UGC - NET DECEMBER 2019

Confirmation Page

Application No. 1905 2092 5165 -

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 KHAN MOHD NADDEEM Date of Birth 10-04-1997
Mother's Name AASMA Category General
Father's Name MOHD SHARIF 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 ASSISTANT PROFESSOR Subject Opted for NET Commerce
1st Choice for Exam City MAHARASHTRA - MUMBAI/NAVI MUMBAI 2nd Choice for Exam City MAHARASHTRA - THANE
3rd Choice for Exam City MAHARASHTRA - PUNE 4th Choice for Exam City MAHARASHTRA - NASHIK

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 402, TRANSIT CAMP NO. 3/6, PLOT NO. 13/33, Locality
GOLIBAR ROAD, SANTACRUZ EAST
City/Town/Village MUMBAI District MUMBAI SUBURBAN
State /UT MAHARASTRA Pin Code 400055
Email Address nad***********@gmail.com Mobile Number (+91) 887****164
Land Line No. with 7738795752
STD code or any
other Contact No.

Fee Payment Details

Payment Mode: Pay through SBI(MOPS) Transaction ID: CPV3593845
Exam Fee: 1000 /- Date of Transaction: 09/10/2019 22:11:44
Fee Submitted On: 09/10/2019
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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