JAM 2022 Undertaking Form

(to be given by applicants who have not submitted required documents)

1. Name
2. Enrolment ID
3. Test Paper(s) BT □ CY □ EN □ GG □ MA □ MS □ PH □
Tick (✓) JAM 2022 Test Paper(s) in which you have qualified.

I understand that my admission to any of the admitting institutes, if offered, is provisional since I have
not submitted the following document(s) as per the requirements stated in Admission Brochure for JAM
2022. [Please tick (✓) the missing document(s).]

 Nationality Certificate (NOT required for OBC-NCL/EWS/SC/ST candidates.)

 Qualifying Degree Certificate

 Qualifying Degree Marksheet(s)

Following are the courses for which, I have not obtained the marksheet(s):

Semester/ Semester/
Title of the Course Title of the Course
Year Year

This data is required for verifying fulfilment of MEQs. Attach additional signed sheet(s), if necessary.

I understand that I need to upload the missing document(s) at the admission portal on or before June
30, 2022 for my application for admission to be complete. I also understand that any admission offer
made to me will be provisional in case I do not upload the missing document(s) at the admission portal
by June 30, 2022.

I understand that in the event of my failing to fulfil the eligibility criteria and minimum educational
qualification on or before September 30, 2022, my provisional admission to any of the admitting institutes
will stand cancelled.

Date:

Place: Signature of Applicant