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OnlineApplicationForm
JointCSIRUGCTestforJRF&LS(NET),December,2015
1.RollNo

:TobefilledbyOffice

2.ApplicationNo.

:SystemWillGenerateAfterSubmission

3.AppliedFor

: JRF

4.Subject

: PHY:PHYSICALSCIENCES

5.ExamCentre

: HYD:HYDERABAD

6.MediumofNETExam(Asapplicable)

01Hindi

7.CandidateName

: RAMANIKALLEPALLI

8.Sex

9.Father/Mother/HusbandName

: FATHER

10.DateOfBirth

: 30

11.AgeAsOn01072015

: 21Y,10M,2D

Male

02English

Female
K.V.S.SATYANARAYANA

Aug

1993
Cal (YearMonthDay)

[OBC category candidates not belonging to OBC (Non Creamy Layer) and whose caste is not listed in Central list shall indicate their
categoryasGeneral.Seepara5.1ofmainnotification]

12.Category

GEN

13.Physically/VisuallyHandicaped(PH/VH)

PH

VH

NotApplicable

14.IfVH,DoYouWantScribe'sHelp

Yes

No

NotApplicable

OBC

SC

15.WriteyournameandcompleteMailingAddress.
Name

: RAMANIKALLEPALLI

Address

:
City

Pin

State

: SelectState

16.PermanentAddress:

SameasMailingAddress.

Name

: RAMANIKALLEPALLI

Address

:
City

Pin

ST

State

: SelectState

17.Email

Note:[BachelorsdegreeholderswillnotbeeligibleforLectureship][Seepara2.2Educationalqualificationofmain
notification]
18.QualifyingDegree

: M.SC.

ifM.Sc.Equivalentthen:

M.SC.

[CandidatesenrolledforM.Sc.orhavingcompleted10+2+3yearsofqualifyingexaminationasgivenincolumn18,
mayapplyunderResultAwaited(RA)category]
19.IfResultAwaited(RA)

20.YearOfAppearinginFinalExam

: NA

Yes

No
(IfResultAwaited)

21.GivedetailofFinalExamResult(IfnotResultAwaited)
(a)YearOfPassing

(b)Division

(c)MarkObtained(%)

22.IfenrolledinMSPhDprogram

(a)Yearofenrollment

: NA

(b)Yearofpassingbachelordegree

: NA

(c)Division/Grade

: NA

(d)MarksObtained(%)

: 0

23.Specialization:

(a)Specialization

: QUANTUMPHYSICS

(b)IfSpecializationis"Other"thentype
SubjectSpecialization

24(a)University/Institute

%
Yes

No

Iflistisempty,selectMainSubjectatthetopcol.(4)

QUANTUMPHYSICS

: ANDHRAUNIVERSITY,VISAKHAPATNAM
(b)IfUniversity/Instutiteis"Other"thentype :
itsactualname
ANDHRAUNIVERSITY,VISAKHAPATNAM

25.ChallanDetail
(a)BankName

(b)Branch/City

(c)BranchCode

(d)JournalNo/UTRNo.

(e)AmountinFigure(Rs.)

: 1000

(f)AmountinWord(Rs.)

: ONETHOUSAND

(g)ChallanDate(dd/mm/yyyy)

(h)Phone/MobileNo.

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