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. Education-Special Education
Department
Student Details
First Name ANUJ
Middle Name
Last Name SRIVASTAVA
Date of Birth 01/09/1987
E-mail ID anujsrivastava27@gmail.com Mobile Number 8787309391
Father's Name RITUPARN SRIVASTAVA Mother's Name URMILA SRIVASTAVA
Research Guide (To be allotted by the Department)
Local Guardian Mobile 7607847187
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE
Category General
Religion Hindu Marital Status MARRIED
Blood Group B+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 381417266263
Address Details
Permanent Address
Address RITUPARN SRIVASTAVA District Kanpur
Police Station BIDHNU Nearest Railway Station KANPUR CENTRAL
Country India State/Union Territory Uttar Pradesh
PIN Code 208011
Correspondence
Address RITUPARN SRIVASTAVA District Kanpur
Police Station BIDHNU Nearest Railway Station KANPUR CENTRAL
Country India State/Union Territory Uttar Pradesh
PIN Code 208011
 
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 2004 Marks 500.00 212 42.4 English, hindi, mathematics, science & social scie 5154599 View Marks Sheets Doc
10+2th or Equivalent cbse 2006 Marks 500.00 312 62.4 eNGLISH, HINDI, HISTORY, GEOGRAPHY, ECONOMICS 5638117 View Marks Sheets Doc
Graduation panjab university 2013 Marks 1750.00 1142 65.26 9 tHEORETICAL AND 5 PRACTICALs 118 View Marks Sheets Doc
Post Graduation osmania university 2015 CGPA 10.00 8.72 71 6 THEORETICAL AND 4 PRACTICAL 125514713010 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_MMmuGRUQbmh93E
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

Download and print the application form

 
Uploaded Domicile
 
5.Educational CGPA Certificate




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