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. Hindi
Student Details
First Name TAJ
Middle Name
Last Name MOHAMMAD
Date of Birth 22/01/1993
E-mail ID tajmohammaed248@gmail.com Mobile Number 9369377165
Father's Name MD IDDU Mother's Name SOBRATAN BEGUM
Research Guide (To be allotted by the Department) HINDI
Local Guardian Mobile 9369377165
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE
Category OBC Certificate Number 694233011548
Religion Muslim 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 50
Aadhar Card Number 760303798033
Address Details
Permanent Address
Address VILLAGE NUAON POST CHUNAR District Mirzapur
Police Station CHUNAR Nearest Railway Station CHUNAR
Country India State/Union Territory Uttar Pradesh
PIN Code 231304
Correspondence
Address VILLAGE NUAON POST CHUNAR District Mirzapur
Police Station CHUNAR Nearest Railway Station CHUNAR
Country India State/Union Territory Uttar Pradesh
PIN Code 231304
 
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 2010 Marks 600.00 319 53.17 HINDI SANSKRIT MATH SCIENCE SOCIAL SCIENCE DRAWING 3308624 View Marks Sheets Doc
10+2th or Equivalent UP BOARD 2012 Marks 500.00 307 61.4 HINDI CIVICS EDUCATION DRAWING DESIGN SOCIOLOGY 2512820 View Marks Sheets Doc
Graduation BHU VARANASI 2015 Marks 1000.00 682 68.2 HINDI HOUNRS 12131AR369 View Marks Sheets Doc
Post Graduation M G K V P VARANASI 2017 Marks 2000.00 1181 59.05 HINDI 40216530740 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 18601648.00 2022 NTA UTTAR PRADESH View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MLx9kkDtOsa0ct
PAID AMOUNT 757.5
TXN DATE 04-08-2023
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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