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. Chemistry
Student Details
First Name SHRADHA
Middle Name
Last Name JAISWAL
Date of Birth 04/05/1995
E-mail ID shradha.jaiswal474@gmail.com Mobile Number 7617049415
Father's Name SHARAD CHANDRA JAISWAL Mother's Name SANYOGITA JAISWAL
Research Guide (To be allotted by the Department)
Local Guardian Mobile 8802990296
 
Personal Information
Domicile UTTAR PRADESH
Gender FEMALE
Category OBC Certificate Number 601233013870
Religion Hindu Marital Status MARRIED
Blood Group A- Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 769677190413
Address Details
Permanent Address
Address 281/318 A AMEER NAGAR, LUCKNOW District Lucknow
Police Station NAKA HINDOLA Nearest Railway Station AISHBAGH RAILWAY STATION
Country India State/Union Territory Uttar Pradesh
PIN Code 226004
Correspondence
Address 281/318 A AMEER NAGAR, LUCKNOW District Lucknow
Police Station NAKA HINDOLA Nearest Railway Station AISHBAGH RAILWAY STATION
Country India State/Union Territory Uttar Pradesh
PIN Code 226004
 
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 2011 CGPA 10 9.5 95 eng,hindi,math,science,social science 5174615 View Marks Sheets Doc
View CGPA Doc
10+2th or Equivalent cbse 2013 Marks 500 342 68.4 eng,phy,chem,bio,maths 9186029 View Marks Sheets Doc
Graduation university of allahabad 2017 Marks 1350 877 64.96 botany,chemistry, zoology u1410671 View Marks Sheets Doc
Post Graduation university of allahabad 2019 CGPA 10 8.95 85.02 chemistry u1410671 View Marks Sheets Doc
View CGPA 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_MTQ16GnZTn8F6R
PAID AMOUNT 1500
TXN DATE 23-08-2023
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

Download and print the application form

 
Uploaded Domicile
 
Caste Certificate
 
2.Educational CGPA Certificate
 
5.Educational CGPA Certificate




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