Académique Documents
Professionnel Documents
Culture Documents
Form No
(To be filled in capital letters using Blue /Black Ball pen only. See Instructions and necessary codes overleaf)
1.
2.
3.
Category Code
6.
Programme Code
Study Centre Code
4. Disability Code
%age of Disability
8.
9.
Fathers Name
10.
Mothers Name
11.
5. Medium Code
Month
Year
14.
State of Domicile
17.
12. Sex
16. Nationality
(ii) Permanent
............
...
............
...
....
....
............
...
State......
State......
PinTelephone No
PinTelephone No...
18. MA Education Optional Course Codes for Specialized area (Select one optional Group )
19.
Educational Qualifications
S.
Exam. Passed
No.
1.
2.
3.
4.
20.
21.
Board/
University
Year
Division
%age
Subjects
Others
Post
held
Nature of
Appointment
Duration
of Service
Total Work
Experience
-------------------------Signature of Applicant
DECLARATION BY APPLICANT
I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Jamia Millia Islamia and all the decisions of the admission
committee and other appropriate university bodies in regard to my admission.
I SOLEMNLY AFFIRM that I have never been convicted by a court of law nor rusticated/expelled from any educational institution /nor
disqualified/debarred from any examination.
I will accept the cancellation/ forfeiture of my candidature in case any information supplied by me in this form is found to be incorrect at
the time of admission or thereafter.
---------------------------------------Signature of Father/Guardian
------------------------------Signature of Applicant
Date:
Roll No:.
Dated.
INSTRUCTIONS
1.
M.A. Hindi
M.A. History
M.A - Political Science
M.A.-Public Administration
2.
3.
CATEGORY CODE
General
Muslim Women
Muslim Scheduled Tribe
Kashmiri Migrants
G
MW
MST
K
MHD
MAH
MAPS
MAPA
Muslim General
Muslim OBC
Persons with Disability
MG
MO
PD
L
H
C
O
5.
6.
SEX CODE
Male M
7.
Married
8.
TERRITORY CODE
Urban 01
Rural - 02
9.
English E
Hindi H
10.
Category Code should be given carefully. Candidates falling under more than one category should choose any one category for
consideration and mention the same in the form. Incorrect proclamation of the category shall lead to immediate cancellation of
form/admission.
11.
In case of downloaded Application Form a Bank Draft should be made in favour of Jamia Millia Islamia, payable at New Delhi. Candidate
must write his/her name and number of his/her application form on the back of the bank draft on top left corner.
Female F
01 Unmarried 02 Divorced
03 Widowed 04