csir-ugc jrf_net exam

3/4/2014 CSIR-UGC JRF/NET Exam

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(14J)

Online Application FormJoint 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.

14J819926

3. Applied For : 01 - JRF

4. Subject : 6 - ENG - ENGINEERING SCIENCES

5. Exam Centre : 03 - BHO - BHOPAL

6. Meduim of NET Exam(As applicable) : 02-ENGLISH

7. Candidate Name : HITESH KUMAR SADANI

8. Sex : MALE

9. Father/Mother/Husband Name : FATHER -> M K SADANI

10. Date Of Birth : 05-03-1993

11. Age As On 01-01-2014 : 20 Y, 9 M, 24 D

12. Category : GEN

13. Physically/Visually Handicape(PH/VH) : NA

14. If VH, Do You Want Scribe's Help : NA

15. Write your name and complete Mailing Address.

Name: HITESH KUMAR SADANI

Address: 88 BALAJI NAGAR J K ROAD NARELASHANKARI BHOPAL

City: BHOPAL

Pin: 462021

State: MADHYA PRADESH

Signature of Candidate ------>

16. Permanent Address

Name : HITESH KUMAR SADANI

Address: 88 BALAJI NAGAR J K ROAD NARELASHANKARI BHOPAL City : BHOPAL Pin : 462021 State : MADHYA PRADESH

17. Email : [email protected]

18. Qualifying Degree : B.E.

[Candidates enrolled for M.Sc. or having completed 10+2+3 years of qualifying examination as given in column18, may apply under Result Awaited (RA) category]

19. If Result Awaited : RA

20. Year Of Appearing in Final Exam : 2014 (If Result Awaited)

21. Give detail of Final Exam Result (If not Result Awaited)

(a) Year Of Passing : NA (b) Division : NA (c) Mark Obtained (%) : 0 %

22. If enrolled in MS-PhD program : NO

(a) Year of enrollment : NA

(b) Year of passing bachelor degree : NA

(c) Division/Grade : NA

(d) Marks Obtained (%) : 0

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Application No: 14J819926

23. Specialization :

(a) Specialization Code : 608 (b) Specialization Subject Name : MECHANICAL ENGINEERING

24(a) University/Institute Code : 999

(b) University/Institute Name : RAJIV GANDHI PROUDYOGIKI VISHWAVIDHYALAYA, BHOPAL

DECLARATION

I, HITESH KUMAR SADANI, hereby declare that all statements made in this application are true, complete andcorrect to the best of my knowledge and belief and in the event of any of the information being found false orincorrector any ineligibility being detected before or after the test my candidature is liable to be cancelled and actioninitiatedagainst 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 forthe 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 correspondencewill be entertained by CSIR in this regard. Date:Place:

Signature of the Candidate.

ATTESTATION(For 'RA' Category Only)

I certify that the information given by the candidate Shri/Smt/Kum HITESH KUMAR SADANI has been verified byme with reference to records.

Also this is certifiied that the candidate is enrolled for M.Sc. or having completed 10+2+3 years of (BS-4year/BE/B.Tech./B.Pharma/MBBS/Integrated BS-MS or equivalent degree & is eligible to appear under 'RA"category as laid down in the eligibility criteria of CSIR-UGC NET June 2014. (Strike which is not applicable)

Signature of the Head of Dept./InstituteRubber stamp/seal

Name:Designation:

NOTE : (Attestation should be signed by the Head of the Dept. or Institution where the candidate has appeared ORwill be appearing in the above notified Qualification/Degree Examiniation as applicable).

25. Challan Detail.

Name of the Bank : INDIAN BANK Branch/City :M P NAGAR, BHOPAL

Branch Code : 00530 Journal No. : 3017072

Amount in Figure(Rs.) : 400 Amount in Word(Rs.) : FOUR HUNDRED

Challan Date : 04/03/2014 Phone : 09752335925

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) withrequired certificate(s) by U.P.C./ordinary Post only, as notified in the Employment News/Website by arranging yourown envelop (5”X11”) superscribing your subject code, application no., and centre code which should reach to theSr. Controller of Examination, Examination Unit, Human Resource Development Group, CSIR Complex, LibraryAvenue, 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.



(Application for Joint CSIR-UGC Test for JRF/LS (NET), June, 2014) [6 - ENG | 14J819926 | 03 - BHO | 02-ENGLISH]

To,Sr. Controller of Examinations Examination Unit, Human Resource Development GroupCSIR Complex,opposite Institute of Hotel Management, Library AvenuePusa, New Delhi-110012

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

csir-ugc jrf_net exam

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