Drsrrau-form-a

Dr Sarvepalli Radhakrishnan
Rajasthan Ayurved University, Jodhpur.
Karwar, Nagaur Road, Jodhpur. Fax:0291 5153700, Phone: 0291 5153-714, 5153-733 (Help Line:Available between 11:00am and 04:00pm).
ONLINE APPLICATION FORM - 2013: (Ph. D. Entrance)
1. This document shows details as filled by candidate. 2. This is draft document.
3. Candidates are advised to take final print of this document between 16th May 2013 and 26th May
2013 4. This document is editable till 15th May 2013 (up to 05:00pm IST). 5. University will consider
data as on 15th May 2013 (after to 05:00pm IST)
6. Document Status will be complete after Payment received and all required data filled.
S.No.
2013/73
Reg. No.
610355
Document Completed.
Payment Received.
Name of the Department where you propose to do Ph.D.:
AGAD TANTRA
Candidate Name:
ANJALI SHEOKAND
Father Name:
MEWA SINGH
Date Of Birth:
1987-08-01
Gender:
female
Domicile:
OTHER STATE
Category:
GEN, PHN, Other
Nationality:
India
Mobile Number:
7877850123
Land Line:
01744321456
E-Mail:
vaidyanjali10@gmail.com
Address of
House no 2000 sec 7 Urban Estate Kurukshetra Haryana
Correspondence:
Kurukshetra, Haryana, 136118.
Detail of Qualifying Examinations:
Name of
Board/
Year and
No. of
Max. Marks
Marks
Examination
University
Month
Attempts
Obtained
Matric /SSC/E CBSE
02/03
1
500
408
quivalent
HSSC (10+2)/ CBSE
04/03
1
500
346
Equivalent
I Prof. BAMS
1
1550
1086
II Prof. BAMS
1
1750
1321
II Prof. BAMS Other
08/12
1
1850
1360
Universit
M. D. (AGAD DSRRAU
13/08
1
333
222
TANTRA)
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Dr Sarvepalli Radhakrishnan
Rajasthan Ayurved University, Jodhpur.
Karwar, Nagaur Road, Jodhpur. Fax:0291 5153700, Phone: 0291 5153-714, 5153-733 (Help Line:Available between 11:00am and 04:00pm).
ONLINE APPLICATION FORM - 2013: (Ph. D. Entrance)
Title Of thesis: Clinical Efficacy of Ashwagandharishta in Madatyaya w.s.r. to
Alcoholism
Structured Particulars of Research Problem: Not Attached
Details Of Supervisor and Co-supervisor
Name Of Supervisor:
ANITA SHARMA
Designation Of Supervisor:
MD PHD Assisstant Prof
Name Of Co-Supervisor:
none
Designation Of Co-Supervisor:
none
Registration Num. (If already registered for
no
Ph.D.):
Detail of Papers Published: Not Attached
Detail of present employment along with No Objection Certificate: Not Attached
Any other relevant information:
mobile no 9812172108
Detail List of Enclosure: Not Attached
Payment Details
Payment Status:
Not Received.
Name Of Bank
Name Of Branch
IFS Code
Central Bank of India
NIA
CBIN0283634
Account Of
Amount Paid
Tran. Date
ANJALI SHEOKAND
2000
2013-05-11
UTR No.:
CBINH13131602346
Place:
NIA Jaipur
Date:
2013-05-09
Signature Of Candidate
Declaration
I hereby declare that I have read the rules regarding award of Ph.D. (Ayurved) degree of the Dr.
Sarvapalli Radhakrishnan Rajasthan Ayurved University, Jodhpur and in the event of a Ph.D. being
awarded. I undertake to engage myself whole time for the work on the subject under the direction of
the Supervisor during the tenure of the Ph.D. I further declare that, to the best of my knowledge and
belief, the particulars given in the Form are correct
Place:
NIA Jaipur
Date:
2013-05-09
Signature Of Candidate
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Source: http://www.raujodhpur.org/dsrrau/win8/phd/prod_php/docs/app/610355_rs.pdf