CSIR-UGC JRF/NET Exam
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Online Application Form Joint CSIR-UGC Test for JRF and Eligibility For Lectureship, NET - 22-06-2014 [Council of Scientific & Industrial Research - HRD Group, Examination Unit]
1. RollNo(To be filled by Office Only) 2. Application No.
14J880480
3. Applied For 4. Subject 5. Exam Centre 6. Meduim of NET Exam(As applicable) 7. Candidate Name 8. Sex 9. Father/Mother/Husband Name 10. Date Of Birth 11. Age As On 01-01-2014 12. Category 13. Physically/Visually Handicape(PH/VH) 14. If VH, Do You Want Scribe's Help 15. Write your name and complete Mailing Address. Name: Address: PAWAN KUMAR SONI NEAR OF SHARDA BAL NIKETAN V AND POST DEGANA JN NAGAUR 341503 RAJASTHAN Signature of Candidate ------> : 01 - JRF : 3 - LIF - LIFE SCIENCES : 19 - PIL - PILANI : 01-HINDI : PAWAN KUMAR SONI : MALE : FATHER -> MAHAVEER PRASAD SONI : 05-03-1988 : 25 Y, 9 M, 25 D : OBC : NA : NA
City: Pin: State:
16. Permanent Address Name Address 17. Email : PAWAN KUMAR SONI : NEAR OF SHARDA BAL NIKETAN V AND POST DEGANA JN City : NAGAUR Pin : 341503 State : RAJASTHAN : soni.pawan1988@[Link]
18. Qualifying Degree
: [Link].
[Candidates enrolled for [Link]. or having completed 10+2+3 years of qualifying examination as given in column 18, may apply under Result Awaited (RA) category] 19. If Result Awaited 20. Year Of Appearing in Final Exam (a) Year Of Passing : 2012 22. If enrolled in MS-PhD program (a) Year of enrollment (b) Year of passing bachelor degree (c) Division/Grade (d) Marks Obtained (%) : NO : NA (b) Division : 1ST : NO : NA : NA : NA :0 (If Result Awaited) (c) Mark Obtained (%) : 68.22 %
21. Give detail of Final Exam Result (If not Result Awaited)
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CSIR-UGC JRF/NET Exam
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Application No: 23. Specialization : (a) Specialization Code : 301 24(a) University/Institute Code (b) University/Institute Name (b) Specialization Subject Name : BIOCHEMISTRY : 054
14J880480
: DEVI AHILYA VISHWAVIDYALAYA, INDORE
DECLARATION I, PAWAN KUMAR SONI, hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief and in the event of any of the information being found false or incorrect or any ineligibility being detected before or after the test my candidature is liable to be cancelled and action initiated against me. I have submitted only one application for this test. I further declare that I fulfill all conditions of eligibility regarding Age limits, Educational qualifications etc. prescribed for the test. I also declare that I have never been convicted by any court of law. I declare that I have gone through the conditions attached to NET and shall abide by the same. I have enclosed the attested copies of certificate of being SC/ST/OBC/PH/VH (Physically or Visually handicapped), (strike which is not applicable). I understand that my application will be rejected summarily if found incomplete/ineligible, and no correspondence will be entertained by CSIR in this regard. Date: Place: Signature of the Candidate. ATTESTATION(For 'RA' Category Only) Not Applicable For You as You have entered RESULT AWAITED as "NO" 25. Challan Detail. Name of the Bank Branch Code Amount in Figure(Rs.) Challan Date
: : : :
INDIAN BANK 474 200 12/03/2014
Branch/City Journal No. Amount in Word(Rs.) Phone
:JAIPUR : 001190239 : TWO HUNDRED : 9413929029
Signature of Applicant Note:Please send hard copy of this ONLINE submitted application form duly signed with recent passport size Black & white photograph along with a copy of original challan (fee deposit receipt) meant for CSIR(Examination Unit) with required certificate(s) by U.P.C./ordinary Post only, as notified in the Employment News/Website by arranging your own envelop (5X11) superscribing your subject code, application no., and centre code which should reach to the Sr. Co ntroller of Examination, Examination Unit, Human Resource Development Group, CSIR Complex, Library Avenue, Pusa, New Delhi-110012 on or before 19-03-2014 (25-03-2014 for remote areas). Please do not staple the hard copy of the Application form & enclosures.
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CSIR-UGC JRF/NET Exam
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Cut and Paste following address on your own envelop(5X11)
(Application for Joint CSIR-UGC Test for JRF/LS (NET), June, 2014) [3 - LIF | 14J880480 | 19 - PIL | 01-HINDI]
To, Sr. Controller of Examinations Examination Unit, Human Resource Development Group CSIR Complex,opposite Institute of Hotel Management, Library Avenue Pusa, New Delhi-110012
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