UGC - NET JUNE 2020

Confirmation Page

Application No. 2005 1029 5714 -

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 BAKYARAJ T Date of Birth 15-09-1994
Mother's Name CHELLAMMAL T Category OBC- NCL (Central List)
Father's Name THANGAIYA P 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 Subject Name in Post Computer Science and
Graduate Exam Applications

Apply For
Apply For ASSISTANT PROFESSOR Subject Opted for NET Computer Science and Applications
1st Choice for Exam City TAMIL NADU - COIMBATORE 2nd Choice for Exam City TAMIL NADU - NAMAKKAL
3rd Choice for Exam City TAMIL NADU - SALEM 4th Choice for Exam City KERALA - PALAKKAD

Doctorate Details
Whether already a doctoral student? No

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 ANNANAGAR BACKSIDE SUNDAKKAMUTHUR Locality
COIMBATORE 641010
City/Town/Village COIMBATORE Country India
State /UT TAMIL NADU District COIMBATORE
Pin Code 641010 Email Address bak**********@gmail.com
Mobile Number 999****847 Land Line No. with --
STD code or any
other Contact No.

Fee Payment Details

Payment Mode: Pay through PAYTM Transaction ID: 20200408111212800110168889222916
424
Exam Fee: 500 /- Date of Transaction: 08/04/2020 12:00:00
Fee Submitted On: 08/04/2020
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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