Scribd Logo
Upload

Welcome to Scribd!

  • 37 views

    UGC - National Eligibility Test December, 2014: Print Copy of Application Form

    Uploaded by

    Princy Gupta
    This document is an application form for the UGC National Eligibility Test (NET) in December 2014. It contains personal information about the applicant such as name, date of birth, gender, category, contact details, educational qualifications, exam fee payment details, and a declaration signed by the applicant. The applicant, Princy Gupta, is applying for both the Junior Research Fellowship and Assistant Professor subject Computer Science and Applications. She has obtained 68.82% marks in her M.Tech from Punjab Technical University, Jalandhar.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    UGC - National Eligibility Test December, 2014: Print Copy of Application Form

    Uploaded by

    Princy Gupta
    37 views1 page
    This document is an application form for the UGC National Eligibility Test (NET) in December 2014. It contains personal information about the applicant such as name, date of birth, gender, category, contact details, educational qualifications, exam fee payment details, and a declaration signed by the applicant. The applicant, Princy Gupta, is applying for both the Junior Research Fellowship and Assistant Professor subject Computer Science and Applications. She has obtained 68.82% marks in her M.Tech from Punjab Technical University, Jalandhar.

    Original Description:

    aa

    Original Title

    aApplication Form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for the UGC National Eligibility Test (NET) in December 2014. It contains personal information about the applicant such as name, date of birth, gender, category, contact details, educational qualifications, exam fee payment details, and a declaration signed by the applicant. The applicant, Princy Gupta, is applying for both the Junior Research Fellowship and Assistant Professor subject Computer Science and Applications. She has obtained 68.82% marks in her M.Tech from Punjab Technical University, Jalandhar.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    37 views1 page

    UGC - National Eligibility Test December, 2014: Print Copy of Application Form

    Uploaded by

    Princy Gupta
    This document is an application form for the UGC National Eligibility Test (NET) in December 2014. It contains personal information about the applicant such as name, date of birth, gender, category, contact details, educational qualifications, exam fee payment details, and a declaration signed by the applicant. The applicant, Princy Gupta, is applying for both the Junior Research Fellowship and Assistant Professor subject Computer Science and Applications. She has obtained 68.82% marks in her M.Tech from Punjab Technical University, Jalandhar.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    11/2/2014

    Application Form

    UGC - National Eligibility Test December, 2014


    Print Copy of Application Form
    (ONE COPY TO BE SUBMITTED TO THE COORDINATING INSTITUTION)

    To be Filled by the Coordinating Institution only


    The particulars furnished by the
    candidate have been checked and
    verified

    Roll No.: 79870106

    YMCA UNIVERSITY OF SCIENCE & TECHNOLOGY,


    FARIDABAD 121006 (HARYANA).(79)
    COORDINATING INSTITUTION
    Subject Code

    87

    Coordinating Institution
    Code

    79

    CO-ORDINATOR (Signature)

    OFFICE SEAL
    1. Applied for

    : BOTH(JRF & ASSISTANT PROFESSOR)

    2. Subject opted for NET

    : COMPUTER SCIENCE AND APPLICATIONS

    3. Name

    : PRINCY GUPTA

    4. Date of Birth (as recorded in matriculation or


    equivalent certificate)

    : 07/03/1990

    5. Gender

    : FEMALE

    6. Category

    : GENERAL

    7. Visually Challanged / Physically Challenged

    : NO

    8. Father's Name

    : BRAHM PARKASH GOEL

    9. Mother's Name

    : SUMAN RANI GOEL

    10. Examination Appearing/ Passed

    : M.TECH.

    11. Name of the University/ Institution

    PUNJAB TECHNICAL
    : UNIVERSITY, JALANDHAR-144 011 (STATE
    UNIVERSITY)*

    12. Marks/ Grade

    : MARKS

    Marks Obtained

    : 1514

    Affix recent Passport size


    Photograph signed by the
    candidate and duly
    attested by the Head of
    Deptt. / Institution or
    Class-I Gazetted Officer

    Total Marks

    (DO NOT USE STAPLER


    OR PIN)

    : 2200

    % of Marks Obtained : 68.82

    13. Fee Payment Details


    Payment Mode : ICICI Bank e-Challan
    Transaction Id : M3185455

    Bank Name : ICICI Bank


    Exam Fee Amount (Rs.) : 450 /-

    Branch Name/Code : ICICI


    14. Phone No.

    : NA

    15. Email

    : PRINCYGUPTA7@GMAIL.COM

    Deposit Date : 01/11/2014


    Mobile No.

    : 9711220148

    Declaration
    i) I, PRINCY GUPTA hereby declare that all statements made in the online 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 entrtained in
    this regard. vi) I have read and agreed with the Notification for the UGC NET including instructions, enclosures, check list and
    other relevant information.
    Date: 11/2/2014 6:29:54 AM
    Place:
    Signature of Candidate
    http://cbsenet.nic.in/cbsenet/Online/PrintApplicationForm.aspx

    1/1

    You might also like