UPSEE 2013: Instructions for filling up the Application Form

(A) DO NOT
(i) cut, scribe, tear, fold, staple, pin, tag the OMR Application form.
(ii) use photocopy / reproduction / duplicate copy of OMR Application form.

(B) DO
(i) use only the OMR Application form purchased from any of the designated sale centres.
(ii) write in rectangular boxes (ı) of all the items of OMR Application with Black Ball Pen and darken the corresponding circles (O); with HB Pencil only.
(iii) erase completely to change the response.
(iv) read carefully the entire Information Brochure before filling the OMR Application Form.
(v) paste only Black / White photograph on OMR application form.

(C) CLARIFICATION FOR FILLING UP OMR APPLICATION FORM:

(1) Name of the Candidate: Write your FULL NAME (in English Capital Letters) as recorded in your High School or equivalent examination certificate. Write one letter in one rectangular box ı and leave a box blank between any two parts of the name. Darken the corresponding circle (O) below each letter. Do not darken any circle below a blank box. Do not overshoot the boxes. Do not use prefix such as Shri / Mr. / Km. / Ms. etc. with your name. Abbreviate the middle name only if necessary to accommodate your name in the boxes provided.

(2) Father’s Name: Write FULL NAME (in English Capital Letters) as recorded in your High School or equivalent examination certificate. Write one letter in one rectangular box ı and leave a box blank between any two parts of the name. Darken the corresponding circle (O) below each letter. Do not darken any circle below a blank box. Do not overshoot the boxes. Do not use prefix such as Shri / Mr. / Dr./ Late etc. with the father’s name.

(3) Date of Birth: Write your date of birth exactly as recorded in your High School or equivalent examination certificate. Use English numerals 01 to 31 for filling the date; first three letters of the month for filling the month; and English numerals to write in the two rectangular boxes for filling the year of birth. Then, darken the corresponding circles for date, month and year of birth.

(4) Nationality: Write code of your Nationality (1/2) in the rectangular box and darken the corresponding circle (O).

(5) Gender: Write 1 or 2 depending upon your sex, Male (1) or Female (2), in the rectangular box and darken the corresponding circle below.

(6) Parent’s Domicile: Write (1) inside the rectangular box if at least one of your parents (Father/Mother) is domicile of U.P., (2) if none of your parents is domicile of U.P. and (3) if belongs to clause 8.5 of Information Brochure. Darken the corresponding circle below.

(7) Qualifying Examination / Year:

(a) Write 1/2/3/4/5/6/7 inside the rectangular box of 7(a) depending upon whether you have passed or are appearing in Intermediate (10+2)/ Diploma in Engg./Diploma in Pharmacy/ Diploma in Agriculture Engg./Diploma in Architecture/B.Sc. respectively and darken the corresponding circle.

(b) Write 1/2 inside the box depending upon whether you have passed or appearing in qualifying examination from a school/college located in the State of U.P. (1) or other than U.P. (2) and darken the corresponding circle.

(c) Write year of passing of qualifying examination in the rectangular box and darken the corresponding circle.

(8) Subjects in (10+2): Write subject code number(s) in the rectangular box depending upon the subject group in which you have passed / are appearing in, Intermediate or (10+2) or equivalent examination. For example: for Physics, Chemistry, Mathematics & Computer Sc. write 1,2,3 & 7 and for Physics, Chemistry & Biology write 1,2 & 4. For Agriculture group write 8, if the subjects in 10+2 is not from 1 to 9 write 10 in the rectangular boxes and darken the corresponding circle. For Diploma holder candidate, write 11 in the rectangular box and darken the corresponding circle. (9) Choice of city for examination: Indicate two choices for city of examination from where you wish to appear in UPSEE-2013 by filling the city codes in the rectangular boxes. Darken the corresponding circles below. Refer to Appendix-E of the Information Brochure for city code.

(10) Category:

(a) Category: Write 1,2,3,4,5,6,7,8 and 9 in the rectangular box depending upon whether you are a candidate of UPGE (1), UPSC (2), UPST (3), UPBC (4), UPGD (5), GDSC (6), GDST(7), GDBC (8), GDDA (9). Darken the corresponding circle.

(b) (i) Sub-Category: Write 1/2/3/4/5 in the rectangular box depending upon whether you belonging to sub-category UPFF (1) / UPAF (2) / UPHC (3) / UPGL (4) or do not belong to any of these sub-categories (5) Darken the corresponding circle. Refer to Clause 9.2 to 9.8 of this Information Brochure.

(ii) If you belong to Sub-Category UPHC, Write 3 in rectangular box as per type of handicapness and darken the corresponding circle. The details of types of handicapness are given in clause- 11.2

(c) Weightage Claimed: Write 1 or 2 in the rectangular box depending upon whether you want to claim rural Weightage (1) for YES or do not want to claim rural weightage (2) for NO. Darken the corresponding circle. Refer to clause 10 of this brochure for weightage eligibility.

(11) Mother’s Name Write FULL NAME (in English Capital Letters). Write one letter in one rectangular box ı and leave a box blank between any two parts of the name. Darken the corresponding circle (O) below each letter. Do not darken any circle below a blank box. Do not overshoot the boxes. Do not use prefix such as Smt / Mrs. / Dr./ Late etc. with the mother’s name.

(12) Contact Phone Number: Write your mobile number in rectangular boxes.

(13) Group of courses and Papers in which you wish to appear in Entrance Examination:

(a) Depending upon the eligibility for admission in first year, write 1 in rectangular box and darken the corresponding circle. For Diploma holder (except Architecture) / B.Sc. Graduates, eligible for direct admission in second year, Write 2 in rectangular box and darken the corresponding circle.

(b) Depending upon your eligibility, select any one or more than one course as per your choice in which you want to seek admission in first year. Write code(s) in rectangular box & darken the corresponding circle(s) for the chosen courses.

(c) Depending upon your eligibility for lateral entry in second year, write 1 or 2 or 3 in rectangular box and darken the corresponding circle.

(d) Write code(s) in rectangular box and darken the corresponding circle(s) for the choices (see clause 4.4 & 3.1). Example: If you opt B.Tech. write codes 1 and darken the corresponding circles in 12(d). If you opt B. Tech. and B. Arch., darken codes 1 and 4 in 12(d).

(14) Declaration: Make the declaration by putting your signature at the prescribed place. Get it countersigned by your parent / Guardian. Also, write the date on which the declaration has been made.

(15) Name and Mailing address: Write your name and complete mailing address including pincode with BLACK BALL PEN in CAPITAL LETTERS inside the box.

(16) Photograph: Paste your recent 3.5 cm x 4.5 cm Black & White photograph with gum inside the rectangular box. DO NOT GET IT ATTESTED. Colour photograph will not be accepted. The photograph which are not clear will be considered as the attempt of the act of impersonatin and application form is liable to be rejected.

(17) Put your signature with black ball pen in the box given.

Click Here for UPSEE 2013 Complete Information

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