NATIONAL BOARD FOR HIGHER MATHEMATICS (NBHM)

(www.nbhm.dae.gov.in)
DOCTORAL SCHOLARSHIP SCHEME 2021
APPLICATION FORM - NBHM Doctoral 2022

Form Number: D22-22-Z1-00753

Personal Information
Full Name Father Name Mother Name
dushyant kumar singh mahendra pal singh urmila singh

Date of Birth: 1994-04-09 Gender: male Nationality: Indian

Indian address for Correspondance

Email Alternative email address
dushyant.kumar.singh77@gmail.com dushyant.civil.19@gmail.com

Address First Line Address Second Line

54 e pocket 4 mayur vihar phase 1

City/Village: delhi District: east delhi State: Delhi

Pin Code Contact Number Alternative Contact Number

110091 7290855367 9650331078

Identity: Aadhar card Card No.: 442394826954

Bank account information (to receive possible refunds)

Account Holder Name Bank name Account Number
dushyant kumar singh STATE BANK OF INDIA 36824645222

Re-enter Account Number IFSC Code Bank branch

36824645222 SBIN0060336 mayur vihar phase 1

Test Centres
Zone 1 Delhi South

Zone 1 Delhi North

Zone 5 Bengaluru

Zone 5 Chennai

Application Fee
Application Fee: 500 Payment Date : 2022-05-23 Transaction Id :
17:38:49 573872305220555668
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