Csir-ugc Jrf_net Exam

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3/12/2015 CSIR-UGC JRF/NET Exam

http://59.163.216.82:8080/jrf/online/submit_form.jsp

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(15J)

Online Application FormJoint CSIR-UGC Test for JRF and Eligibility For Lectureship, NET - 21-06-2015

[Council of Scientific & Industrial Research - HRD Group, Examination Unit]

1. RollNo(To be filled by Office Only) 2. Application No.

15J778157

15J778157

3. Applied For : 01 - JRF

4. Subject : 3 - LIF - LIFE SCIENCES5. Exam Centre : 01 - BAN - BANGALORE

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

7. Candidate Name : GOPINADH PULAPA RTHI

8. Sex : MALE

9. Father/Mother/Husband Name : FATHER -> PULAPARTHI SAMBASIVARAO

10. Date Of Birth : 24-05-1988

11. Age As On 01-01-2015 : 26 Y, 7 M, 7 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: GOPINADH PULAPARTHI

Address: 2ND FLOOR, GOLDEN HEIGHTS,59TH C CROSS, 4TH M BLOCKRAJAJINAGAR,

City: BANGALORE

Pin: 560010

State: KARNATAKA

Signature of Candidate ------>

16. Permanent AddressName : GOPINADH PULAPA RTHI

Address: S/O SAMBASIVA RAO, DOOR NO: 5-73NANDURI NAGAR City : AMBAJIPETA Pin : 533214 State : ANDHRA PRADESH

17. Email : [email protected]

Note:Bachelor’s degree holders will not be eligible for Lectureship]

18. Qua lifying Degree : M.SC.

[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 : NO

20. Year Of Appe aring in Final Exam : NA (If Result Awaited)

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

(a) Year Of Passing : 2011 (b) Division : FIRST CLASS (c) Mark O btained (%) : 66 %

22. If e nrolled in MS-PhD program : NO

(a) Year of enrollment : NA

(b) Year of pas sing bachelor degree : NA

(c) Division/Grade : NA

(d) Marks Obtained (%) : 0

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Application No: 15J778157

23. Specialization :

(a) Specialization Code : 303 (b) Specialization Subject Name : BIOTECHNOLOGY

24(a) University/Institute Code : 023

(b) University/Institute Name : BANGALORE UNIVERSITY, BANGALORE

DECLARATION

I, GOPINADH PULAPARTHI, hereby declare that all statements made in this application a re true, complete andcorrect to the best of my knowledge and belief and in the event of any of the information being found false orincorrect

or 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 a ttested copies of certificate of be ing SC/ST/OBC/PH/VH (Physically or Visually handicapped),(strike which is not applicable).I unde rstand that my a pplication will be rejected sum marily if found incomplete/ineligible, and no corresponde ncewill be entertained by CSIR in this regard.Date:Place:

Signature of the Candidate.

ATTESTATION(For 'RA' Category Only)

Not Applicable For You as Y ou ha ve entered RESULT AWAITED as "NO"

25. Challan Detail.

Name of the Bank : INDIAN BANK Branch/City :RAJAJINAGAR

Branch Code : 064 Journal No. : 2765736

Amount in Figure(Rs.) : 1000 Amount in Word(Rs.) : ONE THOUSAND

Challan Date : 10/03/2015 Phone : 7204345364

Signature of Applicant

Note:Please send hard copy of this ONLINE submitted application form duly signed with recent passpo rt 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 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 01-04-2015 (07-04-2015 for remote areas).Please do not staple the hard copy of the Application form & enclosures.Note: ******* No changes in the application form will be allowed af ter submission*****





(Application for Joint CSIR-UGC Test for JRF/LS (NET), June, 2015)[3 - LIF | 15J778157 | 01 - BAN | 02-ENGLISH]

To,Sr. Controller of ExaminationsExamination 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”)

Documents

Csir-ugc Jrf_net Exam