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Information about Filling Of application form of GPAT

 

Clinical courses

Instructions for filling and submission of Application Form

Important Information

a) Before you start filling the Application Form, please check that the Application Number printed on (i) Application Form, (ii) Acknowledgement Card and (iii) Envelope are the same. Any discrepancy should be brought to the notice of the Co-ordinator, GPAT.

b) It is essential to quote the Application Number in all future correspondence. The candidates are advised to keep a copy of the filled Application For

c) The Application Form must be folded only along the original fold line. Nothing should be stapled or pinned to it. The Barcode on the Application Form should not be tampered. The Application Form will be declared defective if these instructions are not followed.

d) Change of Examination City is permitted, only if a request for the same reaches the Co-ordinator, GPAT, on or before March 15th , 2010, along with Demand Draft of Rs. 400/- as fee for change of Examination City.

NOTE: Incomplete or defective applications will be rejected outright.

Instructions for filling Application Form and Acknowledgement Card

General

a) The instructions given below for filling the Application Form must be followed meticulously. Refer to the Sample Application Form at the end of this section.

b) For Items 1, 6, 7, 8 10, 11, 12, 14, 15, 16, 17, 18, 19, 20,  the candidate must write the required information in ink with black ball point pen in the boxes provided and then darken the appropriate bubble(s), using dark HB pencil only. In case of any discrepancy in the marked bubble and the corresponding boxes, the information provided through the bubble(s) will be taken as final. The text boxes are provided only for guidance.

c) For Items 1 to 13, the candidate must provide information by filling the appropriate bubble(s) using dark HB pencil only.

d) Darken the appropriate bubble(s) by filling it completely. For correcting any entry, completely erase the previous mark using a soft eraser and remove all smudges before re-filling.

e) Only BLACK BALL POINT PEN must be used for filling Items 14 to 20.

Itemwise Instructions for filling Application Form

Item 1: Name of the Candidate as in 10th Class Certificate, Fill in your name in CAPITAL LETTERS as recorded in the High School (Class 10th) certificate by your Board/ University/Institute and darken the appropriate bubbles. Your name in the GPAT scorecard will appear exactly as filled in the Application Form. In case of any change in the name/surname at any stage has to be duly supported by a proper affidavit.

NOTE: In case, your name has more than 30 characters (including blanks), abbreviate it suitably to accommodate within the space provided. For example, the name RAMAKRISNA VELLURAO VENKATESH KUMAR AYYAR can be abbreviated as,

Item 2: Nationality, Darken the appropriate bubble:

INDIAN or FOREIGNER

Item 3: Gender, Darken the appropriate bubble, MALE or FEMALE.

Item 4: Category, Darken the appropriate bubble:

SC : Scheduled Caste, ST: Scheduled Tribe, OBC: Other Backward Class (non creamy layer), GN: All others

NOTE: Candidate claiming concession for buying Application Form under SC and ST categories must attach a recently obtained and duly attested copy of Caste Certificate, issued by a competent authority (see section 4.3). If the Caste Certificate is found improper, the application will be rejected

Item 5: Person with Disability (PD), Darken the appropriate bubble YES or NO

NOTE: PD candidate claiming concession for buying Application Form must attach an attested copy of Disability Certificate issued by appropriate medical authority. Applications with improper Disability Certificate will be rejected. If any PD candidate requires the services of an Amanuensis, he/she must attach a request for this with the Application Form.

Item 6: Date of Birth, Fill in your date of birth as given in your High School (Class 10th) certificate in the space provided and darken the appropriate bubbles.

Example: If the date of birth is 16th September 1988, fill in as,

Date

 

Month

Year

1

6

0

9

8

8

           

 

Item 7: Choice of Examination Cities, Fill in your choice of two Examination Cities in order of preference as 1st choice and 2nd choice, and darken the appropriate bubbles.

Refer to Annexure II-A, which lists the cities where GPAT 2010 will be conducted and the corresponding three digit CODES.

Item 8: Year of Degree, Fill in the Year of passing / appearing in the qualifying degree examination and darken the appropriate bubbles.

Item 9: Photograph, Paste your recent passport size clear front facial high contrast colour photograph (Size: 3 cm width x 4 cm height) in the box provided. Ensure that the application number is written at the back side of the photograph before it is pasted within the box. Please use good quality adhesive/glue, so that it does not get detached from the Application Form. The photograph should not be stapled. The photograph will be scanned and the scanned image will appear on the admit card as well as the scorecard. The photograph should NOT be attested or signed by anyone.

Item 10: Address for Correspondence, Write your postal address in CAPITAL LETTERS within the box using only black ball point pen. The address should be legible and should include the NAME of the candidate, PINCODE and E mail.

NOTE: Scanned copy of this address will be used directly in all correspondence including mailing of ADMIT CARD and SCORECARD

 Item 11: Full Signature of the Candidate, Sign in full within the box provided, using only black ball point pen. The form must be signed only by the candidate and not by any other person. Signature in the form of initials is not permitted. This signature will be scanned and put on the Admit Card as well as the Scorecard.

NOTE: If the candidate’s signature on the Optical Response Sheet (ORS), at the time of the examination, does not match with the signature on the Admit Card, the candidate will be disqualified.

Item 12: Name of Parent/Guardian, Fill in the name of your mother, father/guardian in CAPITAL LETTERS in the space provided and darken the appropriate bubbles.

Item 13: Relationship of Parent/Guardian to the candidate, Darken the appropriate bubble father/mother/guardian

Item 14: Bank/GPAT Office Pay-in-slip number, Fill in the bank/GPAT Office Pay-in-slip number and darken the appropriate bubbles.

 

Item 15: Details of the Demand Draft enclosed, Fill in the Demand Draft number, date of Demand Draft and darken the appropriate bubbles.

Item 16: Landline Phone with STD Code, Fill in landline number with the STD code including the leading 0, at which you can be contacted. Darken the appropriate bubbles.

Item 17: Mobile Phone with Code, Fill in mobile phone number including the leading 0, at which you can be contacted. Darken the appropriate bubbles.

Item 18: Declaration by the Candidate, Read and sign the declaration using only black ball point pen, and write the Place and Date. The signature must be identical to that in Item 11.

Item 19: Check List, Fill up items in the Check List by ticking in the appropriate boxes.

Item 20: List of Enclosures, Tick YES for the attachments enclosed with the Application Form, otherwise, tick NO.

Filling of Acknowledgement Card

Fill in the Acknowledgement Card with all the required details and enclose it with the Application Form.

Authorities empowered to issue Certificates

SC/ST Category

a) District Magistrate/ Additional District Magistrate/ Collector/ Deputy Collector/ Deputy Commissioner/ Additional Deputy Commissioner/ 1st  Class Stipendiary Magistrate/ City Magistrate/ Sub-Divisional Magistrate/ Taluk Magistrate/ Executive Magistrate/ Extra Assistant Commissioner

b) Chief Presidency Magistrate/ Additional Chief Presidency Magistrate/ Presidency Magistrate

c) Revenue Officer not below the rank of Tashildar

d) Sub-Divisional Officer of the area where the Candidate and/or her/his family normally resides

e) Administrator/ Secretary to Administrator/ Development Officer (Lakshadweep Islands) Certificate issued by any other official will not be accepted.

PD Category

In order to avail concession under PD category, the candidates should ensure themselves that they have attached recently obtained proper PD certificate, which shall be required to be submitted to the admitting institution at the time of admission. The onus of verifying PD certificate lies with the admitting institute. The GPAT committee will not be responsible for any incorrect declaration of his/her PD status.

OBC (non creamy layer)

In order to avail concession under OBC (non creamy layer) category, the candidates should ensure themselves that they have obtained proper OBC (non creamy layer) certificate, which shall be required to be submitted to the admitting institution at the time of admission. The onus of verifying OBC (non creamy layer) certificate lies with the admitting institute. The GPAT committee will not be responsible for any incorrect declaration of his/her category.

Filling and Submission of Application Envelope

On the application envelope, fill in the CODE of the examination city corresponding to your first choice (Item No. 7 of Application Form).

Write your postal address in the designated space. The envelope should be addressed to the Co-ordinator, GPAT corresponding to the 1st Choice of Examination City of the candidate.

Completed Application Form must reach the Co-ordinator, GPAT before Monday, 1st March 2010, by Registered/Speed Post only. It may also be submitted in person at the GPAT office counter.

OTHER INFORMATION ON GPAT :-

Syllabus of GPAT
Info. on Filling Application Form
MHRD Scholarship
Results and Scorecards