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. Management
Student Details
First Name AFZAL
Middle Name
Last Name AHMAD
Date of Birth 30/12/2001
E-mail ID afzalahmad27112021@gmail.com Mobile Number 9170341386
Father's Name MR JAWED AHMAD Mother's Name MRS AZRA PARVEEN
Research Guide (To be allotted by the Department) NISHANT BHOLA
Local Guardian Mobile 9511109926
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE Enrollment Number DSMNRU2100011006
Category OBC Certificate Number 275183011076
Religion Muslim Marital Status UNMARRIED
Blood Group B+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 887210784077
Address Details
Permanent Address
Address 254,MUZAFFAR KHEDA ,SARSO BHAROSA ,MADRONA District Lucknow
Police Station PARA Nearest Railway Station CHARBAGH
Country India State/Union Territory Uttar Pradesh
PIN Code 226002
Correspondence
Address 254,MUZAFFAR KHEDA ,SARSO BHAROSA ,MADRONA District Lucknow
Police Station PARA Nearest Railway Station CHARBAGH
Country India State/Union Territory Uttar Pradesh
PIN Code 226002
 
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 Cbse 2016 Marks 10 7 70 5 5095011 View Marks Sheets Doc
10+2th or Equivalent Cbse 2018 Marks 600 305 50.83 6 5695312 View Marks Sheets Doc
Graduation Dsmnru 2021 Marks 10 7.22 0 6 182340010 View Marks Sheets Doc
Post Graduation Dsmnru 2023 Marks 10 7.1 0 5 212110006 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 NA
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MUQ2xC2oBfRPTk
PAID AMOUNT 2000
TXN DATE 26-08-2023
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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