6/22/2021

Application for Bachelors (2021-22)

REGISTRATION NO: JMI00676689B59 PAYMENT ID: JMI60a5362dd157b118

AAdhar No: 319060663683

Course Name: B.A.(Hons) (Economics)
‫ ﮐورس ﮐﺎ ﻧﺎم‬/ पाठय म का नाम :
Candidate Name: PRINCE THAKUR
‫ درﺧواﺳت ﮔزار ﮐﺎ ﻧﺎم‬/आवेदक का नाम
:
Father's Name: Gunanand Thakur
‫ واﻟد ﮐﺎ ﻧﺎم‬/ िपता का नाम :
Mother's Name: Ranjana Thakur
माता का नाम:
Father's / Mother's / Spouse (if 9958769287
married) Mobile Number:
‫ واﻟده ﮐﺎ ﻣوﺑﺎﺋل ﻧﻣﺑر@واﻟد‬/िपता / माता
का मोबाइल नंबर :
Date of Birth: 01 June, 2004
‫ ﺗﺎرﯾﺦ ﭘﯾداﺋش‬/ ज ितिथ :

Sex/‫ ﺟﻧس‬/िलंग: Male Social Category/‫ﮐﻼس‬/वग: GENERAL

Blood Group: O+ Kashmiri Migrant Category?: No
‫ ﺑﻠڈ ﮔروپ‬/ ड ुप : Jammu and Kashmir Category?: No
Nationality/‫ﻗوﻣﯾت‬//रा ीयता : Indian N.C.C. Cadets: No
Religion/‫ﻣذﮨب‬/धम: HINDU N.S.S. Volunteers: No

Address For Correspondence प ाचार का पता Permanent Address थायी पता

Name: PRINCE THAKUR Guardian's Name (If Gunanand thakur
‫ درﺧواﺳت ﮔزار ﮐﺎ ﻧﺎم‬/ आवेदक Applicable)
का नाम
Address / ‫ ﭘﺗہ‬/पता : 2646
Address / ‫ ﭘﺗہ‬/पता : 2646
Robin cinema
Robin cinema

District / ‫ ﺿﻠﻊ‬/िजला: North delhi

District / ‫ ﺿﻠﻊ‬/िजला: North delhi
State / ‫ رﯾﺎﺳت‬/ रा : Delhi
State / ‫ رﯾﺎﺳت‬/ रा : Delhi
Pin / ‫ ِﭘن‬/ िपन: 110007
Pin / ‫ ِﭘن‬/ िपन: 110007
Ph. No. with STD Code India
Ph. No. with STD Code India
Fax No.
Mobile No./‫ﻣوﺑﺎﺋل ﻧﻣﺑر‬/ (+91) 9718319787
मोबाइल नंबर: Mobile No./‫ﻣوﺑﺎﺋل ﻧﻣﺑر‬/ (+91) 9718319787
मोबाइल नंबर:
Email charming90prince@gmail.com

Annual Income of your Parents/Guardians in Rs. Between 2 to 6 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, 2021 Dav public school Ashok vihar
Delhi phase 4

Reservation Category General

Test Center Preference परी ा के व रयता

Preference - 01 DELHI

Uploaded Documents:

Signature Uploaded by
the candidate/ ‫ﺑذرﯾﻌہ اﻣﯾدوار‬
‫ ا َﭘﻠوڈﯾڈ دﺳﺗﺧط‬/ अ थ ारा
अपलोडे ड ह ा र

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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