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Online Application Form

Joint 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.

15J781008
15J781008
3. Applied For

: 01 - JRF

4. Subject

: 6 - ENG - ENGINEERING SCIENCES

5. Exam Centre

: 01 - BAN - BANGALORE

6. Meduim of NET Exam(As applicable)

: 02-ENGLISH

7. Candidate Name

: MIRZA ABDUL WARIS BEGH

8. Sex

: MALE

9. Father/Mother/Husband Name

: FATHER -> MOHD AFZAL BEGH

10. Date Of Birth

: 31-03-1991

11. Age As On 01-01-2015

: 23 Y, 9 M, -2 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:

MIRZA ABDUL WARIS BEGH

Address:

H-18, SECT0R-3, S.K.COLONY

QAMARWARI

City:

SRINAGAR

Pin:

190010

State:

JAMMU & KASHMIR

Signature of Candidate ------>

16. Permanent Address

Name

: MIRZA ABDUL WARIS BEGH

Address

: H-18, SECT0R-3, S.K.COLONY

QAMARWARI
City : SRINAGAR Pin : 190010

17. Email

: abwaris@gmail.com

State : JAMMU & KASHMIR

Note:Bachelors degree holders will not be eligible for Lectureship]

18. Qualifying Degree

: B.TECH.

[Candidates enrolled for M.Sc. or having completed 10+2+3 years of qualifying examination as given in column 18,
may apply under Result Awaited (RA) category]
19. If Result Awaited

: NO

20. Year Of Appearing in Final Exam

: NA

(If Result Awaited)

21. Give detail of Final Exam Result (If not Result Awaited)
(a) Year Of Passing : 2014

(b) Division : FIRST CLASS DISTINCT

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

(c) Mark Obtained (%) : 86.1 %

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CSIR-UGC JRF/NET Exam

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

Application No:

15J781008

23. Specialization :
(a) Specialization Code : 606

(b) Specialization Subject Name : ELECTRICAL ENGINEERING

24(a) University/Institute Code

: 165

(b) University/Institute Name

: NATIONAL INSTITUTE OF TECHNOLOGY

DECLARATION
I, MIRZA ABDUL WARIS BEGH, 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 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 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 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 correspondence will be
entertained by CSIR in this regard.
Date:
Place:
Signature of the Candidate.
ATTESTATION(For 'RA' Category Only)

Not Applicable For You as You have entered RESULT AWAITED as "NO"
25. Challan Detail.
Name of the Bank
Branch Code
Amount in Figure(Rs.)
Challan Date

:
:
:
:

INDIAN BANK
1975
1000
14/03/2015

Branch/City
Journal No.
Amount in Word(Rs.)
Phone

:SRM UNIVERSITY/CHENN
: 1260503
: ONE THOUSAND
: 8971473322

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) with required certificate(s)
by U.P.C./ordinary Post only, as notified in the Employment News/Website by arranging your own envelop (5X11) superscribing
your subject code, application no., and centre code which should reach to the Sr. Controller of Examination, Examination Unit,
Human Resource Development Group, CSIR Complex, Library Avenue, 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 after submission*****

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

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

(Application for Joint CSIR-UGC Test for JRF/LS (NET), June, 2015)
[6 - ENG | 15J781008 | 01 - BAN | 02-ENGLISH]

To,
Sr. Controller of Examinations
Examination Unit, Human Resource Development Group
CSIR Complex,opposite Institute of Hotel Management, Library Avenue
Pusa, New Delhi-110012

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