Application Form (INDIAN COUNCIL OF AGRICULTURAL RESE...

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NOTE :: Please verify that Form No. will be same on all the pages like Address Slip, Main
Form, Admit Card and Challan(Payment Slip).
Address Slip (To be pasted on envelope by Applicant)
ONLINE APPLICATION FORM FOR(AIEEA-UG-2015)
By Speed / Registered Post
To,
Form No :-719789

From :: MANONMANI B(719789)

NO.642, KRISHNA COMPLEX, NEHRUJI
ROAD,
VILLUPURAM, VILLUPURAM,
Tamil Nadu - 605602

The Controller of Examinations (Agril.

Edn.),
Exam Cell, Education Division, ICAR,
Room No. 216, Krishi Anusandhan
Bhavan-II,
Pusa, New Delhi -110 012

2/18/2015 7:53 PM

Application Form (INDIAN COUNCIL OF AGRICULTURAL RESE...

http://icarexam.net/PrintOutForm.php

INDIAN COUNCIL OF AGRICULTURAL RESEARCH

ICAR's 20th All India Entrance Examination for Admission to Bachelor Degree Programmes and Award of National
Talent Scholarship (AIEEA-UG-2015) in Agriculture and Allied Subjects other than Veterinary Science for the

UG

ACADEMIC SESSION 2015-2016

Candidate's Name:
Father's Name:
Mother's Name:
Date of Birth:

MANONMANI B
BALACHANDAR C
MAITHILI B
22/11/1997

Exam City Center:

07 - CHENNAI

School Board:
State of Domicile:

Tamil Nadu Board of Highe r Secondary Education

Tamil Nadu

Subject Group:

Biology

Stream:

A - Agriculture /
Biology

Category:
Phone:
Nationality:

OBC (Non-Cre amy laye r)

Sex:
Mobile:

Female
9994471281

Place of Residence:

Town

Paper Medium:
Type of Institution:

ENGLISH
Private
Class X:
Class XII:

95%

Form No.

719789

INDIAN

Percentage of total aggregate marks obtained:

Signature of Student

Right Thumb Impression

Subject Taken in Class XII:
Yr. of Passing /appearing class XII:
Percentage marks in Class XII in PCMB:

1. Physics
2015

2. Che mistry

3. Biology

4. Maths

5. English

Percentage marks in English

Address:
Mode of Payment:

NO.642, KRISHNA COMPLEX, NEHRUJI ROAD, VILLUPURAM, VILLUPURAM, Tamil Nadu - 605602
Through Online Payme nt Gate way

Please Write underlined part of the Declaration Given Below In own Handwriting

De claration: I here by solemnly affirm that all the particulars state d by me in this Application are true and correct. I have not conce ale d any information. Howe ve r, if any
information furnished he re in is fraudule nt, incorre ct or untrue , I unde rstand that I am liable to criminal prosecution and I also agre e to fore go my admission. Further that the
selection and admission to the course is liable to be cance lled at any time during the e ntire de gre e program. I agree to abide by the rule s and regulations gove rning the
e xamination as containe d in the Information Bulle tin, which I have duly studie d and unde rstood thoroughly.

Date :
Signature of the candidate in running hand (NOT IN CAPITAL LETTERS)
I have fully re ad the information furnishe d by my son / daughter / ward and affirm that it is true and if it is found at any stage that the information is fradulent, I am liable to criminal
prose cution.
Date ............................

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Place ........

Signature of Fathe r / Mothe r / Guardian (*If Father and Mothe r not alive )

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OFFICE COPY
ADMIT CARD
(To be submitte d along with Application positively)

Application Form No.

719789

INDIAN COUNCIL OF AGRICULTURAL RESEARCH

Krishi Anusandhan Bhavan-II, Pusa, New Delhi-110012
th
20 ALL INDIA ENTRANCE EXAMINATION FOR ADMISSION TO BACHELOR DEGREE PROGRAMMES IN AGRICULTURE
AND ALLIED SCIENCE SUBJECTS (OTHER THAN VETERINARY SCIENCES) AND AWARD OF NATIONAL TALENT
SCHOLARSHIP FOR THE ACADEMIC SESSION 2015-16
Roll No:

Name and Address of Candidate

MANONMANI B
NO.642, KRISHNA COMPLEX
NEHRUJI ROAD,VILLUPURAM
VILLUPURAM,Tamil Nadu

Name of the City of Examination :

STREAM: A - Agriculture / Biology Optional Subject: ..................................

Paste your recent passport
size color photograph
(3.5 x 4.5 cm)

Date of Exam:11.04.2015 (Saturday)

Duration: 10:00 AM to 12:30 PM (2 hours)
Reporting Time: 09:30 AM
No Entry After: 10:30 AM
Cannot Leave Before: 12:30 PM

To be attested by
Principal/Gazetted Officer

CHENNAI

Venue :

Thumb Impression

Signature of the Candidate

Controller of Exams (Agril. Edn)

CANDIDATE COPY
(TO BE RETAINED BY THE CANDIDATE)
ADMIT CARD
Application Form No.

719789

INDIAN COUNCIL OF AGRICULTURAL RESEARCH

Krishi Anusandhan Bhavan-II, Pusa, New Delhi-110012
th
20 ALL INDIA ENTRANCE EXAMINATION FOR ADMISSION TO BACHELOR DEGREE PROGRAMMES IN AGRICULTURE
AND ALLIED SCIENCE SUBJECTS (OTHER THAN VETERINARY SCIENCES) AND AWARD OF NATIONAL TALENT
SCHOLARSHIP FOR THE ACADEMIC SESSION 2015-16
Roll No:

Name and Address of Candidate

MANONMANI B
NO.642, KRISHNA COMPLEX
NEHRUJI ROAD,VILLUPURAM
VILLUPURAM,Tamil Nadu

Name of the City of Examination :

STREAM: A - Agriculture / Biology Optional Subject: ..................................

Date of Exam:11.04.2015 (Saturday)

Duration: 10:00 AM to 12:30 PM (2 hours)
Reporting Time: 09:30 AM
No Entry After: 10:30 AM
Cannot Leave Before: 12:30 PM

Paste your recent passport

size color photograph
(3.5 x 4.5 cm)
To be attested by
Principal/Gazetted Officer

CHENNAI

Venue :

Thumb Impression

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Signature of the Candidate

Controller of Exams (Agril. Edn)

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Application Form (INDIAN COUNCIL OF AGRICULTURAL RESE...

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Entrance Exam (AIEEA-UG-2015) Fee Deposit Challan

(Candidate's Copy)

ICAR, Education Division, KAB-II, Pusa, New Delhi

Academic Year 2015-16
Canara Bank (Online Payment)
Exam Fee Paid:
Under-graduate (UG) Programme:
OBC (Non-Creamy layer) Category
Bank Commission:
Total Fee Paid:
719789_171977

Name:
Father`s Name:
Address:

Phone/ Mobile No.:

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ICAR, Education Division, KAB-II, Pusa, New Delhi

Academic Year 2015-16
Canara Bank (Online Payment)
Exam Fee Paid:
Under-graduate (UG) Programme:
500
0
500

Transaction ID No.:
Particulars of Candidate
ONLINE Application Form No.:

Entrance Exam (AIEEA-UG-2015) Fee Deposit Challan

(ICAR's Copy)

OBC (Non-Creamy layer) Category

Bank Commission:
Total Fee Paid:

500
0
500
719789_171977

719789

Transaction ID No.:
Particulars of Candidate
ONLINE Application Form No.:

MANONMANI B

Name:

MANONMANI B

BALACHANDAR C
NO.642, KRISHNA COMPLEX,
NEHRUJI ROAD, VILLUPURAM,
VILLUPURAM, Tamil Nadu

Father`s Name:

BALACHANDAR C
NO.642, KRISHNA COMPLEX,
NEHRUJI ROAD, VILLUPURAM,
VILLUPURAM, Tamil Nadu

9994471281

Phone/ Mobile No.:

Address:

719789

9994471281

2/18/2015 7:53 PM