5/21/2020

Application for Masters (2020-21)

REGISTRATION NO: JMI00361572M05 PAYMENT ID: JMI5e88bcb60b1cb482

AAdhar No: 3155 9940 0640

Course Name: M.A. (English)
‫ ﮐورس ﮐﺎ ﻧﺎم‬/ पाठय म का नाम :
Candidate Name: PRIYADARSHINI RAJENDRAN
‫ درﺧواﺳت ﮔزار ﮐﺎ ﻧﺎم‬/आवेदक का नाम
:
Father's Name: Rajendran Samykannu
‫ واﻟد ﮐﺎ ﻧﺎم‬/ िपता का नाम :
Mother's Name: Vijayachithra Rajendran
माता का नाम:
Father's / Mother's / Spouse (if 9949684580
married) Mobile Number:
‫ واﻟده ﮐﺎ ﻣوﺑﺎﺋل ﻧﻣﺑر@واﻟد‬/िपता / माता
का मोबाइल नंबर :
Date of Birth: 03 March, 1999
‫ ﺗﺎرﯾﺦ ﭘﯾداﺋش‬/ ज ितिथ :

Sex/‫ ﺟﻧس‬/िलंग: Female Social Category/‫ﮐﻼس‬/वग: SC

Blood Group: B+ Kashmiri Migrant?: No
‫ ﺑﻠڈ ﮔروپ‬/ ड ुप : Are you from Jammu and Kashmir?: No
Nationality/‫ﻗوﻣﯾت‬//रा ीयता : Indian N.C.C. Cadets: No
Religion/‫ﻣذﮨب‬/धम: HINDU N.S.S. Volunteers: No

Address For Correspondence प ाचार का पता Permanent Address थायी पता

Name: PRIYADARSHINI RAJENDRAN Guardian's Name (If Ezhumalai
‫ درﺧواﺳت ﮔزار ﮐﺎ ﻧﺎم‬/ आवेदक Applicable)
का नाम
Address / ‫ ﭘﺗہ‬/पता : C7 101 kendriya vihar ii
Address / ‫ ﭘﺗہ‬/पता : Laxmi bai nagar
Sa engineering college
Sanjay gandhi park

District / ‫ ﺿﻠﻊ‬/िजला: New delhi

District / ‫ ﺿﻠﻊ‬/िजला: New delhi
State / ‫ رﯾﺎﺳت‬/ रा : Tamil Nadu
State / ‫ رﯾﺎﺳت‬/ रा : Delhi
Pin / ‫ ِﭘن‬/ िपन: 603002
Pin / ‫ ِﭘن‬/ िपन: 110023
Ph. No. with STD Code 11 49018122
Ph. No. with STD Code India 49018122
Fax No.
Mobile No./‫ﻣوﺑﺎﺋل ﻧﻣﺑر‬/ (+91) 9949684580
मोबाइल नंबर: Mobile No./‫ﻣوﺑﺎﺋل ﻧﻣﺑر‬/ (+91) 7042519635
मोबाइल नंबर:
Email priyar3399@gmail.com

Annual Income of your Parents/Guardians in Rs. Above 6 lacs

ACADEMIC RECORD
Name of the Examination Board / University Year of Passing School Name/College Max Marks Marks Marks CGPA
/ Appearing Obtd. %
(10+2)th std. 2017 Harare International School 100 92 92
Bachelor Degree University of Delhi, Delhi 2020 Hindu College

Reservation Category General

Test Center Preference परी ा के व रयता

Preference - 1 Delhi

Signature Uploaded by
the candidate/ ‫ﺑذرﯾﻌہ اﻣﯾدوار‬
‫ ا َﭘﻠوڈﯾڈ دﺳﺗﺧط‬/ अ थ ारा
अपलोडे ड ह ा र

It is hereby confirmed that I have carefully read the concerned Information Bulletin available on the JMI's Entrance Test Portal (www.jmionline.in) before filling up the Application Form.
I hereby solemnly affirm that the information furnished in this Online Application Form is true and correct to the best of my lnowledge and belief and no material information has been concealed
or suppressed. If any information is found to be false, incorrect or misleading, the Jamia Millia Islamia shall have the authority to cancel my candidature / admission without any further enquiry
or notice.
I undertake that, if admitted, I shall abide by the UGC Regulations on Curbing the Menace of Ragging, 2009, Ordinances governing the discipline of students of Jamia Millia Islamia and such
other Rules, Ordinances and Regulations that may be framed by the Jamia Millia Islamia/ UGC from time to time.
I further undertake that the preference for the Test center, Courses, Domicile and the categories to which I belong as indicated by me in the online application form shall be irrevocable.

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