UGC-NET December 2020 and June 2021 cycles

Confirmation Page

Application No. 2105 2013 2913 -

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 MANTASHA KHAN Date of Birth 13-10-1999
Mother's Name MRS. SHABNAM KHAN Category General
Father's Name MOHD. FARHAN KHAN 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 Yes
Community ?
Name of Minority Community Muslim Annual Income of the More than 6 Lakhs
Parents/Guardian
Are You Diabetic? NO Subject Name in Post Management
Graduate Exam

Apply For
Apply For JRF & ASSISTANT PROFESSOR Subject Opted for NET Management (including Business Admn.
Mgt./Marketing/ Marketing Mgt./Industrial
Relations and Personnel Mgt./ Personnel
Mgt./Financial Mgt./Co-operative Management)
1st Choice for Exam City UTTAR PRADESH - LUCKNOW 2nd Choice for Exam City UTTAR PRADESH - AGRA
3rd Choice for Exam City UTTAR PRADESH - FAIZABAD 4th Choice for Exam City UTTAR PRADESH - GORAKHPUR

Doctorate Details
Whether already a doctoral student? No

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

Contact Details
Address H.NO 571 MEENA NAGAR NEAR FATIMA SCHOOL Locality CIRCULAR ROAD
City/Town/Village GONDA Country India
State /UT UTTAR PRADESH District GONDA
Pin Code 271002 Email Address man*************@gmail.com
Mobile Number 884****242 Land Line No. with 8840996242
STD code or any
other Contact No.

Fee Payment Details

Payment Mode: Pay through HDFC Bank Transaction ID: 13885299974
Exam Fee: 1000 /- Date of Transaction: 29/08/2021 07:21:11
Fee Submitted On: 29/08/2021
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 : 49.36.209.192 Date of Downloading : 29/08/2021 07:22:20 PM