त मलनाडु के य व व व यालय

(संसद वारा पा रत अ ध नयम 2009 के अंतगत था पत)

CENTRAL UNIVERSITY OF TAMIL NADU
(Established by an Act of Parliament, 2009)
Neelakudi, Thiruvarur-610101.

APPLICATION FOR CUTN ENTRANCE TEST–2021(UG / PG PROGRAMME)

1.NAME OF THE CANDIDATE :

(As given in the School Certificate
SSLC/HSC/10+2)
2. FATHER'S NAME :

3. MOTHER’S NAME :

4. DATE OF BIRTH (DD-MM-YYYY) :

5. GENDER(Male/Female/Others) :
6. Category(GEN/OBC/SC/ST / EWS/ PWD
/ Defence) :
7. Nationality :
8. Address for Communication:

9. Contact No (Mobile and Landline)

10. Email Address (Please provide a valid
active email address):
11. Fee Rs.800/- for GEN / Rs. 350/- for SC/ST/PWD/Others
12. DETAILS OF QUALIFYING EXAMINATION:
Name of the
Exam Year of Passing Percentage
University/Board
HSC
UG

Others

13. Programme applied for

DECLARATION

Ideclarethat the particularsfurnishedabovearecorrect to the best of my knowledge. If found incorrect at any

point of time, my candidature can be cancelled. I undertake that I will abide by the rules and regulations of the
University.

Date: - SignatureoftheApplicant
Instructions:
1. The Online CUTN Entrance Test date will be notified to the registered candidates by email by the concerned
Department.
2. The admissions will be strictly on the basis of GOI norms. OBC (Non-Creamy Layer) candidates have to
produce appropriate certificates, the format of which is available in the University website.
3. The seats of SC / ST are interchangeable, if the seats are not filled by concerned category.
4. Mere applying or appearing in the entrance test does not entitle admission.
5. Filled application with the following attachments to be sent to the concerned Department by email.
i) HSC Marksheet
ii) BA / UG Mark Sheet
iii) Community Certificates as per GOI norms
iv) PWD / EWS / Defence Certificates as per GOI norms