ANURCET-2015

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DIRECTORATE OF ADMISSIONS
ACHARYA NAGARJUNA UNIVERSITY, GUNTUR
Application for admission into M.Phil & Ph.D Programme for the Year 2015-16
ANURCET-2015
Application No :
M.Phil :

34655

Subject Name : R126-Computer Science and Engineering

Full-Time

Ph.D :
Full-Time
Test Center :Guntur
Personal Details
Name
: HEMALATHA GOLI
Special Reservation Category
Father Name : RAMAMOHAN RAO GOLI
PH
: None
NCC : No
DOB
: 30/10/1979
Sports
:
No
CAP : No
Address
: C/O SK. ASLAM H:NO:
8-10-263,NEHRU NAGRA , 1ST LINE NSS
: No
,GUNTUR
Pin code
: 522001
Gender
: Female
: Guntur
District
Community : BCB
State
: Andhra Pradesh
Local Area : Local
Mobile
: +91 8096485081
PG COURSE DETAILS
Course : M.Tech (CSE)
Passed/Appearing : Passed
University : ANU
Year :2010
% : 76.00
M.Phil COURSE DETAILS Course passed : -Class Award : -% : -University : -Teaching Experience / Service Details for M.Phil (Part Time) Course
Name of the Org./Inst.
Designation
Service After Completion of P.G.
Total Service
----From:--To:--Year(s):--Month(s):------From:--To:--Year(s):--Month(s):---

@ 2015 All Copy Rights Reserved

7/29/2015 2:59 PM

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DIRECTORATE OF ADMISSIONS
ACHARYA NAGARJUNA UNIVERSITY, GUNTUR
Application for admission into M.Phil & Ph.D Programme for the Year 2015-16
ANURCET-2015
Application No :
M.Phil :

34655
Full-Time

Subject Name : R126-Computer Science and Engineering

Ph.D :

Full-Time

Test Center : Guntur

Personal Details
Name
: HEMALATHA GOLI
Special Reservation Category
Father Name : RAMAMOHAN RAO GOLI
PH
: None
NCC : No
DOB
: 30/10/1979
Sports : No
CAP : No
Address
: C/O SK. ASLAM H:NO:
8-10-263,NEHRU NAGRA , 1ST LINE
NSS
: No
,GUNTUR
Pin code
: 522001
Gender
: Female
: Guntur
District
Community : BCB
State
: Andhra Pradesh
Local Area : Local
Mobile
: +91 8096485081
PG COURSE DETAILS
Course : M.Tech (CSE)
Passed/Appearing : Passed
University : ANU
Year :2010
% : 76.00
M.Phil COURSE DETAILS Course passed : -Class Award : -% : -University : -Teaching Experience / Service Details for M.Phil (Part Time) Course
Name of the Org./Inst.
Designation
Service After Completion of P.G.
Total Service
----From:--To:--Year(s):--Month(s):------From:--To:--Year(s):--Month(s):--From:
To:
Year(s):
Month(s):
From:
To:
Year(s):
Month(s):
Teaching Experience / Service Details for Ph.D (Part Time) Course
Name of the Org./Inst.
Designation
Service After Completion of P.G.
Total Service
----From:--To:--Year(s):--Month(s):------From:--To:--Year(s):--Month(s):--From:
To:
Year(s):
Month(s):
From:
To:
Year(s):
Month(s):
Additional Information: Have you qualified in any of the following examination?
Test
GATE
UGC NET
CSIR NET
APSET
GPAT
OTHERS
Score/Percentage

NO

NO

NO

NO

NO

--

Have you awarded any of the following fellowships?

Award
Indicates YES/NO
Fee Details Bank

DST Inspire

Moulana Azad Fellowship

RGNF

NO

NO

NO

SBI

Trans.ID DU27765219

Date

21-07-2015

Amount(Rs.)

1200.00

Declaration :I declare that the particulars given in my applicaton for admission to M.Phil / Ph.D programme are correct. In case they are
found to be incorrect at a later date after verification. I am liable for action as per University rules.

Place :Guntur
Date :29-Jul-2015

Signature of the Candidate

Note : The copy of the filled online application along with necessary enclosures shall be sent to, The Director, Directorate of Admissions, Acharya Nagarjuna University,
Nagarjuna Nagar, 522510, Guntur, Andhra Pradesh, India. so as to reach before the last date.

1.
2.
3.
4.
5.
6.
7.

Post Graduate Provisional Certificate / Original Degree.

Post Graduate Marks Statements.
Bachelor Degree Provisional Certificate / Original Degree.
Bachelor Degree Marks Statements.
S.S.C & Intermediate Pass Certificates.
Migration Certificate.
Study Certificates /Residence Certificates from Last Seven Academic Years.

8.Reserved Category/Permanent Caste Certificate in case of SC/ST/BC Candidates

9. Special Reservation Category is claimed under PH/NCC/SPORTS/CAP
10. Service Certificate and First Page of the Service Register (SR) for Part-Time
Candidates
11. Research Experience Certificates for Extra-Mural Candidates
12. Copy of Certificate of having passed UGC/CSIR NET/GATE/APSET/GPAT etc

7/29/2015 3:00 PM