2010. However, if such a candidate qualifies for attending centralizedcounseling, it will be his/her responsibility to furnish original documents issued by

competent authorities to the satisfaction of COMEDK authorities, failing which they

will be considered only under All India General Merit. (Ref: Appendix-IV for format

of certificate)

Note :

Declaration once made in the application with regard to the category status like SC, ST,

OBC, Minority etc., will not be changed subsequently either prior to test or counseling.

Hence candidates are cautioned to fill in with great care about the category status.

9. AddressProvide your address for communication. Kindly note that all formal communications

from COMEDK will be sent to you at this address only. Please use blank spaces to

separate words.

Kindly avoid Roman letters in your address. Do not mention your City, State and

Pincode in the address field.

10. City

Select the city from the list. If you are from any other city that is not listed in the

table, select "Others" in the list and fill in your city name in the space provided (The

city mentioned has to be same for the address mentioned in the address column.)

11. State

Select the State from the list (The State mentioned has to be same for the address

mentioned in the address column.)

12. PIN Code

Enter the appropriate 6-digit PIN code.

13. Phone No.

Enter your Phone number with the relevant STD Code, use zero prefixed to the STD

code and do not leave any blank spaces between the STD code and your telephone

number. For e.g.: If your STD code is 080 and your telephone number is 12345678,

then your full telephone number will be 08012345678

14. Mobile No.

Enter your Mobile number.

Note: Any one of the contact detail is mandatory.

15. Email-ID

Enter your Email-ID.

16. Parent's/Guardian's NameEnter your Parent's/Guardian's name


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17. Payment Details

DD No.: Enter the six-digit DD number.

Drawee Bank: Select the drawee bank from the list. If any other bank that is not

listed in the table, select "Others" in the list and fill in your bank name in the spaceprovided.

18. Name of the Institution Last Studied

Enter the name of the Institution you have last studied in the space provided. (2nd

PUC or 10+2)

19. Place of the Institution

Enter the Place of the Institution last Studied in the space provided.

20. Year of passing

Select the year of passing. (2nd PUC or 10+2).

Declaration

The candidate and the candidates parent / guardian must both sign the declaration in

the spaces provided for the same in the application form. The Date and Place must

also be filled up in the application form. After the submission of the online

application form, the candidate should take a print of his/her Online Date of Birth

Certificate/Identity Proof (COMEDK Copy and Candidate Copy) made available on

the website, have it attested from the Head of the Institution, where the candidate has

last studied, or Gazetted officer not below the rank of Tahsildar of the area in which

the candidate is a resident and submit the COMEDK Copy along with the printout of

the online application form, the DD and an additional copy of the candidates recent

passport-size colour photograph.

Any application form without the signature and left forefinger impressions of the

candidate and signature of the parent/guardian is liable to be rejected, without further

correspondence.

Note: Status of all Applications received will be available on COMEDK websiteCandidates are advised to check position regarding status of their applications on the

website through Applicant Login by providing their Application No. and Date of

Birth. If a candidates application status is not available on the website, the candidate

may contact COMEDK Help Desk Phone No. 080-41132810 for clarifications.

Documents

Comed K Broucher