MAULANA AZAD NATIONAL INSTITUTE OF TECHNOLOGY BHOPAL- 462003

(An Institute of National Importance)
ADMISSION FORM
Form No 142330 ScholarNo
Degree PH. D Dated
Department ENERGY
Councelling ROUND-1
VERIFICATION FORM
1. Name RUMA ARORA SONI 2. Category UN RESERVED
3. Documents required
4. Admission Through MEA NON SAARC
5. Nomination by G.O.I./ICCR Letter No. Dated
6. Medical Certificated Submitted No
7. Qualifying Exam M.TECH.
Discipline NANOTECHNOLOGY Division/Grade 1ST
8. Admitted Category
Verified & provisionally admitted to I semester PH. D, ENERGY ,
Signature
Member Admission Committee
I undertake to produce the following document upto ------------- date . Failing which the admission stands cancelled.
Signature of candidate Signature of Father/Guardian
Date Date
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MAULANA AZAD NATIONAL INSTITUTE OF TECHNOLOGY BHOPAL- 462003
(An Institute of National Importance)
Form No 142330 ScholarNo Dated
Degree PH. D Department ENERGY
PERSONAL DETAILS
1. Candidate's Full Name RUMA ARORA SONI
2. Candidate's Name In
Hindi
मा अरोरा सोनी
3. Gender FEMALE
4. Father's Name GOVIND RAJ ARORA
5. Mother's Name VARSHA ARORA
6. Nationality INDIA
7. Community HINDU
8. Category UN RESERVED
9. Date of Birth 14-07-83
10. Birth Place MADHYA PRADESH , VIDISHA
11. State of Eligibility
12. Father's Occupation PRIVATE
13. Father's Designation BUSINESSMAN
14. Present Postal Address
MIG-18, SECTOR 3A
SAKET NAGAR, BHOPAL(M.P)
15. Contact No 0755-2485216
16. Email rumaarora14@gmail.com
17. Father's Annual Income 3 LAKHS
18. Candidate Marrital
status MARRIED
19. Details of qualifying examination passed on the basis of which admission is sought. 10+2 scheme or equivalent
I. Exam M.TECH.
II. Name of Board / University RAJIV GANDHI PRODYOGIKI VISHWAVIDYALAYA
III. Roll No 005NT10MT13
IV. Year & Month of Examination JUL-2012
V. Class / Division 1ST
VI. Name of Institute Last Attended SCHOOL OF NANOTECHNOLOGY, BHOPAL
VII. Last Institute Place MADHYA PRADESH , BHOPAL
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Form No 142330 Student Name RUMA ARORA SONI
Degree PH. D Department ENERGY
20.Educational Qualification
Sr.No Exam/Degree Subject/Branch Year Of Passing Division/Grade Obtained Marks % of Marks
21. Whether candidate was a member of NCC/NSS No
22.Local Guardian Details
I.Name ABHISHEK ARORA
II.Relationship BROTHER
III.Occupation ASSISTANT PROFESSOR
IV.Address
E-2/102, FORTUNE DIVINE CITY, PHASE - I,OPP. MISROD
POLICE STATION, HOSHANGABAD ROAD, BHOPAL
V.Phone No 9713920838
VI.Email abhishekarora08@gmail.com
DECLARATION BY THE CANDIDATE
I declare that:
The information given on the previous pages is correct, if I am found guilty of giving wrong information, I am liable
to disqualified for admission.
If I am selected for admission, I promise to abide by the rules and regulations, statues, ordinance of the Institute
and any changes incorporated there in from time to time to maintain discipline of the institute and the hostel.
Place Signature of Candidate
Date
3
Form No 142330 Student Name RUMA ARORA SONI
Degree PH. D Department ENERGY
DECLARATION BY THE PARANTS/GUARDIAN OF THE CANDIDATE
I hereby solemnly and sincerely affirm that the statement made and information furnished in my
son’s/daughter’s/ward’s admission from, and also in all the enclose documents submitted by him/her are true.
Should it, however be found that any information furnished there in is untrue in material particulars, I realize that
he/she will forego his/her seat in the Institute.
I promise to abide by any decision taken by the Director or Institute authorities for any branch of my son/ward.
I also agree to meet the expenses, both in the institute and hostel, in connection with the studies on my ward during
the entire course. I shall also hold myself responsible and compensative for any damaged caused by my ward either
in the institute or in the hostel.
I promise to promptly intimate the institute of any change in my address & arrange to receive promptly any
communication from the institute.
Place Signature of parents or Guardian
Date
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