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UGC - NET DECEMBER 2019

Confirmation Page

Application No. 1905 2043 4073 -


DO NOT SEND THIS PAGE TO NATIONAL TESTING AGENCY (NTA).
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name ANANYA SINHAROY Date of Birth 08-07-1996
Mother's Name SHAMPA SINHAROY Category General
Father's Name AVIJIT SINHAROY Gender Female
Are you Single Girl Child in your family NO If you are a PwD Candidate, No
without brother or sister? do you have benchmark
disability (40% or more /
“Severe” where percentage is
not defined) ?
Nationality Indian Do you belong to Minority No
Community ?
Name of Minority Community Are You Diabetic? NO

Apply For
Apply For JRF & ASSISTANT PROFESSOR Subject Opted for NET English
1st Choice for Exam City WEST BENGAL - HOOGHLY 2nd Choice for Exam City TRIPURA - AGARTALA
3rd Choice for Exam City DELHI (NCT) - DELHI/NEW DELHI 4th Choice for Exam City ODISHA - BHUBANESWAR

Research/M.Phil/PhD/ExServiceman Details
Specialization, if Any
Whether you Poses Research Experience in the subject of PG Degree NO
Whether M.Phill Passed/Appearing NO
Whether Ph.D. Passed/Appearing NO
Whether you are an Ex-Serviceman ? NO

Contact Details
Address 89B/4 RAMDAS GARGARI ROAD, BANGUR PARK Locality
City/Town/Village KOLKATA District HOOGHLY
State /UT WEST BENGAL Pin Code 700001
Email Address sin*******@gmail.com Mobile Number (+91) 983****193
Land Line No. with 09903025193
STD code or any
other Contact No.

Fee Payment Details


Payment Mode: Pay through SBI(MOPS) Transaction ID: CPV0188191
Exam Fee: 1000 /- Date of Transaction: 26/09/2019 12:18:14
Fee Submitted On: 26/09/2019
DECLARATION
I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief and any mistake / misinformation, detected at the time
of admission or at any stage in future, will result in the cancellation of admission/candidature. I have read the information bulletin and understood all the procedures. In
case I furnish any false information, my result will not be declared/ my candidature will automatically stand cancelled. I shall abide by terms and conditions therein.

Images Uploaded by Candidate


Photograph Signature

List of Document Uploaded


Photograph,Signature

IP Address : 103.75.163.120 Date of Downloading : 26/09/2019 12:18:55 PM

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