5/8/2021 ::ASRB PrintForm::

Print

AGRICULTURAL SCIENTISTS RECRUITMENT

BOARD (ASRB)
(Department of Agricultural Research and Education)
Ministry of Agriculture and Farmers Welfare, Govt. of India
Krishi Anusandhan Bhawan – I, Pusa, New Delhi - 110012

NATIONAL ELIGIBILITY TEST (NET), AGRICULTURAL RESEARCH SERVICE

(ARS) & SENIOR TECHNICAL OFFICER (STO) (T-6) EXAMINATION 2021

APPLICATION FORM

Registration No 287383

Applied For NET

Candidate’s Name Dr. SIRAJ MVP

Candidate’s Name in Hindi

Father’s Name MOIDU B.S

Father’s Name in Hindi

Gender Male

Date of birth 10-Dec-1980

Category OBC (OTHER BACKWARD CLASS)

Caste Certificate No 366/14

Date of issue certificate in

6-Dec-2014
prescribed format

Divyang (PwBD) No

Age As on 01/01/2021 for

40 years, 0 months, and 22 days
ARS/NET
Are you seeking age relaxation No
Age relaxation In
Indicate your
Caste/Tribe/Community as OBC
given in SC/ST/OBC Certificate
Citizen of India Yes
Permanent Address RAYYAN, KUNHIMANGALAM
City/Village/Mandal KUNHIMANAGALAM
District KUNHIMANAGALAM
Pincode 670307
State KERALA
Present Address RAYYAN, KUNHIMANGALAM

City/Village/Mandal KUNHIMANAGALAM
District KUNHIMANAGALAM
Pincode 670307
State KERALA
Email ID sirajmoidu5@rediffmail.com
Mobile No 9447670524
Telephone No
-
(Land line)
Discipline Applied for Agricultural Biotechnology
ID Proof Aadhar Card
https://online.cbexams.com/asrbnetarsstot62021reg/printform.aspx 1/2
5/8/2021 ::ASRB PrintForm::

ID Proof Number 935720589050

Preferences of Examination centers

Preference 1 : Cochin (10) Preference 2 : Coimbatore (11) Preference 3 : Chennai (9)

Particulars of Examinations Passed

Matriculation (10th) / Intermediate (12th)

Examination Level Class (or) OGPA/CGPA/(%) Date of Name of the University/Board
Division Passing
28-Mar- BOARD OF PUBLIC
Matriculation level (10th) Ist 79.66
1996 EXAMINATIONS, KERALA
17-Jun-
Intermediate level (12th) IInd 56.8 UNIVERSITY OF CALICUT
1998
Graduation
Examination Class (or) Subject of Specialization OGPA/CGPA/PER(%) Date of Name of the
Level Division Passing University
B.Sc Ist ZOOLOGY 70.1 8-Jun-2001 Kannur University
Master’s Degree
Examination Class Subject of Specialization as State / Thesis in OGPA/CGPA/PER(%) Date of Name of
Level (or) Specialization indicated Union Master'S Passing the
Division in Master's Territory Degree University
Degree
Certificate
PCR
AMPLIFICATION,
Biotechnology CLONING AND
with SEQUENCE
MSc 5-May- Kannur
M.Sc Ist Specalization Kerala ANALYSIS OF 63.44
BIOTECHNOLOGY 2005 University
in Plant GLYOXALASE I
Biotechnology GENE FROM
HEVEA
BRASILIENSIS
Ph.D.
Examination Class (or) Subject of Specialization OGPA/CGPA/PER(%) Date of Name of Name of the
Level Division Passing the Specialization
University
OVER-EXPRESSION OF 14-
Kannur
Ph.D. Ist GLYOXALASE I IN HEVEA January- BIOTECHNOLOGY
University
BRASILIENSIS 2019
If you have at any time been employed, give details including present
NO
employment.
Do you have any relative working in ICAR including its Institute? No
Have you ever been debarred/disqualified by the ICAR/ASRB or any Public
NO
Service Commission exam./selections?
Details of Online Payment

Transaction ID Fee Paid (Rs) Status Date

VHMP9957699377 500.00 Success 08 May 2021

Note:
1. YOU ARE NOT REQUIRED TO SEND THE HARD COPY OF YOUR APPLICATION FORM TO THE ASRB.
2. No request for change of Center will be considered.
3. You are advised to keep print/soft copy of the completed application form for future reference.
4. You are advised to regularly check your e-mail provided in the application form for updated with regard
to NET, ARS & STO(T-6). You must check the inbox/spam/junk folders.
5. I own the responsibility for all enteries / information provided herein.

https://online.cbexams.com/asrbnetarsstot62021reg/printform.aspx 2/2