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UGC - NATIONAL ELIGIBILITY TEST December, 2010Print Copy of Application Form

(TO BE SUBMITTED TO THE TEST CENTRE IN DUPLICATE)

To be Filled by the Test Centre only

Roll No. 74170049 The particulars furnished by the candidate have been checked and verified

University of Mysore, Crawford Hall, Mysore – 570005 (74) UNIVERSITY TEST CENTRE

__________________________CO-ORDINATOR (Signature)

Subject Code 17

Centre Code 74

__________________________OFFICE SEAL

NET Examination Detail 1. Applied for : JRF and Lectureship Both

2. (i) Post Graduation Examination : Passed

2. (ii) Subject of Post-Graduation : Management

3. Subject opted for NET : Management (17)

4. Centre of Examination : University of Mysore, Crawford Hall, Mysore – 570005

(74)

Personal Information

5. Name (as per Hr. Sec.

Matriculation Certificate: Ms. IMPA BELLIAPPA

6. (i) Date of Birth (as recorded in

matriculation or equivalent certificate)

: 11-04-1985

6.(ii) Age as on 1-12-2010

: 25 Year 7 Month 21 Days

7. Sex : FEMALE

Whether relaxation in age is

sought: No

8. Category : GEN

9. Visually Handicapped (V/H) /

Physically Handicapped (PH): Not Applicable

Affix recent Passport size Photograph signed by the

candidate and duly attested by the Head of the Deptt./Institution or Class I Gazetted Officer

(DO NOT USE STAPLER OR PIN)

1-12-2010

10. (i) Father's Name : Shri M.C. BELLIAPPA

10. (ii) Mother's Name : Smt. SHANTHY BELLIAPPA

11. Address for Communication : #2335/3, UPSTAIRS, 1ST MAIN, PAMPAPATHI ROAD,

K.G.KOPPAL, MYSORE, KARNATAKA, INDIA, 560014

12. Permanent Address : #2335/3, UPSTAIRS, 1ST MAIN, PAMPAPATHI ROAD,

K.G.KOPPAL, MYSORE, KARNATAKA, INDIA, 560014

Detail of Educational Qualification

13. (a) Examination Appearing/Passed : MBA

Passed Ph. D.: No 13. (b) Name of the University : Visveswaraiah Technological University(Karnataka)

13. (c) Year of Passing : 2009

13. (d) Subject Offered : Finance,HR, Marketing

13. (e) Specialization ( if any ) : Finance

13. (f) Marks/Grade : Marks

Mark Obtained : 2701

Total Marks : 4500

% of marks obtained : 60.02%

14. Detail of Fee Deposited Name of the Bank : STATE BANK OF INDIA

Name of the Branch : Kuvempunagar

Branch Code : 009053

Journal No. : 006997318

Deposit Date : 19-10-2010

Amount : Rs. 450

15. The State/UT which you belong : Karnataka(11)

Place: Mysore Phone No. (with STD Code) 0821-2342271

Date: 20-10-2010 Mobile No.: 09620228199

Email [email protected]

Declarationi) I, IMPA BELLIAPPA, hereby declare that all statement made in this 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 entertained in this regard.vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information. Signature of Candidate________________

UGC - NATIONAL ELIGIBILITY TEST December, 2010

ATTENDANCE SLIP FOR USE AT THE TEST CENTRE(TO BE SUBMITTED TO THE TEST CENTRE FOR USE ON THE DAY OF EXAMINATION)

(DATE OF TEST :December-26, 2010)

Roll No. 74170049

NAME: Ms. IMPA BELLIAPPA

SUBJECT: Management SUBJECT CODE:

17

PAPER TIMING * SIGNATURE OF CANDIDATE(IN EXAMINATION HALL)

PAPER-I 9:30 A.M. TO 10:45 A.M.

PAPER-II 10:45 A.M. TO 12:00 Noon

PAPER-III 01:30 P.M. TO 4:00 P.M.




SIGNATURE OF CO-ORDINATOR ________________Signature of Candidate _____________________

NOTE: This attendance slip should be retained by the Co-ordinator and must be given to the Invigilator for verification with Roll Number issued to the candidate.

* The signature of the candidate should be taken on the day of examination.

UGC - NATIONAL ELIGIBILITY TEST FOR JUNIOR RESEARCH FELLOWSHIP AND ELIGIBILITY FOR LECTURESHIP December, 2010

ADMISSION CARD (PROVISIONAL) (TO BE SUBMITTED TO THE TEST CENTRE)

Test Centre: University of Mysore, Crawford Hall, Mysore – 570005

Venue of Test:(To be filled by the Test Centre only)

Subject: Management Code: 17

Name of the Candidate: Ms. IMPA BELLIAPPA

Father's Name: Shri. M.C. BELLIAPPA

Mother's Name: Smt. SHANTHY BELLIAPPA

Address for Correspondence:

#2335/3, UPSTAIRS, 1ST MAIN, PAMPAPATHI ROAD, K.G.KOPPAL MYSORE KARNATAKA INDIA

Pin: 560014

Date of Test : December-26, 2010

Timings

Paper-I, Paper-II : 9:30 A.M. - 10:45 A.M., 10:45 A.M. - 12:00 Noon

Paper-III : 01:30 P.M. - 04:00 P.M.

NOTE(1) No TA will be paid for appearing in the Test

(2) Entry to the Examination Hall will not be allowed without this card.

(3) Cellular phone/Mobile/Pager/Calculator /Log Tables etc. shall not be allowed in the Examination Hall/Room.

Roll No. 74170049






Print Copy of Application Form(TO BE SUBMITTED TO THE TEST CENTRE IN DUPLICATE)


Roll No. 74170050The particulars furnished by the candidate have been checked and verified



Subject Code 17

Centre Code 74

__________________________OFFICE SEAL

NET Examination Detail 1.

Applied for: JRF and Lectureship Both

2. (i)Post Graduation Examination

: Passed

2. (ii)Subject of Post-Graduation

: Management

3.Subject opted for NET

: Management (17)


(74)



Matriculation Certificate: Ms. KRUPA.B.NAIR

6. (i) Date of Birth (as recorded in : 01-10-1986





6.(ii) Age as on 1-12-2010


7. Sex : FEMALE

Whether relaxation in age is sought

:No

8. Category : GEN



10. (i) Father's Name : Shri K.R.BHASKARAN NAIR

10. (ii) Mother's Name : Smt. INDIRA.B.NAIR

11. Address for Communication : #3236, 21/C MAIN, VIJAYANAGAR 2ND STAGE,

MYSORE, KARNATAKA, INDIA, 570017

12. Permanent Address : #3236, 21/C MAIN, VIJAYANAGAR 2ND STAGE,

MYSORE, KARNATAKA, INDIA, 570017



Passed Ph. D.: No

13. (b) Name of the University : Visveswaraiah Technological University(Karnataka)


13. (d) Subject Offered : managemen

13. (e) Specialization ( if any ) : HR



Total Marks : 4500

1-12-2010


15.The State/UT which you belong

: Karnataka(11)

Place: Mysore Phone No. (with STD Code)

Date: 20-10-2010 Mobile No.: 9740023341


Declaration

i) I, KRUPA.B.NAIR, hereby declare that all statement made in this 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 entertained in this regard.

vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information.

Signature of Candidate________________


ADMISSION CARD (PROVISIONAL)

(TO BE SUBMITTED TO THE TEST CENTRE)

Test Centre: University of Mysore, Crawford Hall, Mysore – 570005 Roll No. 74170050

14. Detail of Fee Deposited

Name of the Bank

: STATE BANK OF INDIA

Name of the Branch : Vijayanagar Extn


Journal No.

: 001138906

Deposit Date

: 19-10-2010

Amount

: Rs. 450



Name of the Candidate:

Ms. KRUPA.B.NAIR

Father's Name: Shri. K.R.BHASKARAN NAIR

Mother's Name: Smt. INDIRA.B.NAIR


#3236, 21/C MAIN, VIJAYANAGAR 2ND STAGE MYSORE KARNATAKA INDIA

Pin: 570017


Timings


Paper-III : 01:30 P.M. - 04:00 P.M.

NOTE (1) No TA will be paid for appearing in the Test










Roll No. 74170050

NAME: Ms. KRUPA.B.NAIR


17


PAPER-I 9:30 A.M. TO 10:45 A.M.


PAPER-III

01:30 P.M. TO 4:00 P.M.













Subject Code 17

Centre Code 74

__________________________OFFICE SEAL






(74)



Matriculation Certificate: Mr. NAGESHA H G



: 05-05-1985

6.(ii) Age as on 1-12-2010


7. Sex : MALE


: No

8. Category : GEN

9. Visually Handicapped (V/H) / : Not Applicable




1-12-2010

Physically Handicapped (PH)

10. (i) Father's Name : Shri GURUSWAMY

10. (ii) Mother's Name : Smt. MAHADEVAMMA

11. Address for Communication : C/O MILL SHIVANNA, DEVALAPURA, VARUNA

HOBILI,KADAKOLA POST, MYSORE, KARNATAKA, INDIA, 571311

12. Permanent Address : C/O MILL SHIVANNA, DEVALAPURA, VARUNA

HOBILI,KADAKOLA POST, MYSORE, KARNATAKA, INDIA, 571311






13. (e) Specialization ( if any ) : Finance



Total Marks : 4500



Name of the Branch : Main Branch Mysore


Journal No. : 019126821


Amount : Rs. 450



Date: 20-10-2010 Mobile No.: 9620228200


Declarationi) I, NAGESHA H G, hereby declare that all statement made in this 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 entertained in this regard.vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information.





Roll No. 74170051

NAME: Mr. NAGESHA H G


17


PAPER-I 9:30 A.M. TO 10:45 A.M.






SIGNATURE OF CO-ORDINATOR ________________ Signature of Candidate _____________________

NOTE: This attendance slip should be retained by the Co-ordinator and must be given to the Invigilator for verification with Roll Number issued to the candidate.* The signature of the candidate should be taken on the day of examination.






Subject: Management Code:

17

Name of the Candidate: Mr. NAGESHA H G

Father's Name: Shri. GURUSWAMY

Mother's Name: Smt. MAHADEVAMMA


C/O MILL SHIVANNA, DEVALAPURA, VARUNA HOBILI,KADAKOLA POST MYSORE KARNATAKA INDIA

Pin: 571311


Timings


Paper-III : 01:30 P.M. - 04:00 P.M.

NOTE

(1) No TA will be paid for appearing in the Test



Roll No. 74170051











Subject Code 17

Centre Code 74

__________________________OFFICE SEAL






(74)



Matriculation Certificate: Ms. PAVITHRA GOWTHAM N S



: 04-06-1982

6.(ii) Age as on 1-12-2010





1-12-2010

7. Sex : FEMALE


: No

8. Category : GEN



10. (i)

Father's Name : Shri SHIVASHANKAR N

10. (ii)

Mother's Name : Smt. JAYASHREE N S

11. Address for Communication : C/O M.C.BELLIAPPA,#2335/3,UPSTAIRS,1ST

MAIN,PAMPAPATHI RD, K.G.KOPPAL, MYSORE, KARNATAKA, INDIA, 570014

12. Permanent Address : C/O M.C.BELLIAPPA,#2335/3,UPSTAIRS,1ST

MAIN,PAMPAPATHI RD, K.G.KOPPAL, MYSORE, KARNATAKA, INDIA, 570014






13. (e) Specialization ( if any ) : Management



Total Marks : 4350



Name of the Branch : Kuvempunagar


Journal No. : 007140173


Amount : Rs. 450



Date: 20-10-2010 Mobile No.: 9986205297


Declaration

i) I, PAVITHRA GOWTHAM N S, hereby declare that all statement made in this 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 entertained in this regard.

vi) I have read and agree with the Notification for the UGC NET including instructions, enclosures, check list and other relevant information.


UGC - NATIONAL ELIGIBILITY TEST December, 2010ATTENDANCE SLIP FOR USE AT THE TEST CENTRE

(TO BE SUBMITTED TO THE TEST CENTRE FOR USE ON THE DAY OF EXAMINATION)


Roll No. 74170052

NAME: Ms. PAVITHRA GOWTHAM N S


17


PAPER-I 9:30 A.M. TO 10:45 A.M.















Name of the Candidate:

Ms. PAVITHRA GOWTHAM N S

Father's Name: Shri. SHIVASHANKAR N

Mother's Name: Smt. JAYASHREE N S


C/O M.C.BELLIAPPA,#2335/3,UPSTAIRS,1ST MAIN,PAMPAPATHI RD, K.G.KOPPAL MYSORE KARNATAKA INDIA

Pin: 570014


Timings


Paper-III : 01:30 P.M. - 04:00 P.M.

NOTE

(1) No TA will be paid for appearing in the Test



Roll No. 74170052




net[1]

Documents

test centre test centre

test centreto

venue of test

signature of candidate

date of test timings

paper paper

net centre of examination

email mysore