Application Form for Ph.D. Admission

Program Details user
user
Academic Session 2023-2024
Programme/Course Type Professional
Name of Programme/Course Ph.D.
Ph.D Type
Subject Ph.D. Political Science
Student Details
First Name SHRI
Middle Name RAM
Last Name GUPTA
Date of Birth 10/12/1996
E-mail ID shriramg45@gmail.com Mobile Number 9415944472
Father's Name BASANT LAL GUPTA Mother's Name URMILA GUPTA
Research Guide (To be allotted by the Department)
Local Guardian Mobile 9415604464
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE
Category OBC Certificate Number 451233020135
Religion Hindu Marital Status UNMARRIED
Blood Group O+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability YES Disability Category LOCOMOTOR DISABILITY-LD
Percentage of Disability 80
Aadhar Card Number 776524403216
Address Details
Permanent Address
Address 219B/16A SHANTIPURAM GOHRI ROAD NEAR 101 RAF District Allahabad
Police Station PHAPHAMAU Nearest Railway Station PHAPHAMAU
Country India State/Union Territory Uttar Pradesh
PIN Code 211013
Correspondence
Address 219B/16A SHANTIPURAM GOHRI ROAD NEAR 101 RAF District Allahabad
Police Station PHAPHAMAU Nearest Railway Station PHAPHAMAU
Country India State/Union Territory Uttar Pradesh
PIN Code 211013
 
Educational Qualification from 10th Std. Onwards
Name of Exam* Board / university* Passing Year* Mark Type* Total Marks / CGPA* Marks/CGPA Obtained* Equivalent Percentage* Subjects Certificate Number Attach Document
10th or Equivalent up board 2011 Marks 600.00 447 74.5 hin, eng, soc sci, sci, ,math, com. 1875030 View Marks Sheets Doc
10+2th or Equivalent up board 2013 Marks 500.00 415 83 hin, eng, phy, che, math 1411639 View Marks Sheets Doc
Graduation university of allahabad 2017 Marks 1350.00 791 58.59 View Marks Sheets Doc
Post Graduation Prof. Rajendra Singh (Rajju Bhaiya) university 2021 Marks 2000.00 1215 60.75 View Marks Sheets Doc
NET Score Card Details
SN# Level of Category Roll No. Year and Month Agency conducting the test Score Attached Document
1 Eligible for Ph.D with JRF 3307887.00 2023 ugc - net uttar pradesh View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MTYKM1Ijf93FhQ
PAID AMOUNT 750
TXN DATE 24-08-2023
TXN STATUS SUCCESS
DECLARATION

I do hereby, solemn and affirm that details provided by me in this application form under various heads are true & correct to the best of my knowledge and information. I affirm that no part of information has been concealed, fabricated or manipulated and that I have read university’s regulations for eligibility & admission procedure. In the event that information provided by me is found incorrect, inappropriate, false, manipulated or fabricated, the university shall have right to withdraw admission provided to me through this application and to take such legal action against me as may be warranted by law.

I also acknowledge hereby that I have read general instructions for application, procedure of admission, general code of conduct, hostel rules, examination rules, anti-ragging guidelines issued by UGC or Dr. Shakuntala Misra National Rehabilitation University and that I shall abide by them at all points of time. If my involvement in activities relating to discipline in university is found evident, university shall have all rights to take appropriate action against me. I also acknowledge that I am not suffering from any contagious disease that poses potential threat to health and safety of students of the university and shall always treat students with special needs (differently-abled), girls students and economically/ socially deprived with compassion and cooperation.

I Agree

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