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. Fine Arts
Student Details
First Name KALPANA
Middle Name
Last Name VERMA
Date of Birth 15/07/2000
E-mail ID kalpanav346@gmail.com Mobile Number 6394141944
Father's Name PRAMOD KUMAR VERMA Mother's Name MITHILESH VERMA
Research Guide (To be allotted by the Department)
Local Guardian Mobile 8299595827
 
Personal Information
Domicile UTTAR PRADESH
Gender FEMALE
Category OBC Certificate Number 234213014366
Religion Hindu Marital Status UNMARRIED
Blood Group O+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 829569189301
Address Details
Permanent Address
Address VILL AND POST- UDAIPUR MAHEWA District Lakhimpur
Police Station KOTWALI SADAR Nearest Railway Station LAKHIMPUR
Country India State/Union Territory Uttar Pradesh
PIN Code 262701
Correspondence
Address VILL AND POST- UDAIPUR MAHEWA District Lakhimpur
Police Station KOTWALI SADAR Nearest Railway Station LAKHIMPUR
Country India State/Union Territory Uttar Pradesh
PIN Code 262701
 
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 2015 Marks 600.00 533 88.83 HINDI,ENG,H. SCIENCE,SCIENCE,S. SCIENCE,DRAWING 1034702 View Marks Sheets Doc
10+2th or Equivalent UP BOARD 2017 Marks 500.00 423 84.6 HINDI,ENGLISH,CIVICS,H.SCIENCE,DRAWING DESIGN 0754209 View Marks Sheets Doc
Graduation CSJM UNIVERSITY KANPUR 2020 Marks 900.00 696 77.33 DRAWING & PAINTING, HOME SCIENCE 6085466 View Marks Sheets Doc
Post Graduation CSJM UNIVERSITY KANPUR 2022 Marks 1000.00 773 77.3 DRAWING & PAINTING 3201411 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 12203343.00 2023 NATIONAL TESTING AGENCY UTTAR PRADESH View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MMgd7tS9Dy3ZJK
PAID AMOUNT 1500
TXN DATE 06-08-2023
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
 
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