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. History
Student Details
First Name DINESH
Middle Name
Last Name TIWARI
Date of Birth 23/10/1994
E-mail ID tiwaridinesh150@gmail.com Mobile Number 7652013351
Father's Name KRISHNA BHAWAN TIWARI Mother's Name GUDIA TIWARI
Research Guide (To be allotted by the Department) DR.AWNEESH MISHRA
Local Guardian Mobile 9450437157
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE
Category EWS Certificate Number 1044
Religion Hindu Marital Status UNMARRIED
Blood Group O+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 415574213465
Address Details
Permanent Address
Address 2A/30 PIPRAGHAT District Lucknow
Police Station GAUTAM PALLI Nearest Railway Station CHARBAGH
Country India State/Union Territory Uttar Pradesh
PIN Code 226002
Correspondence
Address 2A/30 PIPRAGHAT District Lucknow
Police Station GAUTAM PALLI Nearest Railway Station CHARBAGH
Country India State/Union Territory Uttar Pradesh
PIN Code 226002
 
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 2010 Marks 600 388 64.67 HINDI ENGLISH MATH SCIENCE S.SCIENCE SANSKRIT 1210832 View Marks Sheets Doc
10+2th or Equivalent UP BOARD 2012 Marks 500 348 69.6 HINDI ENGLISH PHYSICS CHEMISTRY MATH 0887236 View Marks Sheets Doc
Graduation UNIVERSITY OF LUCKNOW 2015 Marks 900 478 53.11 ANCIENT INDIAN HISTORY POLITICAL SCIENCE 1310400414 View Marks Sheets Doc
Post Graduation BBAU LUCKNOW 2017 Marks 1600 1180 73.75 HISTORY 11043 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 UP12640660 2022 NTA UP View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MRxns7bZoZlTyu
PAID AMOUNT 1500
TXN DATE 19-08-2023
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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