CSIR-UGC NET Application

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Online Application Form


Joint CSIR-UGC Test for JRF & LS(NET), June, 2019
[Council of Scientific & Industrial Research - HRD Group, Examination Unit]
(Only Indian Nationals Can Apply)

Application No.
19J6004806
19J6004806

[A] JRF/NET Option Details

1. Apply for JRF or LS : 1 - JUNIOR RESEARCH FELLOWSHIP(JRF)

2. Subject : 3 - LIF - LIFE SCIENCES

3. Specialization:

(a) Specialization Code : 303

(b) Specialization Name : BIOTECHNOLOGY

4. Exam Centre : 5 - CHA - CHANDIGARH

5. Medium of Exam(As applicable) : 02-ENGLISH

[B] Personal Details

[As mentioned in Matriculation Certificate]

1. Name of the Candidate : Ms. DIKSHA DEVI

2. Email Address : DIKSHATHAKURROCKS123@GMAIL.COM

3. Mobile Number : +91-8894564257

4. Phone : 8894564257

5. Gender : FEMALE

6. Father's Name : KRISHAN LAL

7. Mother's Name : DIKSHA DEVI


8. Husband's Name (in case of married female) : NA

9. Date Of Birth : 04-03-1996

Age As On 01-01-2019 : 22 Y, 9 M, 28 D

[OBC candidates whose caste is listed only in the State List and not listed in Central List are not eligible to apply
under OBC category and have to apply as General category candidates]

10. Category : GEN

[For S.no. 11 and 12 below, only Persons with 40% or more disability(PwD) as per valid medical certificate shall
be considered]

11. Person with Disablity(PwD)? : NA

12. If PwD, do you require scribe? : NA

[C] Name and complete Mailing Address [Please refer Information Bulletin]

1. Name : Ms. DIKSHA DEVI

2. Address : VILL. THEADPURA, P.O. BADHONIGHAT, TEH. BADDI, DISTT. SOLAN (H.P.)

3. City        : BADDI 4. Pin : 173233 5. State : HIMACHAL PRADESH

[D] Permanent Address

1. Name : Ms. DIKSHA DEVI

2. Address : VILL. THEADPURA, P.O. BADHONIGHAT, TEH. BADDI, DISTT. SOLAN (H.P.)

3. City        : BADDI 4. Pin : 173233 5. State : HIMACHAL PRADESH

[E] Qualifying Degree Details [Please refer Information Bulletin]

[Bachelor's degree holders will not be eligible for Lectureship, as per instructions contained in Information
Bulletin]

Qualifying Degree : M.SC.

[Candidates enrolled for M.Sc. or having completed 10+2+3 years of qualifying examination, may apply under
Result Awaited (RA) category]
In case the candidates are awarded grades/CGPA instead of marks, the conversion of grades/CGPA to
percentage/ marks would be based on the conversion formula certified by the university/institution from where
the candidate has obtained their degrees.

► Bachelor Degree Details

1. Month & Year of Passing

: 06-2016

2. Percentage (%) : 76.4%

3. Obtained Marks : 7.64

4. Maximum Marks : 10

► Qualifying Degree Details

1. Month & Year of Enrollment : 07-2016

2. Duration In Year : 2.0

3. University/Institute : MAHARAJA AGRASEN UNIVERSITY

4. If Result Awaited (RA) : NO

► Qualifying Degree Completion Details

1. Month & Year of Passing : 07-2018

2. Division : FIR

3. Percentage (%) : 93.1%

4. Obtained Marks : 9.31

5. Maximum Marks : 10

[F] Uploaded Documents

► Qualifying final/last Marksheet :✔

[G] Fee Details

1. Amount in Figure(Rs.) : 1000.00

2. Amount in Word : RUPEES ONE THOUSAND ONLY

3. Fee Status : SUCCESS

4. Reference No. : QPMP7348346828

5. Payment Date : 2019-03-21 14:32:16


[H] DECLARATION

I, Ms. DIKSHA DEVI, a citizen of India have read and understood the instructions contained in the
Information Bulletin and hereby, declare that all statements made in this application are true,
complete and correct to the best of my knowledge and belief and in the event of any of the
information being found false or incorrect or any ineligibility being detected before or after the
test, my candidature is liable to be cancelled and action initiated against me.
I further declare that I fulfil all conditions of eligibility regarding Age limits, Educational
qualifications etc. prescribed for the 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 uploaded self attested copies of certificate of being SC/ST/OBC/PwD (Persons with
Disabilities)/Qualifying Degree MarkSheet(As applicable).
I understand that my application will be rejected summarily if found incomplete/ineligible, and
no correspondence will be entertained by CSIR in this regard.
I understand that mere submission of online application is not a criterion for selection. Online
application system is meant for capturing application data with maximum possible validation
rules to assist in filling up online application. It is my responsibility to preview the application for
correctness before final submission. At any stage of the exam process, if it is found that I do not
fulfill any of the laid down eligibility criteria, my candidature will stand cancelled.

Date: 2019-03-21
14:32:16

Signature of Applicant

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