UGC - NATIONAL ELIGIBILITY TEST FOR JUNIOR RESEARCH FELLOWSHIP AND ELIGIBILITY FOR LECTURESHIP DECEMBER, 2011

ADMISSION CARD (PROVISIONAL) (TO BE SUBMITTED TO THE TEST CENTRE)

Test Centre: Venue of Test:
(To be filled by the Test Centre only)

Bharathidasan Univesity, Tiruchirapalli-620 024(10)

Roll No. 10170220

Subject: Name of the Candidate: Father's Name: Mother's Name:

Management Mr. MARISHKUMAR Shri. PARAMESWARAN Smt. CHANDRA

Code: 17

Address for 20/B, PERUMAL STREET(NEW), DADAGAPATTY, Correspondence: SALEM, TAMILNADU, INDIA Pin: Date of Test Timings Paper-I, Paper-II Paper-III 9:30 A.M. - 10:45 A.M., 10:45 A.M. - 12:00 : Noon : 01:30 P.M. - 04:00 P.M. : Saturday; Dec. 24, 2011

Affix recent Passport size Photograph signed by the candidate and duly attested by the Head of the Deptt./Institution or Class I Gazetted Officer (DO NOT USE STAPLER OR PIN)

NOTE(1) No TA will be paid for appearing in the Test (2) Entry to the Examination Hall will not be allowed without this card. (3) Cellular phone/Mobile/Pager/Calculator /Log Tables etc. shall not be allowed in the Examination Hall/Room. SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

UGC NATIONAL ELIGIBILITY TEST DECEMBER , 2011 ATTENDAN CE SLIP FOR USE AT THE TEST CENTRE
(TO BE SUBMITTED TO THE TEST CENTRE FOR USE ON THE DAY OF EXAMINATIO N) (DATE OF TEST :Saturday; Dec. 24, 2011)
Roll No. 10170220 NAME: Mr. MARISHKUMAR SUBJECT CODE: 17

SUBJECT: Management

PAPER

TIMING

* SIGNATURE OF CANDIDATE (IN EXAMINATION HALL)

PAPER-I PAPER-II PAPER-III

9:30 A.M. TO 10:45 A.M. 10:45 A.M. TO 12:00 Noon 01:30 P.M. TO 4:00 P.M. Affix recent Passport size Photograph signed by the candidate and duly attested by the Head of the Deptt./Institution or Class I Gazetted Officer (DO NOT USE STAPLER OR PIN)

SIGNATURE OF CO-ORDINATOR ________________

Signature of Candidate _____________________

NOTE: This attendance slip should be retained by the Co-ordinator and must be given to the Invigilator for verification with Roll Number issued to the candidate. * The signature of the candidate should be taken on the day of examination.

UGC - NATIONAL ELIGIBILITY TEST DECEMBER, 2011 Print Copy of Application Form
(TO BE SUBMITTED TO THE TEST CENTRE

IN DUPLICATE) To be Filled by the Test Centre only

Roll No. 10170220

The particulars furnished by the candidate have been checked and verified Bharathidasan Univesity, Tiruchirapalli-620 __________________________ 024(10) CO-ORDINATOR (Signature) UNIVERSITY TEST CENTRE Subject Code Centre Code 17 10 __________________________ OFFICE SEAL
Affix recent Passport size Photograph signed by the candidate and duly attested by the Head of the Deptt./Institution or Class I Gazetted Officer (DO NOT USE STAPLER OR PIN)

NET Examination Detail

1. 2. (i) 2. (ii) 3. 4. Applied for Post Graduation Examination Subject of PostGraduation Subject opted for NET Centre of Examination : : : : : Lectureship only Passed Management Management Bharathidasan Univesity, Tiruchirapalli-620 024(10)

Personal Information
5. 6. (i) Name (as per Hr. Sec. Matriculation Certificate Date of Birth (as recorded in matriculation or equivalent certificate) Sex Whether relaxation in age is sought : : : : Mr. MARISHKUMAR 05-11-1978 MALE No

7.

8. 9.

Category Visually Handicapped (V/H) / Physically Handicapped (PH) Father's Name Mother's Name Address for Communication Permanent Address

: : : : :

OBC Not Applicable Shri PARAMESWARAN Smt. CHANDRA 20/B, PERUMAL STREET(NEW),DADAGAPATTY, SALEM, TAMILNADU, INDIA, 20/B, PERUMAL STREET(NEW),DADAGAPATTY, SALEM, TAMILNADU, INDIA, 636006

10. (i) 10. (ii) 11.

12.

Detail of Educational Qualification

13. (a) 13. (b) 13. (c) 13. (d) 13. (e) 13. (f) Examination MBA Appearing/Passed : Name of the University : Year of Passing : Subject Offered : Specialization ( if any ) : Marks/Grade : Periyar University 2003 Management Marketing Marks Passed Ph. D.: No

Mark Obtained : 1347 Total Marks : 2200 % of marks obtained : 61.23%

14.

Detail of Fee Deposited

Name of the Bank : STATE BANK OF INDIA

Name of the Branch Branch Code Journal No. Deposit Date Amount 15.

: : : : :

Attayampatti 2200 015344013 18-10-2011 Rs. 225

The State/UT which you : Tamil Nadu(23) belong

Place: Date: Email:

Salem 20-10-2011 adthiyasiva@gmail.com

Phone No. (with STD Code) Mobile No.: 9790617813

Declaration
i) I, MARISHKUMAR, hereby declare that all statement made in this application are true, complete and correct to the best of my knowledge and belief and in the event of any information being found false or incorrect or any ineligibility being detected before or after the test, my candidature is liable to be cancelled and legal action may be initiated against me. ii) I fulfill all conditions of eligibility regarding age limit, educational qualification etc. prescribed for the test. iii) I have gone through the conditions attached to NET and shall abide by the same. iv) I have deposited the required fee. v) I have noted that if my application is found incomplete/defective, the same is liable to be rejected summarily and no correspondence will be entertained in this regard. vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information.

Signature of Candidate________________