CSIR-UGC JRF/NET Exam http://203.199.141.241/online/form.

jsp

(11J)
Online Application Form
Joint CSIR-UGC Test for JRF and Eligibility For Lectureship, NET - 19-06-2011

1. RollNo : To be filled by Office

2. Application No. : System Will Generate After Submission
3. Applied For :

4. Subject :

5. Exam Centre :

6. Medium of NET Exam(As applicable) : English Hindi Please Read Care Fully

7. Candidate Name :
8. Sex : Male Female
9. Father/Mother/Husband Name :

10. Date Of Birth :

11. Age As On 01-01-2011 : (Year-Month-Day)

12. Category : GEN OBC SC ST
13. Physically/Visually Handicape(PH/VH) : PH VH Not Applicable
14. If VH, Do You Want Scribe's Help : Yes No Not Applicable

15. Degree(M.Sc./Equivalent) : if Equivalent then

16. If Result Awaited : Yes No
17. Year Of Appearing in M.Sc. Final Exam : (upto 2011)
18. Give detail of M.Sc./Equivalent Final Exam Result
(a) Year Of Passing :

(b) Division :

(c) Mark Obtained (%) : %

19. Specialization in M.Sc. :
(a) Specialization :
(b) If Specialization is "Other" then type Subject
:
Specialization in M.Sc.
20(a) University/Institute:

(b) If University/Instutite is "Other" then type its

:
actual name

21. Write your name and complete Mailing Address.

Name :
Address :

City :

Pin :

State :

22. Permanent Address: Same as Mailing Address

Name :
Address :

City :

Pin :

State :

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CSIR-UGC JRF/NET Exam http://203.199.141.241/online/form.jsp

State :

23. Email :

24. Challan Detail

(a) Bank Name :

(b) Branch/City :

(c) Branch Code :

(d) Journal No. :

(e) Amount in Figure(Rs.) :

(f) Amount in Word(Rs.) :

(g) Challan Date (dd/mm/yyyy) :

(h) Phone/Mobile No. :

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