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UGC - NATIONAL ELIGIBILITY TEST December, 2010


Print Copy of Application Form
(TO BE SUBMITTED TO THE TEST CENTRE IN DUPLICATE)

To be Filled by the Test Centre only

Roll No. 74170049 The particulars furnished by the


candidate have been checked and verified

University of Mysore, Crawford Hall, Mysore – 570005 (74)


__________________________
UNIVERSITY TEST CENTRE
CO-ORDINATOR (Signature)

Subject Code 17
Centre Code 74

__________________________
OFFICE SEAL

NET Examination Detail


1. Applied for : JRF and Lectureship Both
2. (i) Post Graduation Examination : Passed Affix recent Passport size
Photograph signed by the
2. (ii) Subject of Post-Graduation : Management
candidate and duly
3. Subject opted for NET : Management (17) attested by the Head of
the Deptt./Institution or
4. Centre of Examination : University of Mysore, Crawford Hall, Mysore – 570005 Class I Gazetted Officer
(74) (DO NOT USE STAPLER
OR PIN)
Personal Information
5. Name (as per Hr. Sec.
: Ms. IMPA BELLIAPPA
Matriculation Certificate
6. (i) Date of Birth (as recorded in
matriculation or equivalent : 11-04-1985
certificate)
6.(ii) Age as on 1-12-2010
1-12-2010 : 25 Year 7 Month 21 Days

7. Sex : FEMALE

Whether relaxation in age is


: No
sought

8. Category : GEN
9. Visually Handicapped (V/H) /
: Not Applicable
Physically Handicapped (PH)
10. (i) Father's Name : Shri M.C. BELLIAPPA
10. (ii) Mother's Name : Smt. SHANTHY BELLIAPPA
11. Address for Communication : #2335/3, UPSTAIRS, 1ST MAIN, PAMPAPATHI ROAD,
K.G.KOPPAL, MYSORE, KARNATAKA, INDIA, 560014
12. Permanent Address : #2335/3, UPSTAIRS, 1ST MAIN, PAMPAPATHI ROAD,
K.G.KOPPAL, MYSORE, KARNATAKA, INDIA, 560014

Detail of Educational Qualification


13. (a) Examination Appearing/Passed : MBA
13. (b) Name of the University : Visveswaraiah Technological Passed Ph. D.: No
University(Karnataka)
13. (c) Year of Passing : 2009
13. (d) Subject Offered : Finance,HR, Marketing
13. (e) Specialization ( if any ) : Finance
13. (f) Marks/Grade : Marks
Mark Obtained : 2701
Total Marks : 4500
% of marks obtained : 60.02%

14. Detail of Fee Deposited


Name of the Bank : STATE BANK OF INDIA
Name of the Branch : Kuvempunagar
Branch Code : 009053
Journal No. : 006997318
Deposit Date : 19-10-2010
Amount : Rs. 450

The State/UT which you


15. : Karnataka(11)
belong

Phone No. (with STD


Place: Mysore 0821-2342271
Code)
Date: 20-10-2010 Mobile No.: 09620228199
Email impaceo@gmail.com

Declaration

i) I, IMPA BELLIAPPA, hereby declare that all statement made in this application are true, complete and correct to the best of my knowledge and
belief and in the event of any information being found false or incorrect or any ineligibility being detected before or after the test, my candidature is
liable to be cancelled and legal action may be initiated against me.
ii) I fulfill all conditions of eligibility regarding age limit, educational qualification etc. prescribed for the test.
iii) I have gone through the conditions attached to NET and shall abide by the same.
iv) I have deposited the required fee.
v) I have noted that if my application is found incomplete/defective, the same is liable to be rejected summarily and no correspondence will be
entertained in this regard.
vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information.

Signature of Candidate________________

UGC - NATIONAL ELIGIBILITY TEST December, 2010


ATTENDANCE SLIP FOR USE AT THE TEST CENTRE
(TO BE SUBMITTED TO THE TEST CENTRE FOR USE ON THE DAY OF EXAMINATION)
(DATE OF TEST :December-26, 2010)

Roll No. 74170049

NAME: Ms. IMPA BELLIAPPA

SUBJECT: Management SUBJECT CODE: 17

PAPER TIMING * SIGNATURE OF CANDIDATE


(IN EXAMINATION HALL)

PAPER-I 9:30 A.M. TO 10:45 A.M.

Affix recent Passport size


PAPER-II 10:45 A.M. TO 12:00 Noon Photograph signed by the
candidate and duly
attested by the Head of
PAPER-III 01:30 P.M. TO 4:00 P.M. the Deptt./Institution or
Class I Gazetted Officer
(DO NOT USE STAPLER
OR PIN)

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

NOTE: This attendance slip should be retained by the Co-ordinator and must be given to the Invigilator for verification with Roll
Number issued to the candidate.

* The signature of the candidate should be taken on the day of examination.

UGC - NATIONAL ELIGIBILITY TEST FOR JUNIOR RESEARCH FELLOWSHIP


AND ELIGIBILITY FOR LECTURESHIP December, 2010
ADMISSION CARD (PROVISIONAL)
(TO BE SUBMITTED TO THE TEST CENTRE)

Test Centre: University of Mysore, Crawford Hall, Mysore – 570005 Roll No. 74170049
Venue of Test:
(To be filled by the Test
Centre only)

Subject: Management Code: 17


Name of the Candidate: Ms. IMPA BELLIAPPA
Father's Name: Shri. M.C. BELLIAPPA
Mother's Name: Smt. SHANTHY BELLIAPPA
Address for #2335/3, UPSTAIRS, 1ST MAIN, PAMPAPATHI ROAD,
Correspondence: K.G.KOPPAL MYSORE KARNATAKA INDIA
Pin: 560014

Date of Test : December-26, 2010


Timings
Paper-I, Paper-II : 9:30 A.M. - 10:45 A.M., 10:45 A.M. - 12:00 Noon
Paper-III : 01:30 P.M. - 04:00 P.M. Affix recent Passport size
Photograph signed by the
NOTE (1) No TA will be paid for appearing in the Test candidate and duly
(2) Entry to the Examination Hall will not be allowed without this card. attested by the Head of
(3) Cellular phone/Mobile/Pager/Calculator /Log Tables etc. shall not be allowed in the
Examination Hall/Room. the Deptt./Institution or
Class I Gazetted Officer
(DO NOT USE STAPLER
OR PIN)

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

To be Filled by the Test Centre only

Roll No. 74170050 The particulars furnished by the


candidate have been checked and verified

University of Mysore, Crawford Hall, Mysore – 570005 (74)


__________________________
UNIVERSITY TEST CENTRE
CO-ORDINATOR (Signature)

Subject Code 17

Centre Code 74
__________________________
OFFICE SEAL

NET Examination Detail Affix recent Passport size


Photograph signed by the
1. : JRF and Lectureship Both
Applied for candidate and duly
attested by the Head of
2. (i) : Passed the Deptt./Institution or
Post Graduation Examination
Class I Gazetted Officer
2. (ii) : Management
Subject of Post-Graduation
(DO NOT USE STAPLER
OR PIN)
3. : Management (17)
Subject opted for NET

4. : University of Mysore, Crawford Hall, Mysore – 570005


Centre of Examination
(74)

Personal Information
5. Name (as per Hr. Sec.
: Ms. KRUPA.B.NAIR
Matriculation Certificate

6. (i) Date of Birth (as recorded in


matriculation or equivalent : 01-10-1986
certificate)

6.(ii) Age as on 1-12-2010


1-12-2010 : 24 Year 2 Month 0 Days

7. Sex : FEMALE

Whether relaxation in age is No


:
sought

8. Category : GEN

9. Visually Handicapped (V/H) / : Not Applicable


Physically Handicapped (PH)

10. (i) Father's Name : Shri K.R.BHASKARAN NAIR

10. (ii) Mother's Name : Smt. INDIRA.B.NAIR

11. Address for Communication : #3236, 21/C MAIN, VIJAYANAGAR 2ND STAGE,
MYSORE, KARNATAKA, INDIA, 570017

12. Permanent Address : #3236, 21/C MAIN, VIJAYANAGAR 2ND STAGE,


MYSORE, KARNATAKA, INDIA, 570017
Detail of Educational Qualification
13. (a) Examination Appearing/Passed : MBA

13. (b) Name of the University : Visveswaraiah Technological University(Karnataka) Passe


d Ph.
13. (c) Year of Passing : 2009 D.: No

13. (d) Subject Offered : managemen

13. (e) Specialization ( if any ) : HR

13. (f) Marks/Grade : Marks

Mark Obtained : 3193

Total Marks : 4500

% of marks obtained : 70.96%

15. The State/UT which you : Karnataka(11)


belong

Place: Mysore Phone No. (with STD Code)

Date: 20-10-2010 Mobile No.: 9740023341

Email krupa.b.nair@gmail.com
i) I, KRUPA.B.NAIR, hereby declare that all statement made in this application are true, complete and correct to the best of my
knowledge and belief and in the event of any information being found false or incorrect or any ineligibility being detected before or
after the test, my candidature is liable to be cancelled and legal action may be initiated against me.
ii) I fulfill all conditions of eligibility regarding age limit, educational qualification etc. prescribed for the test.
iii) I have gone through the conditions attached to NET and shall abide by the same.
iv) I have deposited the required fee.
v) I have noted that if my application is found incomplete/defective, the same is liable to be rejected summarily and no
correspondence will be entertained in this regard.
vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant
information.

Signature of Candidate________________

UGC - NATIONAL ELIGIBILITY TEST FOR JUNIOR RESEARCH FELLOWSHIP


AND ELIGIBILITY FOR LECTURESHIP December, 2010
ADMISSION CARD (PROVISIONAL)
(TO BE SUBMITTED TO THE TEST CENTRE)

Test Centre: University of Mysore, Crawford Hall, Mysore – 570005 Roll No. 74170050
Venue of Test:
(To be filled by the Test
Centre only)

Subject: Management Code: 17

Name of the
Ms. KRUPA.B.NAIR
Candidate:
Father's Name: Shri. K.R.BHASKARAN NAIR
Mother's Name: Smt. INDIRA.B.NAIR
Address for #3236, 21/C MAIN, VIJAYANAGAR 2ND STAGE MYSORE
Correspondence: KARNATAKA INDIA
Pin: 570017

Date of Test : December-26, 2010


Timings
Paper-I, Paper-II : 9:30 A.M. - 10:45 A.M., 10:45 A.M. - 12:00 Noon
Paper-III : 01:30 P.M. - 04:00 P.M. Affix recent Passport size
Photograph signed by the
candidate and duly
NOT attested by the Head of
(1) No TA will be paid for appearing in the Test the Deptt./Institution or
E
Class I Gazetted Officer
(2) Entry to the Examination Hall will not be allowed without this card. (DO NOT USE STAPLER
OR PIN)
(3) Cellular phone/Mobile/Pager/Calculator /Log Tables etc. shall not be allowed in
the Examination Hall/Room.

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

UGC - NATIONAL ELIGIBILITY TEST December, 2010


ATTENDANCE SLIP FOR USE AT THE TEST CENTRE
(TO BE SUBMITTED TO THE TEST CENTRE FOR USE ON THE DAY OF EXAMINATION)
(DATE OF TEST :December-26, 2010)

Roll No. 74170050

NAME: Ms. KRUPA.B.NAIR

SUBJECT
Management SUBJECT 17
: CODE:

PAPER TIMING * SIGNATURE OF CANDIDATE


(IN EXAMINATION HALL)
PAPER-I 9:30 A.M. TO 10:45 A.M.
Affix recent Passport size
Photograph signed by the
candidate and duly
PAPER-II 10:45 A.M. TO 12:00 Noon attested by the Head of
the Deptt./Institution or
Class I Gazetted Officer
PAPER-
01:30 P.M. TO 4:00 P.M. (DO NOT USE STAPLER
III
OR PIN)

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

NOTE: This attendance slip should be retained by the Co-ordinator and must be given to the Invigilator for verification with Roll
Number issued to the candidate.

* The signature of the candidate should be taken on the day of examination.

UGC - NATIONAL ELIGIBILITY TEST December, 2010


Print Copy of Application Form
(TO BE SUBMITTED TO THE TEST CENTRE IN DUPLICATE)

To be Filled by the Test Centre only

Roll No. 74170051 The particulars furnished by the


candidate have been checked and verified

University of Mysore, Crawford Hall, Mysore – 570005 (74)


__________________________
UNIVERSITY TEST CENTRE
CO-ORDINATOR (Signature)

Subject Code 17
Centre Code 74

__________________________
OFFICE SEAL

NET Examination Detail


1. : JRF and Lectureship Both
Applied for
Affix recent Passport size
2. (i) : Passed
Post Graduation Examination
Photograph signed by the
2. (ii) : Management candidate and duly
Subject of Post-Graduation
attested by the Head of
3. : Management (17) the Deptt./Institution or
Subject opted for NET
Class I Gazetted Officer
4. : University of Mysore, Crawford Hall, Mysore – 570005 (DO NOT USE STAPLER
Centre of Examination
(74) OR PIN)

Personal Information
5. Name (as per Hr. Sec.
: Mr. NAGESHA H G
Matriculation Certificate
6. (i) Date of Birth (as recorded in
matriculation or equivalent : 05-05-1985
certificate)
6.(ii) Age as on 1-12-2010
1-12-2010 : 25 Year 6 Month 27 Days

7. Sex : MALE

Whether relaxation in age is No


:
sought

8. Category : GEN
9. Visually Handicapped (V/H) / : Not Applicable
Physically Handicapped (PH)
10. (i) Father's Name : Shri GURUSWAMY
10. (ii) Mother's Name : Smt. MAHADEVAMMA
11. Address for Communication : C/O MILL SHIVANNA, DEVALAPURA, VARUNA
HOBILI,KADAKOLA POST, MYSORE, KARNATAKA,
INDIA, 571311
12. Permanent Address : C/O MILL SHIVANNA, DEVALAPURA, VARUNA
HOBILI,KADAKOLA POST, MYSORE, KARNATAKA,
INDIA, 571311
Detail of Educational Qualification
13. (a) Examination Appearing/Passed : MBA
13. (b) Name of the University : Visveswaraiah Technological Passed Ph. D.: No
University(Karnataka)
13. (c) Year of Passing : 2008
13. (d) Subject Offered : Finance,HR, Marketing
13. (e) Specialization ( if any ) : Finance
13. (f) Marks/Grade : Marks
Mark Obtained : 2743
Total Marks : 4500
% of marks obtained : 60.96%

14. Detail of Fee Deposited


Name of the Bank : STATE BANK OF INDIA

Name of the Branch : Main Branch Mysore


Branch Code : 003130

Journal No. : 019126821

Deposit Date : 19-10-2010

Amount : Rs. 450

15. The State/UT which you : Karnataka(11)


belong

Phone No. (with STD


Place: Mysore
Code)
Date: 20-10-2010 Mobile No.: 9620228200
Email nagesha91@yahoo.co.in

Declaration
i) I, NAGESHA H G, hereby declare that all statement made in this application are true, complete and correct to the best of my knowledge and
belief and in the event of any information being found false or incorrect or any ineligibility being detected before or after the test, my candidature
is liable to be cancelled and legal action may be initiated against me.
ii) I fulfill all conditions of eligibility regarding age limit, educational qualification etc. prescribed for the test.
iii) I have gone through the conditions attached to NET and shall abide by the same.
iv) I have deposited the required fee.
v) I have noted that if my application is found incomplete/defective, the same is liable to be rejected summarily and no correspondence will be
entertained in this regard.
vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information.
Signature of Candidate________________

UGC - NATIONAL ELIGIBILITY TEST December, 2010


ATTENDANCE SLIP FOR USE AT THE TEST CENTRE
(TO BE SUBMITTED TO THE TEST CENTRE FOR USE ON THE DAY OF EXAMINATION)
(DATE OF TEST :December-26, 2010)
Roll No. 74170051

NAME: Mr. NAGESHA H G

SUBJECT: Management SUBJECT 17


CODE:

* SIGNATURE OF CANDIDATE
PAPER TIMING
(IN EXAMINATION HALL)

PAPER-I 9:30 A.M. TO 10:45 A.M.


Affix recent Passport size
PAPER-II 10:45 A.M. TO 12:00 Noon Photograph signed by the
candidate and duly
attested by the Head of
PAPER-III 01:30 P.M. TO 4:00 P.M. the Deptt./Institution or
Class I Gazetted Officer
(DO NOT USE STAPLER
OR PIN)

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________


NOTE: This attendance slip should be retained by the Co-ordinator and must be given to the Invigilator for verification with Roll
Number issued to the candidate.
* The signature of the candidate should be taken on the day of examination.

UGC - NATIONAL ELIGIBILITY TEST FOR JUNIOR RESEARCH FELLOWSHIP


AND ELIGIBILITY FOR LECTURESHIP December, 2010
ADMISSION CARD (PROVISIONAL)
(TO BE SUBMITTED TO THE TEST CENTRE)
Test Centre: University of Mysore, Crawford Hall, Mysore – 570005 Roll No. 74170051
Venue of Test:
(To be filled by the Test
Centre only)

Subject: Management Code 17


:
Name of the Candidate: Mr. NAGESHA H G
Father's Name: Shri. GURUSWAMY
Mother's Name: Smt. MAHADEVAMMA
Address for C/O MILL SHIVANNA, DEVALAPURA, VARUNA
Correspondence: HOBILI,KADAKOLA POST MYSORE KARNATAKA INDIA
Pin: 571311

Date of Test : December-26, 2010

Timings

Paper-I, Paper-II : 9:30 A.M. - 10:45 A.M., 10:45 A.M. - 12:00 Noon

Paper-III : 01:30 P.M. - 04:00 P.M. Affix recent Passport size


Photograph signed by the
candidate and duly
attested by the Head of
NOT the Deptt./Institution or
(1) No TA will be paid for appearing in the Test Class I Gazetted Officer
E
(2) Entry to the Examination Hall will not be allowed without this card. (DO NOT USE STAPLER
OR PIN)
(3) Cellular phone/Mobile/Pager/Calculator /Log Tables etc. shall not be allowed in
the Examination Hall/Room.

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________


UGC - NATIONAL ELIGIBILITY TEST December, 2010
Print Copy of Application Form
(TO BE SUBMITTED TO THE TEST CENTRE IN DUPLICATE)

To be Filled by the Test Centre only

Roll No. 74170052 The particulars furnished by the


candidate have been checked and verified

University of Mysore, Crawford Hall, Mysore – 570005 (74)


__________________________
UNIVERSITY TEST CENTRE
CO-ORDINATOR (Signature)

Subject Code 17

Centre Code 74
__________________________
OFFICE SEAL

NET Examination Detail


1. : JRF and Lectureship Both Affix recent Passport size
Applied for Photograph signed by the
2. (i) : Passed
candidate and duly
Post Graduation Examination attested by the Head of
2. (ii) : Management
the Deptt./Institution or
Subject of Post-Graduation Class I Gazetted Officer
3. : Management (17) (DO NOT USE STAPLER
Subject opted for NET
OR PIN)
4. : University of Mysore, Crawford Hall, Mysore – 570005
Centre of Examination
(74)

Personal Information
5. Name (as per Hr. Sec. : Ms. PAVITHRA GOWTHAM N S
Matriculation Certificate
6. (i) Date of Birth (as recorded in : 04-06-1982
matriculation or equivalent
certificate)
6.(ii) Age as on 1-12-2010
1-12-2010 : 28 Year 5 Month 28 Days

7. Sex : FEMALE

Whether relaxation in age is No


:
sought

8. Category : GEN
9. Visually Handicapped (V/H) /
: Not Applicable
Physically Handicapped (PH)
10.
Father's Name : Shri SHIVASHANKAR N
(i)
10.
Mother's Name : Smt. JAYASHREE N S
(ii)
11. Address for Communication : C/O M.C.BELLIAPPA,#2335/3,UPSTAIRS,1ST
MAIN,PAMPAPATHI RD, K.G.KOPPAL, MYSORE,
KARNATAKA, INDIA, 570014
12. Permanent Address : C/O M.C.BELLIAPPA,#2335/3,UPSTAIRS,1ST
MAIN,PAMPAPATHI RD, K.G.KOPPAL, MYSORE,
KARNATAKA, INDIA, 570014

Detail of Educational Qualification


13. (a) Examination Appearing/Passed : MBA
13. (b) Name of the University : Visveswaraiah Technological Passed Ph. D.: No
University(Karnataka)
13. (c) Year of Passing : 2005
13. (d) Subject Offered : Finance,HR, Marketing
13. (e) Specialization ( if any ) : Management
13. (f) Marks/Grade : Marks
Mark Obtained : 2901
Total Marks : 4350
% of marks obtained : 66.69%
14. Detail of Fee Deposited
Name of the Bank : STATE BANK OF INDIA

Name of the Branch : Kuvempunagar


Branch Code : 009053

Journal No. : 007140173

Deposit Date : 19-10-2010

Amount : Rs. 450

15. The State/UT which you belong : Karnataka(11)

Place: Mysore Phone No. (with STD Code)


Date: 20-10-2010 Mobile No.: 9986205297
Email pavithragowtham@yahoo.co.in

Declaration
i) I, PAVITHRA GOWTHAM N S, hereby declare that all statement made in this application are true, complete and correct to the best of my
knowledge and belief and in the event of any information being found false or incorrect or any ineligibility being detected before or after the test,
my candidature is liable to be cancelled and legal action may be initiated against me.
ii) I fulfill all conditions of eligibility regarding age limit, educational qualification etc. prescribed for the test.
iii) I have gone through the conditions attached to NET and shall abide by the same.
iv) I have deposited the required fee.
v) I have noted that if my application is found incomplete/defective, the same is liable to be rejected summarily and no correspondence will be
entertained in this regard.
vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information.

Signature of Candidate________________
UGC - NATIONAL ELIGIBILITY TEST December, 2010
ATTENDANCE SLIP FOR USE AT THE TEST CENTRE
(TO BE SUBMITTED TO THE TEST CENTRE FOR USE ON THE DAY OF EXAMINATION)
(DATE OF TEST :December-26, 2010)

Roll No. 74170052

NAME: Ms. PAVITHRA GOWTHAM N S

SUBJECT: Management SUBJECT CODE: 17

PAPER TIMING * SIGNATURE OF CANDIDATE


(IN EXAMINATION HALL)

PAPER-I 9:30 A.M. TO 10:45 A.M.


Affix recent Passport size
Photograph signed by the
PAPER-II 10:45 A.M. TO 12:00 Noon candidate and duly
attested by the Head of
the Deptt./Institution or
PAPER-III 01:30 P.M. TO 4:00 P.M. Class I Gazetted Officer
(DO NOT USE STAPLER
OR PIN)

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

NOTE: This attendance slip should be retained by the Co-ordinator and must be given to the Invigilator for verification with Roll
Number issued to the candidate.

* The signature of the candidate should be taken on the day of examination.

UGC - NATIONAL ELIGIBILITY TEST FOR JUNIOR RESEARCH FELLOWSHIP


AND ELIGIBILITY FOR LECTURESHIP December, 2010
ADMISSION CARD (PROVISIONAL)
(TO BE SUBMITTED TO THE TEST CENTRE)

Test Centre: University of Mysore, Crawford Hall, Mysore – 570005 Roll No. 74170052
Venue of Test:
(To be filled by the Test
Centre only)

Subject: Management Code: 17

Name of the
Ms. PAVITHRA GOWTHAM N S
Candidate:
Father's Name: Shri. SHIVASHANKAR N
Mother's Name: Smt. JAYASHREE N S
C/O M.C.BELLIAPPA,#2335/3,UPSTAIRS,1ST
Address for
MAIN,PAMPAPATHI RD, K.G.KOPPAL MYSORE
Correspondence:
KARNATAKA INDIA
Pin: 570014

Date of Test : December-26, 2010

Timings

Paper-I, Paper-II : 9:30 A.M. - 10:45 A.M., 10:45 A.M. - 12:00 Noon
Affix recent Passport size
Paper-III : 01:30 P.M. - 04:00 P.M. Photograph signed by the
candidate and duly
attested by the Head of
the Deptt./Institution or
NOT Class I Gazetted Officer
(1) No TA will be paid for appearing in the Test
E
(DO NOT USE STAPLER
(2) Entry to the Examination Hall will not be allowed without this card. OR PIN)

(3) Cellular phone/Mobile/Pager/Calculator /Log Tables etc. shall not be allowed


in the Examination Hall/Room.

SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

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