Sample Online Application Form for Joint CSIR-UGC Test for JRF and Eligibility For Lectureship, NET - 18-12-2011

Online Application Form Joint CSIR-UGC Test for JRF and Eligibility For Lectureship, NET - 18-12-2011
1. RollNo	: To be filled by Office
2. Application No.	: System Will Generate After Submission
3. Applied For	:
4. Subject	:
5. Exam Centre	:
6. Medium of NET Exam(As applicable)	:  English         Hindi            Please Read Care Fully
7. Candidate Name	:
8. Sex	:  Male  Female
9. Father/Mother/Husband Name	:
10. Date Of Birth	:
11. Age As On 01-07-2011	:   (Year-Month-Day)
12. Category	:  GEN  OBC  SC  ST
13. Physically/Visually Handicape(PH/VH)	:  PH   VH   Not Applicable
14. If VH, Do You Want Scribe's Help	:  Yes   No   Not Applicable
15. Degree(M.Sc./Equivalent)	:                                            if Equivalent then
16. If Result Awaited	:  Yes   No
17. Year Of Appearing in M.Sc. Final Exam	:  (upto 2012)
18. Give detail of M.Sc./Equivalent Final Exam Result
(a) Year Of Passing	:
(b) Division	:
(c) Mark Obtained (%)	:  %
19. Specialization:
(a) Specialization	:                      If listed is empty, select Main Subject at the top col. (4)
(b) If Specialization is "Other" then type SubjectSpecialization in M.Sc.	:
20. If enrolled in MS-PhD program	:  Yes    No
(a) Year of enrollment
(b) Year of passing Undergraduate
(c) Division/Grade
(d) Marks Obtained (%)
20(a) University/Institute:
(b) If University/Instutite is "Other" then type its actual name	:
21. Write your name and complete Mailing Address.
Name	:
Address	:
City	:
Pin	:
State	:
22. Permanent Address:   Same as Mailing Address
Name	:
Address	:
City	:
Pin	:
State	:
23. Email	:
24. Challan Detail
(a) Bank Name	:
(b) Branch/City	:
(c) Branch Code	:
(d) Journal No.	:
(e) Amount in Figure(Rs.)	:
(f) Amount in Word(Rs.)	:
(g) Challan Date (dd/mm/yyyy)	:
(h) Phone/Mobile No.	: