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Form No. .........................
JMI-WDAF-2015
JAMIA SCHOOLS
(Senior Secondary Section)
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JAMIA MILLIA ISLAMIA
JAMIA NAGAR, NEW DELHI - 110025
2015 – 2016
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Application Form For Class IX / XI Sc. /XI Arts/ XI Com.
Roll No.
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Read the Prospectus carefully before filling up this Form. Incomplete Form will not be considered.
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Application for Class:
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Choice of School: Write I for first choice, II for second choice and III for third choice.
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Jamia Sr. Secondary School
(See Class Code at the Back)
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Local Mailing Address (if any)
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Permanent Address:
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Bank Draft No. .......................................... Date ................................ Drawn on Bank ............................. Rs. .................
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Signature of Applicant g ZzyZ \Š
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Form No. ......................
FOR TEST CENTRE
2015 – 2016
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(size 2"x1.5") self attested.
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pasted with gum and not
stapled or pinned.
JAMIA MILLIA ISLAMIA
JAMIA NAGAR, NEW DELHI - 110025
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Roll No.
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Choice of School (See admission Schedule before choice)
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Father's Name x **
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Mother's Name
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ADMIT CARD
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Form No. ......................
JAMIA MILLIA ISLAMIA
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(size 2"x1.5") self attested.
Photograph should be
pasted with gum and not
stapled or pinned.
JAMIA NAGAR, NEW DELHI - 110025
2015-2016
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Roll No.
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Choice of School (See admission Schedule before choice)
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Signature of Applicant
Signature of Invigilator
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Signature of Applicant g ZzyZ \Š
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Signature of the Receiving Clerk & Office Stamp .............................................................. Date
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DECLARATION
I, hereby, solemnly declare that:
i) The information given in the form is true to the best of my knowledge and belief, and
ii) I have read the rules printed in the School Prospectus and agree to abide by them and accept the changes (if any)
made therein at a later stage.
I, further declare that I am not involved in any criminal case and no such case is pending against me in the court of law.
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Signature of Father/Mother/Guardian
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Signature of Applicant
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GENERAL INSTRUCTIONS FOR FILLING THE APPLICATION FORM
1. Read the instructions given in the prospectus carefully before filling this form.
2. Category code should be given carefully. Incorrect proclamation of the category shall lead to immediate cancellation of
form/admission.
3. Apply separately for each Group (i.e. Science/ Arts/ Commerce) for Class XI.
4. Do not attach original copies of certificate of mark-sheets etc. with the form.
4. CHOICE OF SCHOOL -
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- Indicate your preference for school by writing 1, 2, 3 in the boxes.
Write 1 for the first preference and 2 for the second preference and 3 for the last preference of School.
CODE eÃ
5. CLASS k¯
IX
NI
XI Science
ES
XI Arts
EA
XI Commerce
EC
6. CODE eÃ
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CATEGORY ~æ G
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General
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Muslim
MW
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Muslim Women
MO
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Muslim OBC
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Muslim Schedule Tribe
PD
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Persons with Disability
KM
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Kashmiri Migrant
----------------------------------------------------------------------------------------------------------------------------------------------------------------------
CERTIFICATE
(For Jamia Employee's son/ daughter only)
Certified that Mr. / Mrs. ..............................................................................................................................................................................
(Name of employee)
father/mother of ................................................................................................................ is an employee of Jamia Millia Islamia and
has been working in ....................................................................................................... as .................................................................... on
(Name of candidate)
permanent / probation / temporary /adhoc / contract / daily wages basis since .................................................
.........................................................
Counter Signature
S.O.
(Medical Section, J.M.I
..................................................
Head of the Deptt. / Office / School
Office Stamp
INSTRUCTIONS FOR WRITTEN TEST
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1. The Examination room will open 15 minutes before the commencement of the Test. No candidate will be permitted to
enter the Examination room 15 minutes after the commencement of the Test.
2. Each candidate must show on demand his/her Admit Card during the Test. The invigilators will check and sign the
Admit Card of the candidates to satisfy themselves about the identity of each candidate.
3. Candidates must not take any book or paper except Admit Card, pen or pencil (required for use) during the Test. All
books, notes etc. should be kept outside the Examination room.
4. Calculator is not allowed in the Test.
5. Candidates must keep perfect silence during the Test and must not indulge in any conversation and gesticulation.
6. Violation of any of these instructions or any unfair means or copying will lead to cancellation of the Admission Test of
the candidates on the spot by the Superintendent of Examination Centre. Such candidates may also be debarred from
appearing in any future Test/Examination of this University.
7. Candidates must hand over the Booklets to the invigilator before leaving the Examination room. No page should be torn
off the Booklets.
8. It will be advisable for the candidates to visit their Centre at least a day earlier to know the exact location.
Admission Schedule 2015 - 2016
Class
Date of Entrance Test
Time
IX
24th May, 2015
9:00 – 11:00 a.m.
XI-Science
31st May, 2015
9:00 – 11:00 a.m.
XI-Arts
1st June, 2015
9:00 – 11:00 a.m.
XI-Commerce
2nd June, 2015
9:00 – 11:00 a.m.