(©) lornia Homdlard SZ Accredited in 4? Grade by NAC stneape bantam pd nme Helpline No : 011-26059688 Extn. 5390 (Monday to Friday 10:00 AM to 5:00 PM) Email: admissions@jamiahamdard.ac.in ADMISSION 2024-25 Application ID JH24-UGN-00617 Admission Session Category of Form INDIAN NATIONAL Program Group Billed Amount 2900 Payment Date Course Details Preference 1 Preference 2 Preference 3 B.SC. CARDIOLOGY THEATRE TECHNIGUES S| LABORATORY TECHNIQUES. Preference 5 Preference 6 Preference 7 Applicant Name MD IMRAN SADIQUE Father's Name Social Category ogc Mother's Name Physically Challenged No Parent Annual Incom Religion ISLAM Mobile Number Date of Birth (DD-MM-YY) 30/04/2007 Email ID Gender MALE JH-Employee's Ward State of Domi BIHAR Sports Person Marital Status UNMARRIED Internal Candidate Int Correspondence address FARHATABAD, PO BELSAR | permanent address _ FATEHABAD ARWAL Correspondence Pincode 824127 Permanent Pincode Name of Qualifying Exam 12TH Qualifying Board/UniName of Qualifying Exam 12TH Qualifying Board/Uni Qualifying Year | 2024 | PercentagelCGPA Aadhar Number | 225456979053 | Declaration: | Declare that all the statement given in this form are true to the best of my knowledge. | ur found wrong my admission will stand cancelled. If admitted, | will abide by the rule & regulations in force time to time and pay the prescribed fee regularly. md Candidate's Signature Sinem 6 Mique