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    Ugc - National Eligibility Test June, 2011 Print Copy of Application Form

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    Ugc - National Eligibility Test June, 2011 Print Copy of Application Form

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    Ugc - National Eligibility Test June, 2011 Print Copy of Application Form

    Uploaded by

    play boy

    Copyright:

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    UGC - NATIONAL ELIGIBILITY TEST JUNE, 2011

    Print Copy of Application Form


    (TO BE SUBMITTED TO THE TEST CENTRE IN DUPLICATE)

     
     

    To be Filled by the Test Centre only


    The particulars furnished by the
    Roll No. 51870110 candidate have been checked and verified
     
     
     
    University of Rajasthan, Jaipur-302 004(51)
    __________________________
    UNIVERSITY TEST CENTRE
    CO-ORDINATOR (Signature)
     
     
    Subject Code 87     
    Centre Code 51   
    __________________________ Affix recent Passport size
    OFFICE SEAL Photograph signed by the
    candidate and duly
    NET Examination Detail attested by the Head of
    the Deptt./Institution or
      1. Applied for : JRF and Lectureship Both Class I Gazetted Officer
      2. (i) Post Graduation Examination : Appearing/Appeared in Final Year of PG
    (DO NOT USE STAPLER
      2. (ii) Subject of Post-Graduation : Computer Science and Applications OR PIN)
      3. Subject opted for NET : Computer Science and Applications  
      4. Centre of Examination : University of Rajasthan, Jaipur-302 004(51)
     

    Personal Information
    1. Name (as per Hr. Sec.
      : Mr. SUDESH SHARMA
    Matriculation Certificate
    6. (i) Date of Birth (as recorded in
      matriculation or equivalent : 03-08-1985
    certificate)
      7. Sex : MALE

    Whether relaxation in age is


        : No
    sought

      8. Category : GEN
    9. Visually Handicapped (V/H) /
      : Not Applicable
    Physically Handicapped (PH)
      10. (i)  Father's Name : Shri MAHESH CHAND SHARMA
      10. (ii) Mother's Name : Smt. HEMESH SHARMA
    11. Address for Communication : JAN JAGRATI SEC. SCHOOL,BARAPARA, HINDAUN
     
    CITY, DIST. KARAULI, RAJASTHAN, INDIA, 322230
    12. Permanent Address : JAN JAGRATI SEC. SCHOOL,BARAPARA, HINDAUN
     
    CITY, DIST. KARAULI, RAJASTHAN, INDIA, 322230

    Detail of Educational Qualification

    13. (a) Examination Appearing/Passed : MCA Passed Ph. D.: No

    13. (b) Name of the University : Rajasthan Technical University


    13. (c) Year of Passing : NA

    13. (d) Subject Offered : NA

    13. (e) Specialization ( if any ) : NA

    13. (f) Marks/Grade : NA

    Mark Obtained : NA

    Total Marks : NA

    % of marks obtained : NA

    14. Detail of Fee Deposited


    Name of the Bank : STATE BANK OF INDIA

    Name of the Branch : Hawa Sarak

    Branch Code : 9206

    Journal No. : 008760968

    Deposit Date: 2011-04-19

    Amount : Rs. 450

    15. The State/UT which you belong : Rajasthan(21)

    Place: Jaipur Phone No. (with STD Code)

    Date: 2011-04-19 Mobile No.: 9351783335

    Email: [email protected]

    Declaration

    i) I, SUDESH SHARMA, hereby declare that all statement made in this application are true, complete and correct to the
    best of my knowledge and belief and in the event of any information being found false or incorrect or any ineligibility
    being detected before or after the test, my candidature is liable to be cancelled and legal action may be initiated against
    me.

    ii) I fulfill all conditions of eligibility regarding age limit, educational qualification etc. prescribed for the test.

    iii) I have gone through the conditions attached to NET and shall abide by the same.

    iv) I have deposited the required fee.

    v) I have noted that if my application is found incomplete/defective, the same is liable to be rejected summarily and no
    correspondence will be entertained in this regard.

    vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other
    relevant information.
    Signature of Candidate________________

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