UGC - NET DECEMBER 2019

Confirmation Page

Application No. 1905 2050 1679 -

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 MAYUR BHARADWAJ Y Date of Birth 17-04-1997
Mother's Name PADMA B S Category General
Father's Name YOGANANDA G Gender Male
If you are a PwD Candidate, do you have No Nationality Indian
benchmark disability (40% or more /
“Severe” where percentage is not defined)
?
Do you belong to Minority Community ? No Name of Minority Community
Are You Diabetic? NO

Apply For
Apply For JRF & ASSISTANT PROFESSOR Subject Opted for NET Computer Science and Applications
1st Choice for Exam City KARNATAKA - MYSURU(MYSORE) 2nd Choice for Exam City KARNATAKA - BENGALURU
3rd Choice for Exam City KARNATAKA - MANDYA 4th Choice for Exam City KARNATAKA - HASSAN

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 1459/1,SRIRAMPURA 2ND STAGE ,NEAR NAIDU Locality
STORES
City/Town/Village MYSORE District MYSORE
State /UT KARNATAKA Pin Code 570023
Email Address may*********@gmail.com Mobile Number (+91) 998****059
Land Line No. with --
STD code or any
other Contact No.

Fee Payment Details

Payment Mode: Pay through Syndicate Bank Transaction ID: RUR28055450396
Exam Fee: 1000 /- Date of Transaction: 03-10-2019 22:34:35
Fee Submitted On: 03/10/2019
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

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