Jobform Non Teaching

Jamia Millia Islamia
(A Central University)
NAAC Accredited Grade “A++”
Jamia Nagar, New Delhi-110025
PROFORMA
(To be filled and submitted along with the Employment Application Form)
Advertisement No. & Date : ______________________________________
Post applied for : _______________________ Sl. No.________
Faculty/Deptt./Centre/Office : ______________________________________
Name of the Applicant : ______________________________________
Date & Amount of fee deposited : ______________________________________

(Plz attach payment slip)
User’s Bank & Branch Name : ______________________________________
Transaction No./ID/Ref. No. : ______________________________________

UTR No.
Valid Email (Capital Letter only) : ______________________________________
Mobile No. : ______________________________________
Dated :…………………………. …………………………….

(Signature of Applicant)
UTR No./ Ref. No.:
…….……………….…………
Date: ………………………
Affix Application Fee:-
recent passport size For General: Rs. 800/500
photograph For SC/ST: Rs.400/ 250
here JAMIA MILLIA ISLAMIA For office use only
(A Central University) Application fee paid
NAAC Accredited Grade “A++” Call for Interview Yes
Jamia Nagar, New Delhi-110025 No
Sign ……………………….
APPLICATION FORM FOR APPOINTMENT ON THE NON-TEACHING POSITION
1. Candidate’s Full Name
2. (i) Advt. No.: Dated:
(ii) Post applied for: …..…………………………………………………………………………….…………………….
( iii ) Deptt. / Office: ….……………………………………………………………………….…………………..………..

3. Father’s / Husband’s
Name in Full
4. Address:
(i) Correspondence: (ii) Permanent:
………………………………………………….. …………………………………………………..
………………………………………………….. …………………………………………………..
………………………………………………….. …………………………………………………..
Pin: ……………Mobile No: ............…………. Pin: ……………Mobile No: ............………….
Email Id: …………………………………………………………………………………..…………………………………
5. Date of Birth: (Based on Matriculation/Hr. Sec. School Certificate)
Date Month Year
6. Whether U.R. S.C. S.T. O.B.C. PWDs (Divyangjan) (Please tick the correct box)
`
7. Marital Status: Married Unmarried Widow
8. Educational Qualifications: (Enclose the self-attested copies of all the Degrees, Marksheets, Certificates, etc.)
S. No. Qualifications* Board / University Year %age Subjects

1 Matric/S.S.C.
2 Inter./Sr. Secondary
3 B.A./B.Com./B.Sc./B.E./B.Tech.
4 M.A./M.Com./M.Sc./M.E./M.Tech.
5 M.Phil.
6 Ph.D.
7 N.E.T.
8 Others
* Strike out which is not applicable (Attach enclosures, if necessary)
9. Details of Work Experience:-
Period of Service
Roles and Name and Address of the
S. No. Particulars of the Post
Total Responsibilities Employer
From To
Period
10. Research work / Published work /Scholarship / Fellowships (Attach enclosures, if necessary)
11. If employed presently, furnish the following details:-

(i) Pay Level …………………. (ii) Basic Pay Rs. ………........................... (iii) Allowances Rs………….……………..
(iv) Total Rs. : ……………………………………. (v) Date of next increment ……………………………………..
12. If appointed, time and notice required for joining the post:-
13. Name of two referees:-

Period for which the referee is
S. No. Name of Referee Address of the Referee
known to the candidate
1.
2.
* Applicant may send two testimonials from persons under whom he/she has studied or worked.
DECLARATION
I hereby declare that the entries made by me in the above columns are true to the best of my knowledge and belief.
Place: …………………….
Date: ……………………. (Signature of the Candidate)
If employed, remarks of the Forwarding Authority.

Attach separate sheet, if required.
Signature……………………………………………
Name ……………………………………………….
Designation………………………………………….
Address……………………………………………..
Place………………………
Date………………………
(A Central University) NAAC
Accredited Grade A++”
Advt. No…………………….…….……… Date ……………………..…
Particulars of Dr./ Mr./Mrs./Ms. ……………………………………….

IMPORTANT
1) Attach 07 duly filled in and signed copies of this proforma with the application form.
For the post of ...……………………………………..……………..
Name, Address and Academic Qualifications Details of Work Experience

Date of Birth,
Contact No. for Research and Published
Mother Tongue &
correspondence Other Languages Work
Board / Total Post &
Exams. Year %age From-To Employer
University Years Level
School Cert.
Date of Birth:
……………
………………….. ……………
Age: ………Years Graduation
……………
Mother Tongue: Post
Graduation
…………………..
……………
Other
……………
Languages:
M.Phil.
……………………
Ph.D.
…………………… Others
……………………
Date: …………………. (Candidate’s Signature)

(A Central University) NAAC
Accredited Grade “A++”
ACKNOWLEDGEMENT
Received an application from Dr./Mr./Mrs./Ms._________________________________
for the post of _______________________________________________________________in the
Faculty/Deptt./Centre/Office __________________________________________________in
response to the Advt. No .________________________________Dated ___________________
along with payment receipt Transaction No./ID/Ref. No./UTR
No.___________________________ Dated _____________
Date:…………………………… (Signature of the Receiver)

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Jamia Millia Islamia

Advertisement No. & Date : ______________________________________

Post applied for : _______________________ Sl. No.________

Name of the Applicant : ______________________________________

Date & Amount of fee deposited : ______________________________________

User’s Bank & Branch Name : ______________________________________

Transaction No./ID/Ref. No. : ______________________________________

Valid Email (Capital Letter only) : ______________________________________

Mobile No. : ______________________________________

Dated :…………………………. …………………………….

1. Candidate’s Full Name

2. (i) Advt. No.: Dated:

(ii) Post applied for: …..…………………………………………………………………………….…………………….

( iii ) Deptt. / Office: ….……………………………………………………………………….…………………..………..

Email Id: …………………………………………………………………………………..…………………………………

5. Date of Birth: (Based on Matriculation/Hr. Sec. School Certificate)

Date Month Year

S. No. Qualifications* Board / University Year %age Subjects

11. If employed presently, furnish the following details:-

(iv) Total Rs. : ……………………………………. (v) Date of next increment ……………………………………..

13. Name of two referees:-

If employed, remarks of the Forwarding Authority.

Advt. No…………………….…….……… Date ……………………..…

Particulars of Dr./ Mr./Mrs./Ms. ……………………………………….

Name, Address and Academic Qualifications Details of Work Experience

Date: …………………. (Candidate’s Signature)

Received an application from Dr./Mr./Mrs./Ms._________________________________

for the post of _______________________________________________________________in the

response to the Advt. No .________________________________Dated ___________________

along with payment receipt Transaction No./ID/Ref. No./UTR

No.___________________________ Dated _____________

Date:…………………………… (Signature of the Receiver)

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Post applied for : _______________ Sl. No.

response to the Advt. No .______________Dated _

No._______________ Dated _