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. Sociology
Student Details
First Name VINOD
Middle Name
Last Name KUMAR
Date of Birth 01/07/1988
E-mail ID drvijaykumars654@gmail.com Mobile Number 9140808321
Father's Name PITAMBAR PRASAD Mother's Name SUBHASINI
Research Guide (To be allotted by the Department)
Local Guardian Mobile 9454496201
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE
Category SC Certificate Number 275194000816
Religion Hindu Marital Status UNMARRIED
Blood Group AB+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability YES Disability Category LOW VISION-LV
Percentage of Disability 40
Aadhar Card Number 260829921768
Address Details
Permanent Address
Address VILL AND POST- JAITIKHERA District Lucknow
Police Station MOHANLALGANJ Nearest Railway Station CHARBAG
Country India State/Union Territory Uttar Pradesh
PIN Code 227305
Correspondence
Address VILL AND POST- JAITIKHERA District Lucknow
Police Station MOHANLALGANJ Nearest Railway Station CHARBAG
Country India State/Union Territory Uttar Pradesh
PIN Code 227305
 
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 u p board 2005 Marks 600.00 346 57.67 hindi english maths science social science drawing 1112959 View Marks Sheets Doc
10+2th or Equivalent up board 2007 Marks 1000.00 720 72 hindi and vocational 0532506 View Marks Sheets Doc
Graduation university of lucknow 2012 Marks 2000.00 1025 51.25 commerce 8710770 View Marks Sheets Doc
Post Graduation csjmu kanpur 2021 Marks 1000.00 637 63.7 sociology 2103589 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 NET 12620161.00 2022 UGC UTTAR PRADESH View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MMOAwm4khTR65w
PAID AMOUNT 750
TXN DATE 05-08-2023
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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Uploaded Domicile
 
Caste Certificate
 
Disability Certificate




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