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. Hindi
Student Details
First Name VIJAY
Middle Name KUMAR
Last Name YADAV
Date of Birth 19/01/2001
E-mail ID vrajyadav5050@gmail.com Mobile Number 7408723795
Father's Name UDAY RAJ YADAV Mother's Name SIRJAN YADAV
Research Guide (To be allotted by the Department)
Local Guardian Mobile 9616919910
 
Personal Information
Domicile UTTAR PRADESH
Gender MALE
Category OBC Certificate Number 531213029945
Religion Hindu Marital Status UNMARRIED
Blood Group A+ Nationality INDIAN
DSMNRU Employee NO
DSMNRU Employee Ward NO
Disability NO
Aadhar Card Number 338925548239
Address Details
Permanent Address
Address VILLAGE BARDAND POST PUREBASALAT INTIYATHOK GONDAI District Gonda
Police Station INTIYATHOK Nearest Railway Station GONDA JUNCTION
Country India State/Union Territory Uttar Pradesh
PIN Code 271603
Correspondence
Address VILLAGE BARDAND POST PUREBASALAT INTIYATHOK GONDAI District Gonda
Police Station INTIYATHOK Nearest Railway Station GONDA JUNCTION
Country India State/Union Territory Uttar Pradesh
PIN Code 271603
 
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 2015 Marks 600 445 74.17 hindi english math science social science art 2308024 View Marks Sheets Doc
10+2th or Equivalent up board 2017 Marks 500 339 67.8 hindi english math physics chemestry 1669217 View Marks Sheets Doc
Graduation banaras hindu university 2021 Marks 1000 748 74.8 hindi english history 18214hin097 View Marks Sheets Doc
Post Graduation banaras hindu university 0
NET Score Card Details
SN# Level of Category Roll No. Year and Month Agency conducting the test Score Attached Document
1 Eligible for Ph.D with JRF 22D/11092 2023 NTA UTTAR PRADESH View Marks Sheets Doc
Are you having any Fellowship/Scholarship?:
 

Payment Details : PAID
TRANSACTION ID pay_MTpHDUtbBM0iO5
PAID AMOUNT 1500
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

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Uploaded Domicile
 
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