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 ANKITA
Middle Name
Last Name
Date of Birth 26/08/1991
E-mail ID ankitachoudhary8812@gmail.com Mobile Number 9369340106
Father's Name RAM KUMAR Mother's Name MITHILESH KUMARI
Research Guide (To be allotted by the Department)
Local Guardian Mobile 8812880075
 
Personal Information
Domicile UTTAR PRADESH
Gender FEMALE Enrollment Number SU1800001049
Category OBC Certificate Number 281203004676
Religion Hindu Marital Status MARRIED
Blood Group O+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 478443751229
Address Details
Permanent Address
Address SHIVGARH ROAD NEAR NAHAR KOTHI BACHHRAWAN District Rae Bareilly
Police Station BACHHRAWAN Nearest Railway Station BACHHRAWAN
Country India State/Union Territory Uttar Pradesh
PIN Code 229301
Correspondence
Address SHIVGARH ROAD NEAR NAHAR KOTHI BACHHRAWAN District Rae Bareilly
Police Station BACHHRAWAN Nearest Railway Station BACHHRAWAN
Country India State/Union Territory Uttar Pradesh
PIN Code 229301
 
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 2007 Marks 600 371 61.83 Hindi English science social science drawing 1136657 View Marks Sheets Doc
10+2th or Equivalent Up board 2009 Marks 500 326 65.2 Hindi English physics chemistry maths 0743100 View Marks Sheets Doc
Graduation Csjm kanpur University 2012 Marks 1350 735 54.44 Physics chemistry maths 0315431 View Marks Sheets Doc
Post Graduation Bbau Lucknow 2015 CGPA 10 7.81 78.13 Applied mathematics 29009 View Marks Sheets Doc
View CGPA Doc
Other DSMNRU 2020 CGPA 10 7.87 74.2 Visual impairment 187240003 View Marks Sheets Doc
View CGPA Doc
Other Bhu varanasi 0
NET Score Card Details
SN# Level of Category Roll No. Year and Month Agency conducting the test Score Attached Document
1 NET UP18022364 2019 NTA Up View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MTuA2UHcD0SCdP
PAID AMOUNT 1506
TXN DATE 24-08-2023
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
 
Caste Certificate
 
5.Educational CGPA Certificate
 
6.Educational CGPA Certificate




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