Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Student Enrollment Form

Documents, to be uploaded in addition to the checklist informed vide Offer of

admission required for Hostel/Dormitory purpose:

a. Photocopy of the Admission Folio. Generated after online registration in university.

b. Copy of the Subject Folio from the school/center.
c. (a) Photocopy of Passport (b) Voter ID (c) Aadhar Card (d) Domicile Certificate (issued by the SDM/Teshsildar & less than six
months old) - any of the TWO showing permanent address. The original document should be produced at the time of hostel
allotment. No other address proof will be entertained in this regard.
d. Copy of current Electricity Bill/Water Bill/House Tax Receipt/PG Receipt (any of one) is mandatory for outstation students
who were living or lived in private accommodation in Delhi during their studies.
e. Outstation Students whose parents are working in Delhi should submit a certificate from their employer mentioning that they
haven’t been allotted any residential accommodation in Delhi by the employer.
f. Those students who have more than one year gap period after qualifying examination, have to submit the copy of the
migration certificate and work experience certificate from the employer, if any.
g. Outstation students who were staying in Delhi with parents but are transferred/retired should submit Transfer/Retirement
order of parents with official residence vacating certificate from the employer.
h. Hostel residence certificate for those who are staying/stayed in college & other recognised hostels/PG including JNU.
i. Copies of Admission offer letter, Medical insurance certificate, anti ragging affidavits, Passport and Visa [Only for Foreign
Nationals]
j. One recent colour passport size photograph.

1 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Jawaharlal Nehru University Form (To be filled in Block Letters)

Registration Number 210810002375
Form No. __________
Application Number 210810002375
Hostel rank __________
Name TANUJ
Hostel Point __________
Aadhar No./ Passport No. 641607505315

Father's Name SATISH KUMAR

Mother's Name DEEPA

Alternative contact details of Person in case of any Exigency

Name Deepa

Contact No 9729022941

House Number 1556 Near Chottu Ram

Address: Chowk Village & Post Office Sewah
Panipat Haryana
Address City: Panipat
District: Panipat
State: HARYANA
Pincode: 132108

Relationship With Candidate Mother

Gender MALE Merit(rank)Sr No: 1

M.A. IN ECONOMICS(WITH
Programme of Study M.A./M.Sc./M.C.A. Field of Study SPECIALIZATION IN WORLD
ECONOMY)(EILM)

SCHOOL OF INTERNATIONAL CENTRE FOR INTERNATIONAL TRADE

School Center
STUDIES & DEVELOPMENT

Category OBC- NCL (Central List) State Domicile HARYANA

Sub Category NAI Caste

Nationality Indian DOB 21 Jul 2000

Mobile No. 9319502971 Marital Status No

Fees Paid: 268 Permanent Address

Address: House No. -1556 ,Near Chottu ram Ch
Trans ID: 210810002375EILM12921482122 Near Chottu Ram chowk
Trans Date: 29/1/2022 City: Village - Sewah
District: PANIPAT
State: HARYANA
Pincode: 132108
Country: INDIA

Age on 1st Oct. 21 Year(s) 2 Month(s) 10 Day(s) Blood Group B+ (B positive)

If Foreign National,
Indian Passport No : Visa Particulars
Country Name

Medium of
Mother Tongue Hindi Instruction before English
admission
Father's/Husband's Mechanic (Denting, Painting &
Monthly Income 10000
Occupation Welding)
Nearest Railway
Home Town Panipat Diwana
Station

Have you been a student of JNU earlier at any time: NO

Migrated from (name
after completing
of the University Of Delhi Economics Honours
(Course)
University/Board)
Do you belong to PH
NO specify -
category(YES/NO)

2 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Present and previous employment (starting with latest), No

Education Qualification
Pass Course/Stream Learning Name of the Year of Result
Qualification Marks Details
Status Name Mode University/Board Passing/appearing Mode
CGPA
Obtained:9.8
CENTRAL BOARD OF
Maximum Grade
10th Class PASSED 10th Class REGULAR SECONDARY 2016 CGPA
Point:10
EDUCATION (CBSE)
CGPA
Percentage:93.1

Obtained
CENTRAL BOARD OF
Marks:451
12th Class PASSED 12th Class REGULAR SECONDARY 2018 Percentage
Total Marks:500
EDUCATION (CBSE)
Percentage:90.2

CGPA
Obtained:7.45
University of Delhi,
Bachelor of Bachelor of Arts Maximum Grade
PASSED REGULAR Delhi-110007. 2021 CGPA
Arts (Hons.) (Hons.) Point:10
(Central University)
CGPA
Percentage:70.86

Declaration : I declare that entries made by me in this form and the form submitted by me earlier for appearing in the entrance examination and the
documents submitted/uploaded online in support of the information are true in all respects. I shall get all the required documents verified at the concerned
school/center/special center within 7 days of my physical reporting to the university (whenever university intimates for reporting) and in case any
entry/information/documents are found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such action as the
University may deem proper. I note that my provisional admission to the University and my continuance on its rolls are subject to provisions of the University
Statutes, Ordinances and other Rules and instructions which may be issued by the University from time to time. I shall abide by the rules of discipline and
proper conduct which may be framed by the University in this regard. I have also not concealed any information relevant/required for admission. I also
declare that I have not been debarred from taking admission in JNU neither have I been declared out of bounds from JNU campus. I have noted
that I am required to submit to the Administrative Officer of the School, Migration/Transfer Certificate on or before 31.1.2022. I hereby declare
that I am not a bonafide student of any other University/Institution as on date.

Date: Signature of the candidate

Telephone No. : Mobile : E-Mail :

I have noted that I am required to submit to the Admn. Officer of the School Migration / Transfer Certificate on or before 31.1.2022. I hereby declare that I am
not a bonafide student of any other University/Institution as on date. I also declare that I have not been debarred from taking admission in JNU neither have I
been declared out of bounds from JNU campus.

Date: Signature of the candidate

3 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

For use in Admission Branch

The Particulars of the above-named candidate whose name Appears at Sr. No UR in the Merit List have been verified.
Date: S.O (Admission)

Employment Status, (including adhoc/temporary for more than 3 months in private/public institutions): If any
Name of Employer Period Total Salary HRA Remark

Fellowship/Scholarship Status: If any

Name of Fellowship/Scholarship Funding Agency Amount HRA Remark

Father's/Spouse Name & Occupation

If employed, address of the Employer
Mother's Name & Occupation
If employed, address of the Employer
If you are a foreign national (Attach a copy of Passport & Visa), Embassy contact Nos
Category:- Self financing/ Sponsored/ Others (give details)
Contact Tel./Mob. Nos. of father/mother/guardian
Are you suffering from any chronic disease [yes/no]. If yes, please specify

Declaration: - I hereby declare that the information given above is correct & true and nothing has been concealed. I also hereby
declare that I have read the rules and regulations 'particularly as contained in the' Student Hostel and General Information Guide
and I undertake to abide by all rules and regulations / instructions in force and those issued by the hostel/university from time to
time. I also undertake to pay the Mess Bill by the due date and in case I fail to pay the Mess Bill in the stipulated time, I am
liable to eviction procedures from the hostel and the university is at liberty to recover the amount as per the procedure laid down
for the same, including publishing my name in the list of defaulters on the JNU website.
Name & Signature of Student
Only for JNU Hostellers: Are you a former / continuing student of JNU? [ ] Yes [ ] No
If yes, Year & Semester of Admission........................Reg
No......................Course......................School/Center.............................
Hostel....................................... Room No...............Duration from........................to...................................

Signature of Office Incharge of Hostel

with Office stamp (Only for JNU Hostellers)

For Use In Dean of Student's Office

For Resident Students He/She has been For Non Resident Students

Assigned Allotted Room He / She is a Non resident

_____________________ _____________________
Hostel No Student
DR (IHA) Sr Warden DR (IHA)

I have noted that I am required to submit to the AO of the School Migration / Transfer Certificate on or before 31.1.2022. I hereby declare that I am not a
bonafide student of any other University/Institution as on date. I also declare that I have not been debarred from taking admission in JNU neither have I been
declared out of bounds from JNU campus.

Date: Signature of the candidate

4 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Documet Name Documet Uploaded

Metriculation
Marks Sheet*

Metriculation
Certificate*

5 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Senior School
Certificate
(10+2) Marks
Sheet*

Senior School
Certificate
(10+2)
Certificate*

6 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Character
Certificate From
Head of the
Institution last
attended*

Bachelor Degree
Marks Sheet*

7 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Bachelor Degree
Certificate*

OBC- NCL
(Central List)
Category
Certificate*

8 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Migration
Certificate*

Candidate Anti-
Ragging
Affidavits*

9 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Parent/Guardian
Anti-Ragging
Affidavits*

Voter ID

10 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Aadhar Card

Electricity Bill

11 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

Jawaharlal Nehru University Entrance Examination

JNUEE-2021
Application Form

Application No. 210810002375

DO NOT SEND THIS PAGE TO NTA

CANDIDATE IS REQUESTED TO RETAIN THE PRINT OF CONFIRMATION PAGE FOR FUTURE REFERENCE

Personal Details
Candidate's Name TANUJ Date of Birth 21 Jul 2000
Mother's Name DEEPA Category OBC- NCL (Central List)
Father's Name SATISH KUMAR Gender MALE
Wards of Defense
Person with Disiability (PWD) NO NO
Personals
Are you a Kashmiri Migrant? NO Sub Category NAI Caste
Are you Belongs to Below
YES Nationality Indian
Poverty Line (BPL)?
INCOME BETWEEN RS. 6001 AND
Which area do you belong to? RURAL Income Group
RS. 12000 PER MONTH
State of Domicile HARYANA Are You Diabetic? NO
Seeking Deprivation Points for If you have pursued
NO PRIVATE
Quartile District Schooling in a
Are you Single Girl Child in Your
family with out brother and NO Anual Family Income
sister?

Apply For
Program of Study
2nd Feild of Study
1st Choice for Exam City
3rd Choice for Exam City
M.A./M.Sc./M.C.A. 1st Feild of Study ECONOMICS
ECONOMICS (WITH SPECIALIZATION IN
3rd Feild of Study -
WORD ECONOMY)
HARYANA-PANIPAT 2nd Choice for Exam City HARYANA-KARNAL
DELHI-DELHI/NEW DELHI 4th Choice for Exam City HARYANA-KURUKSHETRA

Education Qualification
Name of
Course/ Qualifying Year of Institute
Pass Learning the Result
Qualification Stream Examination Passing/ Marks Details RollNo Name &
Status Mode University/ Mode
Name District appearing Address
Board
CGPA
CENTRAL
Obtained:9.8 KV (Near
BOARD OF
10th Maximum Grade central
10th Class PASSED REGULAR KARNAL SECONDARY 2016 CGPA 2155434
Class Point:10 Jail),Karnal
EDUCATION
CGPA Haryana
(CBSE)
Percentage:93.1
CENTRAL
Obtained DAV Police
BOARD OF
12th Marks:451 Public
12th Class PASSED REGULAR PANIPAT SECONDARY 2018 Percentage 2672696
Class Total Marks:500 School
EDUCATION
Percentage:90.2 (Panipat ).
(CBSE)
CGPA
University of
Obtained:7.45 Atma Ram
Bachelor Delhi, Delhi-
Maximum Grade Sanatan
Graduation PASSED of Arts REGULAR NEW DELHI 110007. 2021 CGPA 18003510044
Point:10 Dharma
(Hons.) (Central
CGPA College
University)
Percentage:70.86

12 of 13 2/8/2022, 5:01 PM
Jawaharlal Nehru University https://jnuee.jnu.ac.in/MAMSCMCAResults2021/Print_PreEnrolment_...

JNU Group Details

Are you a ward of JNU Group B or Group C or Group D employee? No

Other Details
Visible Marks on body black Mole on neck

Additional Particulars
Are you a student
Are/Were you a
No of any University No
student of JNU?
at Present

Employment Details
Are you presently employed?

Permanent Address
Address House No. -1556 ,Near Chottu ram Ch Locality Near Chottu Ram chowk
City/Town/Village Village - Sewah Country INDIA
State HARYANA District PANIPAT
Pin Code 132108 Email Address tanujsingh9172@gmail.com
STD code with
Mobile Number 9319502971 -
Telephone No

Correspondance Address
Address House No. -1556 ,Near Chottu ram Ch Locality Near Chottu Ram chowk
City/Town/Village Village - Sewah Country INDIA
State HARYANA District PANIPAT
Pin Code 132108

DECLARATION
I declare that nothing is concealed and the information furnished by me in the Application Form is true in all respects and in case any entry or
information is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such action as the
University may deem proper. I hereby undertake that I have carefully gone through the eligibility conditions prescribed in the e-Prospectus &
Information Bulletin 2021-22 for the programme, I am applying for and shall appear in the entrance examination after satisfying myself that I do
fulfill the same. If at any stage it is found that I do not fulfill the minimum prescribed eligibility criteria, my admission, if granted, shall stand
cancelled and I shall have no right to admission whatsoever. I also declare that I have not been debarred from taking admission in JNU nor been
declared out of bonds from JNU.

Images Uploaded by Candidate

13 of 13 2/8/2022, 5:01 PM