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CSIR-UGC JRF/NET Exam

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http://115.112.95.106/jrf/online/getview_form.jsp

(13D)

Online Application Form


Joint CSIR-UGC Test for JRF and Eligibility For Lectureship, NET - 22-12-2013
[Council of Scientific & Industrial Research - HRD Group, Examination Unit]
1. RollNo(To be filled by Office Only)

2. Application No.

13D751209
3. Applied For

: 02 - LECTURERSHIP

4. Subject

: 3 - LIF - LIFE SCIENCES

5. Exam Centre

: 16 - KOL - KOLKATA

6. Meduim of NET Exam(As applicable)

: 02-ENGLISH

7. Candidate Name

: ADITI SAHA

8. Sex

: FEMALE

9. Father/Mother/Husband Name

: FATHER -> PIJUSH KANTI SAHA

10. Date Of Birth

: 21-02-1984

11. Age As On 01-07-2013

: 29 Y, 4 M, 11 D

12. Category

: GEN

13. Physically/Visually Handicape(PH/VH)

: NA

14. If VH, Do You Want Scribe's Help

: NA

15. Write your name and complete Mailing Address.


Name:

ADITI SAHA

Address:

BASUNDHARA APPT, FLAT NO-1/D


SARDARPARA. (NEAR SITALA TEMPLE)
KAIKHALI.

City:

KOLKATA

Pin:

700052

State:

WEST BENGAL
Signature of Candidate ------>

16. Permanent Address


Name

: ADITI SAHA

Address

: BASUNDHARA APPT, FLAT NO-1/D


SARDARPARA. (NEAR SITALA TEMPLE)
KAIKHALI.
City : KOLKATA
Pin : 700052

17. Email

State : WEST BENGAL

: aditisaha21@gmail.com

18. Qualifying Degree

: M.SC[TECH]

[Candidates enrolled for M.Sc. or having completed 10+2+3 years of qualifying examination as given in column 18,
may apply under Result Awaited (RA) category]
19. If Result Awaited

: NO

20. Year Of Appearing in Final Exam

: NA

(If Result Awaited)

21. Give detail of Final Exam Result (If not Result Awaited)
(a) Year Of Passing : 2011

(b) Division : 1ST

22. If enrolled in MS-PhD program

: NO

(a) Year of enrollment

: NA

(b) Year of passing bachelor degree

: NA

(c) Division/Grade

: NA

(d) Marks Obtained (%)

:0

(c) Mark Obtained (%) : 55 %

8/20/2013 12:02 AM

CSIR-UGC JRF/NET Exam

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http://115.112.95.106/jrf/online/getview_form.jsp
Application No:

13D751209

23. Specialization:
(a) Specialization Code : 309

(b) Specialization Subject Name : BIO-INFORMATICS

24(a) University/Institute Code

: 999

(b) University/Institute Name

: WEST BENGAL UNIVERSITY OF TECHNOLOGY

DECLARATION
I, ADITI SAHA, hereby declare that all statements made in this application are true, complete and
correct to the best of my knowledge and belief and in the event of any of the information being found false or incorrect
or any ineligibility being detected before or after the test my candidature is liable to be cancelled and action initiated
against me.
I have submitted only one application for this test.
I further declare that I fulfill all conditions of eligibility regarding Age limits, Educational qualifications etc. prescribed for
the test.
I also declare that I have never been convicted by any court of law.
I declare that I have gone through the conditions attached to NET and shall abide by the same.
I have enclosed the attested copies of certificate of being SC/ST/OBC/PH/VH (Physically or Visually handicapped), (strike which is
not applicable).
I understand that my application will be rejected summarily if found incomplete/ineligible, and no correspondence will be
entertained by CSIR in this regard.
Date:
Place:
Signature of the Candidate.
ATTESTATION(For 'RA' Category Only)

Not Applicable For You as You have entered RESULT AWAITED as "NO"
25. Challan Detail.
Name of the Bank

: INDIAN BANK

Branch/City

:DUMDUM(LAKE TOWN).

Branch Code

: 2096

Journal No.

: 002847000

Amount in Figure(Rs.)

: 400

Amount in Word(Rs.)

: FOUR HUNDRED

Challan Date

: 16.08.2013

Phone

: 09836701289

Signature of Applicant
Note:Please send hard copy of this ONLINE submitted application form duly signed with recent passport size Black & white
photograph along with a copy of original challan (fee deposit receipt) meant for CSIR(Examination Unit) with required certificate(s)
by U.P.C./ordinary Post only, as notified in the Employment News/Website by arranging your own envelop (5X11) superscribing
your subject code, application no., and centre code which should reach to the Sr. Controller of Examination, Examination Unit,
Human Resource Development Group, CSIR Complex, Library Avenue, Pusa, New Delhi-110012 on or before27-08-2013
(02-09-2013 for remote areas).
Please do not staple the hard copy of the Application form & enclosures.

8/20/2013 12:02 AM

CSIR-UGC JRF/NET Exam

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http://115.112.95.106/jrf/online/getview_form.jsp

Cut and Paste following address on your own envelop(5X11)

(Application for Joint CSIR-UGC Test for JRF/LS (NET), December, 2013)
[3 - LIF | 13D751209 | 16 - KOL | 02-ENGLISH]

To,
Sr. Controller of Examinations
Examination Unit, Human Resource Development Group
CSIR Complex,opposite Institute of Hotel Management, Library Avenue
Pusa, New Delhi-110012

8/20/2013 12:02 AM

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