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. Social Work
Student Details
First Name NILYA
Middle Name
Last Name SRIVASTAVA
Date of Birth 23/01/1997
E-mail ID nilyasrivastava2507@gmail.com Mobile Number 7080531968
Father's Name MR. SANDEEP KUMAR SRIVASTAVA Mother's Name MRS. PRIYANKA SRIVASTAVA
Research Guide (To be allotted by the Department)
Local Guardian Mobile 7619044611
 
Personal Information
Domicile UTTAR PRADESH
Gender FEMALE Enrollment Number SU1800001585
Category General
Religion Hindu Marital Status UNMARRIED
Blood Group AB+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 594030228074
Address Details
Permanent Address
Address 1001/15-A, SHALIMAR GARDEN, SECTOR-8, INDIRA NAGAR District Lucknow
Police Station GAZIPUR THANA Nearest Railway Station BADSHAH NAGAR
Country India State/Union Territory Uttar Pradesh
PIN Code 226016
Correspondence
Address 1001/15-A, SHALIMAR GARDEN, SECTOR-8, INDIRA NAGAR District Lucknow
Police Station GAZIPUR THANA Nearest Railway Station BADSHAH NAGAR
Country India State/Union Territory Uttar Pradesh
PIN Code 226016
 
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 icse 2013 Marks 600.00 433 72.17 english, hindi, hcg, maths, science, computer app. t/5413/067 View Marks Sheets Doc
10+2th or Equivalent cbse 2015 Marks 500.00 284 56.8 english, pcm, computer science 5663366 View Marks Sheets Doc
Graduation lucknow university 2018 Marks 900.00 408 45.33 economics, education 160061004096 View Marks Sheets Doc
Post Graduation dr. shakuntala misra national rehabilitation 2020 CGPA 10.00 8.27 75.46 social work 181080023 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_MNFQTiceVsWEUy
PAID AMOUNT 1500
TXN DATE 07-08-2023
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
 
NSS (240 hrs and 1 camp) Certificate
 
5.Educational CGPA Certificate




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