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Application No: 13J663052

23. Specialization :

(a) Specialization C ode : 606 (b) Specialization Subject Name: ELECTRICAL ENGINEERING

24(a) University/Institute Code : 232

(b) University/Institute Name : TILKA MANJHI BHAGALPUR UNIVERSITY, BHAGALPUR

DECLARATION

I, RAJU KUMAR, hereby declare that all statements ma de in this application are true, complete a ndcorrect to the best of my knowledge and belief and in the event of any of the information being found false orincorrect

or any ineligibility being detected before or after the test my candidature is liable to be cancelled and actioninitiatedagainst me.I have s ubmitted only one application for this test.I further declare that I fulfill all conditions of eligibility regarding Age limits, Educational qualifications etc.prescribed forthe test.I also declare that I have never been convicted by any court of law.I declare that I have go ne through the conditions attached to NET and shall abide by the sam e.I have enclosed the attested copies of certificate of be ing 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 correspondencewill 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 :MUZAFFARPUR

Branch Code : 0668 Journal No. : 2123028

Amount in Figure(Rs.) : 200 Amount in Word(Rs.) : TWO HUNDRED

Challan Date : 26/02/013 Phone : 9473484199

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 yourown envelop (5X11) superscribing your subject code, application no., and centre code which should reach to theSr. Controller of Examination, Examination Unit, Human Resource Development Group, CSIR Complex, LibraryAvenue, Pusa, New Delhi-110012 on or be fore 07-03-2013 (13-03-2013 for remote a reas).Please do not staple the hard copy of the A pplication form & enclosures.

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(Application for Joint CSIR-UGC Test for JRF/LS (NET), June, 2013)[6 - ENG | 16 - KOL | 02-ENGLISH]

To,Sr. Controller of ExaminationsExamination Unit, Human Resource Development GroupCSIR Complex,opposite Institute of Hotel Management, Library AvenuePusa, New Delhi-110012

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