Scribd
Upload
23 views3 pages

Csir-Ugc JRF - Net Exam2

This document contains an online application form for the Joint CSIR-UGC Test for JRF and Eligibility for Lectureship (NET) submitted by Deepak Sahu, including his personal details, education history, and declaration agreeing to the conditions of the exam. The form requests that he mail a signed hard copy of the application along with required documents by a certain deadline to the address provided.

Uploaded by

Deepak Sahu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
23 views3 pages

Csir-Ugc JRF - Net Exam2

This document contains an online application form for the Joint CSIR-UGC Test for JRF and Eligibility for Lectureship (NET) submitted by Deepak Sahu, including his personal details, education history, and declaration agreeing to the conditions of the exam. The form requests that he mail a signed hard copy of the application along with required documents by a certain deadline to the address provided.

Uploaded by

Deepak Sahu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

You must check your registration status when it is notified on our website csirhrdg.res.

in (14J)

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 fille d by O ffice O nly) 2. Applica tion No.

14J645747
3. Applie d For 4. Subject 5. Ex am Ce ntre 6. Me duim of NET Ex a m (As a pplica ble ) : 01 - JRF : 6 - ENG - ENGINEERING SCIENCES : 17 - LUC - LUCKNOW : 02-ENGLISH

7. Ca ndida te Na m e 8. Sex 9. Fa ther/Mothe r/Husba nd Nam e 10. Da te O f Birth 11. Age As O n 01-01-2014 12. Ca te gory 13. Physically/Visua lly Ha ndicape (P H/VH) 14. If VH, Do You W ant Scribe 's He lp

: DEEPA K SA HU : MA LE : FA THER -> RA VI PRA KA SH SA HU : 08-05-1982 : 31 Y, 7 M, 23 D : OBC : NA : NA

15. W rite your nam e a nd com ple te Ma iling Addre ss. Na m e : Address : DEEPA K SA HU 192/68-C TA GORE TOWN A LLA HA BA D- 211002 (U.P.) A LLA HA BA D 211002 UTTA R PRA DESH Signa ture of Ca ndida te ------>

C ity: P in : State :

16. P erm a ne nt Addre ss Nam e Addre ss 17. Em a il : DEEPA K SA HU : 192/68-C TA GORE TOWN A LLA HA BA D- 211002 (U.P.) City : A LLA HA BA D P in : 211002 : [email protected]

State : UTTA R PRA DESH

18. Q ua lifying De gre e

: B.TECH.

[Candidates enrolled for M.Sc. or having completed 10+2+3 years of qualifying examination as given in column 18, may apply under Result A waited (RA ) category] 19. If R esult Awaite d 20. Ye a r O f Appe a ring in Fina l Exa m : NO : NA (If Re sult Awa ite d)

21. Give de ta il of Final Ex a m R esult (If not R esult Awaite d) (a ) Ye a r O f P a ssing : 2008 22. If e nrolle d in MS-P hD progra m (a ) Ye a r of enrollm e nt (b) Ye a r of pa ssing ba che lor de gre e (c) Division/Gra de (d) Ma rk s O bta ine d (%) (b) Division : FIRST : NO : NA : NA : NA :0 (c) Ma rk O bta ine d (%) : 60.88 %

Applica tion No: 23. Specializa tion : (a ) Specia liza tion Code : 605 ENGINEERING 24(a) Unive rsity/Institute Code (b) Unive rsity/Institute Na m e

14J645747

(b) Spe cializa tion Subje ct Na m e : ELECTRONICS A ND COMMUNICA TION : 999 : UTTA R PRA DESH TECHNICA L UNIVERSITY , LUCKNOW

DECLA RA TION I, DEEPA K SA HU, he re by decla re that a ll sta te m ents m ade in this a pplica tion a re true , com plete and corre ct to the best of m y k nowledge and be lie f a nd in the e ve nt of a ny of the inform a tion being found false or incorre ct or any ine ligibility be ing detected before or a fte r the te st m y candida ture is lia ble to be ca nce lle d a nd a ction initia te d aga inst m e . I have subm itted only one applica tion for this te st. I further de cla re tha t I fulfill a ll conditions of eligibility re garding Age lim its, Educa tiona l qua lifications e tc. prescribe d for the te st. I a lso de cla re tha t I ha ve neve r be e n convicted by a ny court of la w. I decla re tha t I ha ve gone through the conditions a tta che d to NET and shall a bide by the sam e . I have e nclosed the a tte ste d copie s of ce rtifica te of be ing SC/ST/O BC/P H/VH (P hysica lly or Visua lly handica pped), (strike which is not a pplica ble ). I unde rsta nd that m y applica tion will be re je cte d sum m a rily if found incom plete /ine ligible , a nd no corresponde nce will be ente rtained by C SIR in this rega rd. Da te : Pla ce: Signa ture of the Ca ndida te . A TTESTA TION(For 'RA ' Category Only)

Not Applicable For You a s You ha ve ente re d R ESULT AW AITED as "NO " 25. Cha llan Detail. Na m e of the Ba nk Branch C ode Am ount in Figure(R s.) Cha llan Date

: : : :

INDIA N BA NK 674 200 21/02/2014

Branch/City Journa l No. Am ount in W ord(R s.) Phone

:A LLA HA BA D : 572795 : TWO HUNDRED : 8795272057

Signa ture of Applicant Note :P le a se send hard copy of this O NLINE subm itte d a pplica tion form duly signed with re cent pa ssport size Black & white photogra ph along with a copy of origina l cha llan (fe e de posit re ce ipt) m e a nt for C SIR(Ex a m ina tion Unit) with re quire d certifica te (s) by U.P.C./ordina ry Post only, as notifie d in the Em ploym e nt Ne ws/W e bsite by a rra nging your own e nvelop (5X11) supe rscribing your subject code , a pplica tion no., a nd centre code which should re ach to the Sr. C ontrolle r of Exa m ina tion, Ex a m ination Unit, Hum an Re source Deve lopm e nt Group, C SIR C om ple x , Libra ry Avenue , P usa , Ne w Delhi-110012 on or be fore 08-03-2014 (14-03-2014 for re m ote a re as). Please do not staple the hard copy of the A pplication form & enclosures.

Cut and Paste following address on your own envelop(5X11)

(Application for Joint CSIR-UGC Test for JRF/LS (NET), June, 2014) [6 - ENG | 14J645747 | 17 - LUC | 02-ENGLISH]

To, Sr. Controller of Examinations Examination Unit, Human Resource Development Group CSIR Complex,opposite Institute of Hotel Management, Library Avenue Pusa, New Delhi-110012

You might also like