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. Physics
Student Details
First Name RYAN
Middle Name JOHN
Last Name LAVERNE
Date of Birth 30/08/2000
E-mail ID ryanlaverne3@gmail.com Mobile Number 7269091281
Father's Name SANJEEV JOHN LAVERNE Mother's Name SAPNA LAVERNE
Research Guide (To be allotted by the Department)
Local Guardian Mobile 9415004572
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE Enrollment Number DSMNRU2100021009
Category General
Religion Christian Marital Status UNMARRIED
Blood Group A+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 254714925327
Address Details
Permanent Address
Address 13/1/33, VIKAS NAGAR District Lucknow
Police Station VIKAS NAGAR POLICE STATION Nearest Railway Station CHARBAGH RAILWAY STATION
Country India State/Union Territory Uttar Pradesh
PIN Code 226022
Correspondence
Address 13/1/33, VIKAS NAGAR District Lucknow
Police Station VIKAS NAGAR POLICE STATION Nearest Railway Station CHARBAGH RAILWAY STATION
Country India State/Union Territory Uttar Pradesh
PIN Code 226022
 
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 Delhi board 2016 Marks 600.00 504 84 View Marks Sheets Doc
10+2th or Equivalent Delhi board 2018 Marks 500.00 378 75.6 View Marks Sheets Doc
Graduation Lucknow University 2021 Marks 3600.00 2502 69.5 Physics, mathematics, Computer Science View Marks Sheets Doc
Post Graduation D.S.M.N.R.U. 0
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_MO0PLy5HTlQ5Yn
PAID AMOUNT 1500
TXN DATE 09-08-2023
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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