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. Computer Science
Student Details
First Name NEERAJ
Middle Name
Last Name SAXENA
Date of Birth 01/02/1987
E-mail ID neesaxena@gmail.com Mobile Number 8127864542
Father's Name S K SAXENA Mother's Name SHASHI KANTI
Research Guide (To be allotted by the Department)
Local Guardian Mobile 8009067779
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE
Category General
Religion Hindu Marital Status MARRIED
Blood Group AB+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 672860910087
Address Details
Permanent Address
Address 256/286 KHAJUA District Lucknow
Police Station BAZARKHALA Nearest Railway Station CHARBAGH
Country India State/Union Territory Uttar Pradesh
PIN Code 226004
Correspondence
Address C 311 CHANDRA NAGRI APARTMENT AISHBAGH District Lucknow
Police Station NAKA HINDOLA Nearest Railway Station CHARBAGH
Country India State/Union Territory Uttar Pradesh
PIN Code 226004
 
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 2002 Marks 600.00 347 57.83 ALL 0727010 View Marks Sheets Doc
10+2th or Equivalent UP 2004 Marks 500.00 331 66.2 HINDI,ENGLISH,PHYSICS,CHEMISTRY,MATHS 0338554 View Marks Sheets Doc
Graduation UNIVERSITY OF LUCKNOW 2007 Marks 1800.00 906 50.33 PHYSICS,MATHS,CHEMISTRY 5480308 View Marks Sheets Doc
Post Graduation IGNOU 2010 Marks 2800.00 1885 67.32 COMPUTER APPLICATION 073157962 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 1205219584.00 2019 NTA QUALIFIED View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MOylLMiNpUD3qD
PAID AMOUNT 1500
TXN DATE 12-08-2023
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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