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4/4/2018 Confirmation Page

UGC - National Eligibility Test JULY, 2018


Confirmation Page (Reference No: JULY-2018-
80627759 )

Print
Application Number: 80627759 Subject Code : 80
1st Choice of Exam City : BHOPAL 2nd Choice of Exam City : JABALPUR
3rd Choice of Exam City : GWALIOR 4th Choice of Exam City : NEW DELHI

1. Applied for : ASSISTANT PROFESSOR


2. Subject opted for NET : GEOGRAPHY
3. Name : SHRIM NAYAK
4. Date of Birth (as recorded in matriculation or : 13/03/1983
equivalent certificate)
5. Gender : FEMALE
6. Category : GENERAL
7. Visually Challanged / Physically Challenged : NO
8. Father's Name : HARIKANT NAYAK
9. Mother's Name : PARVATI NAYAK Address:
10. Examination Appearing/ Passed : MA SANDEEP SHANDILY HOUSE,
JIWAJI UNIVERSITY, GWALIOR-474011 , SHRIM RAM COLONY, DEORI,
11. Name of the University/ Institution : SAGAR, MADHYA
MADHYA PRADESH. (STATE UNIVERSITY).
PRADESH(470226)
12. Marks/ Grade : MARKS
Marks Obtained : 707 Total Marks : 1000 % of Marks Obtained : 70.7
13. Fee Payment Details
Transaction ID Amount Deposit Date Submit Date Fee Type Fee Mode
04-04-2018
LSM36188844300 1000 04/04/2018 Application Fee Bill Desk EPG
07:14:37

Declaration
i) I, SHRIM NAYAK hereby declare that all statements made in the online 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 entrtained in this regard. vi) I have read and agreed with the Notification for the UGC
NET including instructions, enclosures, check list and other relevant information.

Date: 4-4-2018 07:22:29.5427934

Signature of Candidate

NOTE : The Candidate should take print of Confirmation Page and keep it for future reference. The Confirmation Page should not be sent to CBSE.

https://cbsenet.nic.in/cbsenet/Online/PrintApplicationForm.aspx 1/1

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