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ronsro18 CSIR-UGC NET Exam = Candidate Application (18D) Back = Print Online Application Form Joint CSIR-UGC Test for JRF & LS(NET), December, 2018 [Council of Scientific & Industrial Research - HRD Group, Examination Unit] (Only Indian Nationals Can Apply) Application No. 18D6304293 [A] JRF/NET Option Details 1. Apply for JRF or L FELLOWSHIP(JRF) 2. Subject : 3 - LIF - LIFE SCIENCES - JUNIOR RESEARCH 3. Specialization: (a) Specialization Code : 399 (b) Specialization Name : OTHERS (c) Other Specialization Name : PHARMACEUTICAL CHEMISTRY 4, Exam Centre : 9 - GUN - GUNTUR 5. Medium of Exam(As applicable) : 02-ENGLISH [B] Personal Details [As mentioned in Matriculation Certificate] 1. Name of the Candidate 180304285 MS sowmye : Ms, MANTHA SARAWATHI SOWMYA. 2. Email Address : MANTHASOWMYA7@GMAIL.COM 3. Mobile Number + +91-9951052221 4. Phone 19951052221 5. Gender : FEMALE 6. Father's Name : MANTHA VIJAYA BABU 7. Mother's Name : MANTHA SANYASA LAKSHMI 8, Husband's Name (in case of married : CHITTILLA KALI PRASAD female) 9, Date Of Birth + 25-08-1990 Age As On 01-07-2018 :27Y,10M,6D hitps159.163.216.84:8080inew jt! 48 roner2018 CSIR-UGC NET Exam = Candidate Application [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 :NA Disablity(PwD)? 12. If PwD, do you require scribe? :NA IC] Name and complete Mailing Address [Please refer Information Bulletin] 1. Name : Ms. MANTHA SARAWATHI SOWMYA 2. Address: SSENCLAVE, FLAT NO.101,TENNETI NAGAR 3. City ot 4, Pin : 530007 5. State : ANDHRA PRADESH VISAKHAPATNAM [D] Permanent Address 1. Name : Ms. MANTHA SARAWATHI SOWMYA 2. Address: SSENCLAVE, FLAT NO.101,TENNETI NAGAR 3. City t 4, Pin : 530007 5. State : ANDHRA PRADESH VISAKHAPATNAM IE] 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.-EQUIVALENT if M.Sc equivalent, then name of the: M.PHARMACY degree [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 hitps159.163.216.84:8080inew_ jt 2s ronero18 CSIR-UGC NET Exam = Candidate Application 1. Month & Year of Passing : 05-2012 2. Percentage (%) : 76.76% 3. Obtained Marks 14625 4, Maximum Marks +6025 > Qualifying Degree Details 1. Month & Year of Enrollment 212-2013 2. Duration In Year 12.0 3. University/Institute : ANDHRA UNIVERSITY 4. If Result Awaited (RA) :NO > Qualifying Degree Completion Details 1. Month & Year of Passing : 10-2015 2. Division rs 3. Percentage (%) 181.7% 4. Obtained Marks + 81.70 5. Maximum Marks :100 IF] Uploaded Documents > Qualifying final/last Marksheet v [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. : PAXG6798619430 5. Payment Date : 2018-10-16 13:01:31 [H] DECLARATION hitps159.163.216.84:8080inew_ jt 35

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