You must check your registration status when it is notified on our website csirhrdg.res.

in
(14D)
Online Application Form
Joint CSIR-UGC Test for JRF and Eligibility For Lectureship, NET - 21-12-2014
[Council of Scientific & Industrial Research - HRD Group, Examination Unit]
1. RollNo(To be filled by Office Only) 2. Application No.
14D634934
3. Applied For : 01 - JRF
4. Subject : 1 - CHE - CHEMICAL SCIENCES
5. Exam Centre : 06 - CHE - CHENNAI
6. Meduim of NET Exam(As applicable) : 02-ENGLISH

7. Candidate Name : BHUVANAGIRI SRINIVASA RAO
8. Sex : MALE
9. Father/Mother/Husband Name : FATHER -> B VENKATESWARLU
10. Date Of Birth : 10-02-1992
11. Age As On 01-07-2014 : 22 Y, 4 M, 22 D
12. Category : OBC
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: BHUVANAGIRI SRINIVASA RAO
Address: PANDITIVARI PALEM(VIL, POST)
PIDUGURALLA MANDALAM
GUNTUR(DIST).
City: PIDUGURALLA
Pin: 522413
State: ANDHRA PRADESH
Signature of Candidate ------>

16. Permanent Address
Name : BHUVANAGIRI SRINIVASA RAO
Address
: PANDITIVARI PALEM(VIL, POST)
PIDUGURALLA MANDALAM
GUNTUR(DIST). City : PIDUGURALLA Pin : 522413 State : ANDHRA PRADESH
17. Email : b.sri124@gmail.com

Note:Bachelors degree holders will not be eligible for Lectureship]
18. Qualifying Degree : M.SC.
[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 : RA
20. Year Of Appearing in Final Exam : 2015 (If Result Awaited)
21. Give detail of Final Exam Result (If not Result Awaited)
(a) Year Of Passing : NA (b) Division : NA (c) Mark Obtained (%) : 0 %
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
Application No: 14D634934
23. Specialization :
(a) Specialization Code : 105 (b) Specialization Subject Name : CHEMICAL SCIENCES
24(a) University/Institute Code : 181
(b) University/Institute Name : PONDICHERRY UNIVERSITY, PONDICHERRY

DECLARATION
I, BHUVANAGIRI SRINIVASA RAO, 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)
I certify that the information given by the candidate Shri/Smt/Kum BHUVANAGIRI SRINIVASA RAO has been
verified by me with reference to records.
Also this is certifiied that the candidate is enrolled for M.Sc. or having completed 10+2+3 years of (BS-4
year/BE/B.Tech./B.Pharma/MBBS/Integrated BS-MS or equivalent degree & is eligible to appear under 'RA"
category as laid down in the eligibility criteria of CSIR-UGC NET December 2014. (Strike which is not applicable)
Signature of the Head of Dept./Institute
Rubber stamp/seal
Name:
Designation:

NOTE : (Attestation should be signed by the Head of the Dept. or Institution where the candidate has appeared OR
will be appearing in the above notified Qualification/Degree Examiniation as applicable).

25. Challan Detail.
Name of the Bank : INDIAN BANK Branch/City :PONDICHERRYUNIVERSIT
Branch Code : 1574 Journal No. : J1524014
Amount in Figure(Rs.) : 200 Amount in Word(Rs.) : TWO HUNDRED
Challan Date : 26/07/2014 Phone : 7598430628

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 before 19-08-2014 (25-08-2014 for remote areas).
Please do not staple the hard copy of the Application form & enclosures.
(Application for Joint CSIR-UGC Test for JRF/LS (NET), December, 2014)
[1 - CHE | 14D634934 | 06 - CHE | 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
Cut and Paste following address on your own envelop(5X11)