BASIC INFORMATION FORM – KARNATAKA CET Twitter IMPORTANT: Before filling this form, make sure that you have prepared study details as in this form. If not, please download this and write on a plain paper, serial number-wise, then upload this in the upload section below. IMPORTANT: ಈ ಅರ್ಜಿಯನ್ನು ತುಂಬಿಸುವ ಮೊದಲು, ನೀವು ನಿಮ್ಮ Study Details ಅನ್ನು ತಯಾರಿಸಿ ಇಟ್ಟಿರುವಿರಿ ಎಂಬುವುದನ್ನು ಖಚಿತಪಡಿಸಿಕೊಳ್ಳಿ. ಇಲ್ಲವಾದಲ್ಲಿ, ಈ ಫಾರ್ಮಾಟನ್ನು ಡೌನ್ಲೋಡ್ ಮಾಡಿಕೊಂಡು ಇದರಂತೆಯೇ ಒಂದು ಖಾಲಿ ಹಾಳೆಯಲ್ಲಿ ಸೀರಿಯಲ್ ನಂಬ್ರ ಪ್ರಕಾರ ಬರೆದು ಫೋಟೋ ತೆಗೆದು Study Details ನಲ್ಲಿ ಅಪ್ಲೋಡ್ ಮಾಡಿ FIRST STEP: Download CET - Study Details Format SSLC DETAILS SSLC / 10th Studied State * KARNATAKA ANDAMAN AND NICOBAR ISLANDS ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHHATTISGARH DADRA AND NAGAR HAVELI DAMAN AND DIU DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU AND KASHMIR JHARKHAND KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ODISHA PUDUCHERRY PUNJAB RAJASTHAN SIKKIM TAMIL NADU TELANGANA TRIPURA UTTARAKHAND UTTAR PRADESH WEST BENGAL Student Name (as in SSLC) * Father's Name (as in SSLC) * Mother's Name (as in SSLC) * Date of Birth (as in SSLC) * Gender * Male Female PUC DETAILS II PUC Studied State * KARNATAKA ANDAMAN AND NICOBAR ISLANDS ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHHATTISGARH DADRA AND NAGAR HAVELI DAMAN AND DIU DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU AND KASHMIR JHARKHAND KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ODISHA PUDUCHERRY PUNJAB RAJASTHAN SIKKIM TAMIL NADU TELANGANA TRIPURA UTTARAKHAND UTTAR PRADESH WEST BENGAL II PUC Study Type * Regular Student Private Student / Distance Study II PUC Passing Year * 2022 2021 2020 2019 2018 2017 2016 12th Standard Board Name / University Name * Dept. of Pre University Education, Bangalore CBSE ICSE Any Other II PUC / 12th Standard Results Declared? * Yes No RESERVATION DETAILS Social Category * General (Above ₹8 lakh Income) General-EWS(Below ₹8 lakh Income) Cat.1 2A 2B 3A 3B SC ST Choose Correct Category Total Years of Studies in Karnataka (Class 1 to 12th Standard) * 1 2 3 4 5 6 7 8 9 10 11 12 ಕರ್ನಾಟಕ ರಾಜ್ಯದಲ್ಲಿ ವಿದ್ಯಾಭ್ಯಾಸ ನಡೆಸಿದ ಪೂರ್ಣ ವರ್ಷಗಳು (1ನೇ ತರಗತಿಯಿಂದ 12ನೇ ತರಗತಿವರೆಗೆ) Exam Center (City) Preference - I * ALAND ANEKAL ANKOLA ARASIKERE ARKALGUD ATHANI AURAD BAGALKOT BAGEPALLI BAILAHONGAL BALLARI BANGARPET BANHATTI BASAVAKALYAN BELAGAVI BENGALURU BHADRAVATHI BHALKI BHATKAL BIDAR CHALLAKERE CHAMARAJANAGAR CHANNAGIRI CHANNAPATNA CHANNARAYAPATTANA CHIKKABALLAPUR CHIKKAMAGALUR CHIKKODI CHINTHAMANI CHITAPUR CHITRADURGA DANDERI DAVANGERE DHARWAD DODDABALLAPUR GADAG GANGAVATHI GAURIBIDANUR GOKAK HALIYAL HARAPANAHALLI HARIHAR HASSAN HAVERI HEGGADADEVANAKOTE HIREKERUR HIRIYUR HOLALKERE HONNALI HONNAVAR HOSADURGA HOSAPETE (HOSPET) HOSKOTE HUBBALLI HUKKERI HUMNABAD HUNGUND HUNSUR INDI JHAMAKANDI K G F KADUR KALABURAGI KANAKAPURA KARKALA KARWAR KOLAR KOLLEGEAL KOPPAL KORATAGERE KRISHNARAJANAGAR KRISHNARAJAPET KUDLIGI KUMTA KUNDAPURA KUNIGAL LINGASGUR MADAMI MADDUR MADIKERI MALUR MANDYA MANGALURU MOODABIDIRE MUDDEBIHAL MUDHOL MULBAGIL MYSORE NAGAMANGALA NANJANAGUD NELAMANGALA PANDAVAPURA PAVAGADA PERIYAPTNA PUTTUR RAICHUR RAMANAGARA RAMDURG RANIBENNUR RAYBAG RON SAGAR SANDURU SHAHAPURA SHIKARIPURA SHIVAMOGGA SIDLAGHATTA SINDAGI SINDHANUR SIRA SIRSI SIRUGUPPA SOMAWARPET SOUNDATTI SRINIVASAPUR SULLIA SURAPURA T NARASIPUR THIRTHAHALLI TIPTUR TUMAKURU TURUVEKERE UDUPI UJIRE VIJAYAPURA VIRAJPET YADGIR Exam Center (City) Preference - II * ALAND ANEKAL ANKOLA ARASIKERE ARKALGUD ATHANI AURAD BAGALKOT BAGEPALLI BAILAHONGAL BALLARI BANGARPET BANHATTI BASAVAKALYAN BELAGAVI BENGALURU BHADRAVATHI BHALKI BHATKAL BIDAR CHALLAKERE CHAMARAJANAGAR CHANNAGIRI CHANNAPATNA CHANNARAYAPATTANA CHIKKABALLAPUR CHIKKAMAGALUR CHIKKODI CHINTHAMANI CHITAPUR CHITRADURGA DANDERI DAVANGERE DHARWAD DODDABALLAPUR GADAG GANGAVATHI GAURIBIDANUR GOKAK HALIYAL HARAPANAHALLI HARIHAR HASSAN HAVERI HEGGADADEVANAKOTE HIREKERUR HIRIYUR HOLALKERE HONNALI HONNAVAR HOSADURGA HOSAPETE (HOSPET) HOSKOTE HUBBALLI HUKKERI HUMNABAD HUNGUND HUNSUR INDI JHAMAKANDI K G F KADUR KALABURAGI KANAKAPURA KARKALA KARWAR KOLAR KOLLEGEAL KOPPAL KORATAGERE KRISHNARAJANAGAR KRISHNARAJAPET KUDLIGI KUMTA KUNDAPURA KUNIGAL LINGASGUR MADAMI MADDUR MADIKERI MALUR MANDYA MANGALURU MOODABIDIRE MUDDEBIHAL MUDHOL MULBAGIL MYSORE NAGAMANGALA NANJANAGUD NELAMANGALA PANDAVAPURA PAVAGADA PERIYAPTNA PUTTUR RAICHUR RAMANAGARA RAMDURG RANIBENNUR RAYBAG RON SAGAR SANDURU SHAHAPURA SHIKARIPURA SHIVAMOGGA SIDLAGHATTA SINDAGI SINDHANUR SIRA SIRSI SIRUGUPPA SOMAWARPET SOUNDATTI SRINIVASAPUR SULLIA SURAPURA T NARASIPUR THIRTHAHALLI TIPTUR TUMAKURU TURUVEKERE UDUPI UJIRE VIJAYAPURA VIRAJPET YADGIR Email ID * Student Mobile No. * Parent's Phone Number UPLOAD SECTION Upload Student's study details from 1st Standard to 12th Standard (School Name, Address with PIN code and Year of Study) 1ನೇ ತರಗತಿಯಿಂದ 12ನೇ ತರಗತಿವರೆಗೆ ವಿದ್ಯಾರ್ಥಿಯು ವಿದ್ಯಾಭ್ಯಾಸ ನಡೆಸಿದ ಎಲ್ಲಾ ಶಿಕ್ಷಣ ಸಂಸ್ಥೆಗಳ ಹೆಸರು, ವಿಳಾಸ ಮತ್ತು ವಿದ್ಯಾಭ್ಯಾಸ ನಡೆಸಿದ ವಿವರಗಳನ್ನು ಅಪ್ಲೋಡ್ ಮಾಡಿ Download CET - Study Details Format Upload Study Details (Class 1 to 12) * (Only PDF/Image files) SSLC Mark Card * (Only PDF/Image files) Student Aadhaar Card * (Only PDF/Image files) Passport Size Photo * (Only JPG/ JPEG) Student Signature * (Only JPG / JPEG) Left Thumb Impression * (Only JPG / JPEG) Declaration: I declare that all the information provided are verified and correct. I agree to use these information for CET application submission purposes. I also agree to pay the required service charges to CRUST. Read Our Privacy Policy * ಸೂಚನೆ: ನೀವು FINAL SUBMIT ಕ್ಲಿಕ್ ಮಾಡಿದ ನಂತರ ದಾಖಲೆಗಳು ಅಪ್ಲೋಡ್ ಆಗುವ ತನಕ ದಯವಿಟ್ಟು ಕಾಯಿರಿ. ಫೈಲ್ ಸೈಜ್ ಹೆಚ್ಚಿದ್ದರೆ, ಅಪ್ಲೋಡ್ ಆಗಲು ಹೆಚ್ಚಿನ ಸಮಯ ತೆಗೆದುಕೊಳ್ಳುವುದು SUBMIT ಯಶಸ್ವಿಯಾದ ಕೂಡಲೇ TOKEN Number ಇದೇ ಪರದೆಯಲ್ಲಿ ಕಾಣಿಸಿಕೊಳ್ಳಲಿದೆ ಮತ್ತು ನಿಮ್ಮ ಇಮೇಲ್ ಇನ್ಬಾಕ್ಸ್ ಗೆ (ಅಥವಾ ಸ್ಪಾಮ್ ಫೋಲ್ಡರ್) ಕನ್ಫರ್ಮೇಶನ್ ಇಮೇಲ್ ಬಂದಿರುವುದನ್ನು ಪರಿಶೀಲಿಸಿ. ಕನ್ಫರ್ಮೇಶನ್ ಇಮೇಲ್ ಬಂದರೆ ಮಾತ್ರ ನಮಗೆ ನಿಮ್ಮ ಮಾಹಿತಿ ಲಭ್ಯವಾಗುತ್ತವೆ. Note: Once you click FINAL SUBMIT, please wait till all your documents to be uploaded to server. If file size is larger, it may take little longer time to upload. Once the submission completed you can see a TOKEN Number in this same screen and also you will receive an email confirmation with Token Number. Disclaimer: It's an exclusive form designed for internal purposes only. It is not an official web form for Karnataka CET 2021. For official information of Karnataka CET, we recommend you to visit respective authority's official website.