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Application for Bachelors (2023-24)

REGISTRATION NO: JMI08171502B26 PAYMENT ID: order_LXImIWc0Rgak3N

AAdhar No: 515752314748

Course Name: B.A.LL.B.(Hons)/B.A.LL.B.(Hons) (Self-financed)
‫ کورس کا نام‬/ पाठयक्रम का नाम :
Candidate Name: MIRZA OSAMAH IQUBAL
‫ درخواست گزار کا نام‬/आवेदक का नाम
:
Father's Name: Mirza Iqubal Habeeb Baig
‫ والد کا نام‬/ पिता का नाम :
Mother's Name: Nishat Iqubal
माता का नाम:
Father's / Mother's / Spouse (if 9934944950
married) Mobile Number:
‫ والدہ کا موبائل نمبر@والد‬/पिता / माता
का मोबाइल नंबर :
Date of Birth: 13 September, 2003
‫ تاریخ پیدائش‬/ जन्म तिथि :

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

Blood Group: A+ 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: Post Gradudate
Highest Qualification of mother: Gradudate
Did you pass Qualifying Examination from No
JMI?:

Address For Correspondence  पत्राचार का पता Permanent Address  स्थायी पता

Name:
‫ درخواست گزار کا نام‬/ आवेदक
का नाम
Address / ‫ پتہ‬/पता :
 
District / ‫ ضلع‬/जिला:
State / ‫ ریاست‬/ राज्य:
Pin / ‫ ِپن‬/ पिन:
Ph. No. with STD Code
Mobile No./‫موبائل نمبر‬/
मोबाइल नंबर:
Email
MIRZA OSAMAH IQUBAL Guardian's Name (If Mirza iqubal hbeeb baig
Applicable)
Address / ‫ پتہ‬/पता : Garri, garri jogiara
Riyaz manzil
  New friends colony garri
Near yateem khana, salfiya unani medical college
District / ‫ ضلع‬/जिला: Darbhanga
Darbhanga
State / ‫ ریاست‬/ राज्य: Bihar
Bihar
Pin / ‫ ِپن‬/ पिन: 847303
846001
Ph. No. with STD Code
Fax No.
(+91) 9934944950
Mobile No./‫موبائل نمبر‬/ (+91) 9934944950
मोबाइल नंबर:
osamahmirza601@gamil.com

Annual Income of your Parents/Guardians in Rs. Above 8 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. Bihar School Examination Board, Patna 2020 C.M. COLLEGE, DARBHANGA 500 395 79

Reservation Category Muslim

Test Center Preference  परीक्षा के न्द्र वरियता

Preference - 01 DELHI

Course Preference
Preference - 1 B.A.LL.B.(Hons)
Preference - 2 B.A.LL.B.(Hons)(Self-financed)

Uploaded Documents:
1. Original Marksheet of last passing Year/Sem

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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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