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Online Application Form

Joint CSIR-UGC Test for JRF & LS(NET), June, 2019
[Council of Scientific & Industrial Research - HRD Group, Examination Unit]
(Only Indian Nationals Can Apply)

Application No.
19J6158367
19J6158367

[A] JRF/NET Option Details

1. Apply for JRF or LS : 2 - LECTURESHIP(LS)

2. Subject : 4 - MAT - MATHEMATICAL SCIENCES

3. Specialization:

(a) Specialization Code : 402

(b) Specialization Name : PURE MATHEMATICS

4. Exam Centre : 20 - PIL - PILANI

5. Medium of Exam(As applicable) : 01-HINDI

[B] Personal Details

[As mentioned in Matriculation Certificate]

1. Name of the Candidate : Mr. ANOOJ KUMAR

2. Email Address : ANOOJKHANDWA@GMAIL.COM

3. Mobile Number : +91-7597759082

4. Phone : NA

5. Gender : MALE

6. Father's Name : SAHI RAM

7. Mother's Name : MUNNI DEVI

8. Husband's Name (in case of married female) : NA

9. Date Of Birth : 15-12-1998

Age As On 01-01-2019 : 20 Y, 0 M, 17 D

[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 : OBC

[Caste should be listed in the central list, for which you may confirm from NCBC website i.e www.ncbc.nic.in]

Name of State and Caste : RAJASTHAN - AHIR

[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 Disablity(PwD)? : NA

12. If PwD, do you require scribe? : NA

[C] Name and complete Mailing Address [Please refer Information Bulletin]

1. Name : Mr. ANOOJ KUMAR

2. Address : PLOT NO.- 92, GOVINDNAGAR 11B, NIWARU ROAD, JHOTWARA

3. City        : JAIPUR 4. Pin : 302012 5. State : RAJASTHAN

[D] Permanent Address

1. Name : Mr. ANOOJ KUMAR

2. Address : V.P.O.- KHANDWA, TEH.- BUHANA

3. City        : JHUNJHUNU 4. Pin : 333502 5. State : RAJASTHAN

[E] 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 degree : INTEGRATED M.SC. B.ED.

[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

1. Month & Year of Passing

: 05-2018

2. Percentage (%) : 67.45%

3. Obtained Marks : 67.45

4. Maximum Marks : 100

► Qualifying Degree Details

1. Month & Year of Enrollment : 07-2018

2. Duration In Year : 3.0

3. University/Institute : CENTRAL UNIVERSITY OF RAJASTHAN

4. If Result Awaited (RA) : YES

► 1st Semester / 1st Year Details

1. Month & Year of Passing : 12-2018

2. Percentage (%) : 77.7%

3. Obtained Marks : 77.7

4. Maximum Marks : 100

► Final Semester / Final Year Details

1. Month & Year of Enrollment : 07-2018

2. Likely Year of Passing in Final : 2021

Semester/Final Year

[F] Uploaded Documents

► Qualifying final/last Marksheet :✔

► Caste Certificate :✔

► Attested Certificate [if RA (Yes)] :✔

[G] Fee Details

1. Amount in Figure(Rs.) : 500.00

2. Amount in Word : RUPEES FIVE HUNDRED ONLY

3. Fee Status : SUCCESS

4. Reference No. : QAXG7321621595

5. Payment Date : 2019-03-14 01:10:33

[H] DECLARATION

I, Mr. ANOOJ KUMAR, a citizen of India have read and understood the instructions contained in
the Information Bulletin and hereby, declare that all statements made in this application are true,
complete and correct to the best of my knowledge and belief and in the event of any of the
information being found false or incorrect or any ineligibility being detected before or after the
test, my candidature is liable to be cancelled and action initiated against me.
I further declare that I fulfil all conditions of eligibility regarding Age limits, Educational
qualifications etc. prescribed for the test.
I also declare that I have never been convicted by any court of law. I declare that I have gone
through the conditions attached to NET and shall abide by the same.
I have uploaded self attested copies of certificate of being SC/ST/OBC/PwD (Persons with
Disabilities)/Qualifying Degree MarkSheet(As applicable).
I understand that my application will be rejected summarily if found incomplete/ineligible, and
no correspondence will be entertained by CSIR in this regard.
I understand that mere submission of online application is not a criterion for selection. Online
application system is meant for capturing application data with maximum possible validation
rules to assist in filling up online application. It is my responsibility to preview the application for
correctness before final submission. At any stage of the exam process, if it is found that I do not
fulfill any of the laid down eligibility criteria, my candidature will stand cancelled.

Date: 2019-03-14
01:10:33

Signature of Applicant