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3/14/24, 7:53 PM about:blank

Application for Bachelors (2024-25)

REGISTRATION NO: JMI08451060B04 PAYMENT ID: order_NmGZfxArKqmeSL

AAdhar No: 369835987149


Course Name: B.B.A. / B.Com. (Hons)
‫ کورس کا نام‬/ पाठयक्रम का नाम :
Candidate Name: MD FAIZ SAIFI
‫ درخواست گزار کا نام‬/आवेदक का नाम
:
Father's Name: Md Zakir
‫ والد کا نام‬/ पिता का नाम :
Mother's Name: Zeenat
माता का नाम:
Father's / Mother's / Spouse (if 9718773677
married) Mobile Number:
‫ والدہ کا موبائل نمبر@والد‬/पिता / माता
का मोबाइल नंबर :
Date of Birth: 30 June, 2006
‫ تاریخ پیدائش‬/ जन्म तिथि :

Sex/‫ جنس‬/लिंग: Male Social Category/‫کالس‬/वर्ग: OBC


Blood Group: NOT KNOWN Kashmiri Migrant Category?: No
‫ بلڈ گروپ‬/ ब्लड ग्रुप : Jammu and Kashmir Category?: No
Nationality/‫قومیت‬//राष्ट्रीयता : Indian N.C.C. Cadets: No
Religion/‫مذہب‬/धर्म: ISLAM N.S.S. Volunteers: No
Have you ever been arrested/prosecuted/kept No
in detention/bound down/fined convicted by a
court of Law or whether any case is pending
against you in a Court of Law?:
Have you ever been debarred from any No
exam/rusticated by any University or any other
educational institution or whether any case is
pending against you in any University or any
other educational institution?:
Any vigilance/Disciplinary case is pending No
against you?:
Highest Qualification of father: 10th
Highest Qualification of mother: 10th
Did you pass Qualifying Examination from No
JMI?:

Address For Correspondence पत्राचार का पता Permanent Address स्थायी पता


Name: MD FAIZ SAIFI Guardian's Name (If Dr mohammad abid
‫ درخواست گزار کا نام‬/ आवेदक Applicable)
का नाम
Address / ‫ پتہ‬/पता : House number 05, gali number 02, shiva market
Address / ‫ پتہ‬/पता : House number 05, gali number 02, shiva market
West laxmi market
West laxmi market

District / ‫ ضلع‬/जिला: West delhi


District / ‫ ضلع‬/जिला: West delhi
State / ‫ ریاست‬/ राज्य: Delhi
State / ‫ ریاست‬/ राज्य: Delhi
Pin / ‫ ِپن‬/ पिन: 110051
Pin / ‫ ِپن‬/ पिन: 110051
Ph. No. with STD Code
Ph. No. with STD Code
Fax No.
Mobile No./‫موبائل نمبر‬/ (+91) 8750295095
मोबाइल नंबर: Mobile No./‫موبائل نمبر‬/ (+91) 8750295095
मोबाइल नंबर:
Email MABID@JMI.AC.IN

Annual Income of your Parents/Guardians in Rs. Between 1 to 2 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. Central Board of Secondary Education, 2024 GBSSS, CHANDAN NAGAR
Delhi

Reservation Category Muslim OBC/ST

Specialization

Test Center Preference परीक्षा के न्द्र वरियता

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3/14/24, 7:53 PM about:blank
Preference - 01 DELHI

Course Preference
Preference - 1 B.Com.(Hons) (Self Financing)
Preference - 2 B.Com. (Hons)
Preference - 3 B.B.A.

Uploaded Documents:

Signature Uploaded by
the candidate/ ‫بذریعہ امیدوار‬
‫ َاپلوڈیڈ دستخط‬/ अभ्यर्थी द्वारा
अपलोडेड हस्ताक्षर

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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