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  • Application Form: Candidate's Full Name

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    Mohammad Vaqqas
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    This document is an application form for admission to the Urdu Correspondence Course offered by the Arjun Singh Centre for Distance and Open Learning at Jamia Millia Islamia university. The form requests information such as the applicant's name, address, date of birth, category, nationality, mother tongue, Aadhar number, occupation, and contact details. It also provides instructions to submit a postal order or bank draft of Rs. 100 for Indian nationals or varying amounts for international applicants along with the completed form.

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    uccform.pdf

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    This document is an application form for admission to the Urdu Correspondence Course offered by the Arjun Singh Centre for Distance and Open Learning at Jamia Millia Islamia university. The form requests information such as the applicant's name, address, date of birth, category, nationality, mother tongue, Aadhar number, occupation, and contact details. It also provides instructions to submit a postal order or bank draft of Rs. 100 for Indian nationals or varying amounts for international applicants along with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    20 views1 page

    Application Form: Candidate's Full Name

    Uploaded by

    Mohammad Vaqqas
    This document is an application form for admission to the Urdu Correspondence Course offered by the Arjun Singh Centre for Distance and Open Learning at Jamia Millia Islamia university. The form requests information such as the applicant's name, address, date of birth, category, nationality, mother tongue, Aadhar number, occupation, and contact details. It also provides instructions to submit a postal order or bank draft of Rs. 100 for Indian nationals or varying amounts for international applicants along with the completed form.

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    © All Rights Reserved
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    of 1

    To be filled in by the Office

    Hindi/English Medium
    Admission No.

    APPLICATION FORM
    Urdu Correspondence Course Affix your recent
    Arjun Singh Centre for Distance and Open Learning Photograph
    Jamia Millia Islamia
    Jamia Nagar, New Delhi-110025

    Candidate’s full name:

    Father’s name:

    Mother’s name:

    Category: General Scheduled Caste Scheduled Tribe Physically Handicapped

    Nationality ………………………… Mother Tongue……………………… Aadhar No. ……….….…........

    Date of Birth: Date: Month: Year: Age:

    Address: (i) Permanent Address:


    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………… PIN ……………….

    (ii) Mailing Address


    ………………………………………………………………………………………………………….……
    ………………………………………………………………………………………… PIN ……………….

    Telephone No………………………………..Email………………………………………………………...
    Present Occupation: …………………………………………………………………………………………..
    Date……………………. Signature……………
    (FOR OFFICE USE ONLY)
    Received I.P.O./ Bank Draft No. ……………………..Dated…….……For Rs. …………………
    As prescribed fee.
    Dealing Assistant
    Admitted and allotted
    No …………………..

    Admit and send teaching material Signature


    Head

    “Please send a Postal Order or a Bank Draft of Rs. 100/- (Rs. Hundred only) for Indian National, US $ 20 ( US Dollars Twenty only ) for Foreigners (SAARC
    countries) and US $ 50 (US Dollars Fifty only) other Countries addressed to JAMIA MILLIA ISLAMIA, payable at NEW DELHI” along with this admission form
    For detail please contact at: ucc@jmi.ac.in Tel: 26981717 / 2845

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