3/17/2019 CSIR-UGC NET Exam :: Candidate Application

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Online Application Form

Joint CSIR-UGC Test for JRF & LS(NET), June, 2019
[Council of Scientific & Industrial Research - HRD Group, Examination Unit]
(Only Indian Nationals Can Apply)

Application No.
19J6107626 19J6107626

[A] JRF/NET Option Details

1. Apply for JRF or LS : 1 - JUNIOR RESEARCH FELLOWSHIP(JRF)

2. Subject : 4 - MAT - MATHEMATICAL SCIENCES

3. Specialization:

(a) Specialization Code : 402

(b) Specialization Name : PURE MATHEMATICS

4. Exam Centre : 5 - CHA - CHANDIGARH

5. Medium of Exam(As applicable) : 02-ENGLISH

[B] Personal Details

[As mentioned in Matriculation Certificate]

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1. Name of the Candidate : Ms. PAWANJOT KAUR

2. Email Address : 08JOTPAWAN@GMAIL.COM

3. Mobile Number : +91-8558044992

4. Phone : NA

5. Gender : FEMALE

6. Father's Name : SATNAM SINGH

7. Mother's Name : SHINDER KAUR

8. Husband's Name (in case of married female) : NA

9. Date Of Birth : 08-09-1995

Age As On 01-01-2019 : 23 Y, 3 M, 24 D

[OBC candidates whose caste is listed only in the State List and not listed in Central List are not eligible to apply under OBC category and have to
apply as General category candidates]

10. Category : GEN

[For S.no. 11 and 12 below, only Persons with 40% or more disability(PwD) as per valid medical certificate shall be considered]

11. Person with Disablity(PwD)? : NA

12. If PwD, do you require scribe? : NA

[C] Name and complete Mailing Address [Please refer Information Bulletin]

1. Name : Ms. PAWANJOT KAUR

2. Address : VPO GHALL KHURD ,DISTT FEROZEPUR ,TEH FEROZEPUR

3. City : FEROZEPUR 4. Pin : 142052 5. State : PUNJAB

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[D] Permanent Address

1. Name : Ms. PAWANJOT KAUR

2. Address : VPO GHALL KHURD ,DISTT FEROZEPUR ,TEH FEROZEPUR

3. City : FEROZEPUR 4. Pin : 142052 5. State : PUNJAB

[E] Qualifying Degree Details [Please refer Information Bulletin]

[Bachelor's degree holders will not be eligible for Lectureship, as per instructions contained in Information Bulletin]

Qualifying Degree : M.SC.

[Candidates enrolled for M.Sc. or having completed 10+2+3 years of qualifying examination, may apply under Result Awaited (RA) category]
In case the candidates are awarded grades/CGPA instead of marks, the conversion of grades/CGPA to percentage/ marks would be based on the
conversion formula certified by the university/institution from where the candidate has obtained their degrees.

► Bachelor Degree Details

1. Month & Year of Passing

: 06-2016

2. Percentage (%) : 79.67%

3. Obtained Marks : 1912

4. Maximum Marks : 2400

► Qualifying Degree Details

1. Month & Year of Enrollment : 07-2016

2. Duration In Year : 2.0

3. University/Institute : PANJAB UNIVERSITY CHANDIGARH

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4. If Result Awaited (RA) : NO

► Qualifying Degree Completion Details

1. Month & Year of Passing : 09-2018

2. Division :1

3. Percentage (%) : 71.5%

4. Obtained Marks : 1430

5. Maximum Marks : 2000

[F] Uploaded Documents

► Qualifying final/last Marksheet : ✔

[G] Fee Details

1. Amount in Figure(Rs.) : 1000.00

2. Amount in Word : RUPEES ONE THOUSAND ONLY

3. Fee Status : SUCCESS

4. Reference No. : QHDF7334765102

5. Payment Date : 2019-03-17 16:37:53

[H] DECLARATION

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I, Ms. PAWANJOT KAUR, a citizen of India have read and understood the instructions contained in the Information Bulletin and
hereby, declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief
and in the event of any of the information being found false or incorrect or any ineligibility being detected before or after the test,
my candidature is liable to be cancelled and action initiated against me.
I further declare that I fulfil all conditions of eligibility regarding Age limits, Educational qualifications etc. prescribed for the test.
I also declare that I have never been convicted by any court of law. I declare that I have gone through the conditions attached to
NET and shall abide by the same.
I have uploaded self attested copies of certificate of being SC/ST/OBC/PwD (Persons with Disabilities)/Qualifying Degree
MarkSheet(As applicable).
I understand that my application will be rejected summarily if found incomplete/ineligible, and no correspondence will be
entertained by CSIR in this regard.
I understand that mere submission of online application is not a criterion for selection. Online application system is meant for
capturing application data with maximum possible validation rules to assist in filling up online application. It is my responsibility to
preview the application for correctness before final submission. At any stage of the exam process, if it is found that I do not fulfill
any of the laid down eligibility criteria, my candidature will stand cancelled.

Date: 2019-03-17 16:37:53

Signature of Applicant

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