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Admission No Hindi/English Medium

APPLICATION FORM
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Urdu Correspondence Course
Arjun Singh Centre for Distance and Open Learning
Jamia Millia Islamia

Candidate’s full name:

Father’s name:

Mother’s name:

Category: SC: ST: PH:

Nationality Mother Tongue

Date of Birth: Date: Month: Year:

Address: (i) Permanent Address:

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(ii) Mailing Address

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Telephone No. Email

Present Occupation

Date……………………. Signature

(FOR OFFICE USE ONLY)


Received I.P.O./ Bank Draft No. Dated For Rs.
As prescribed fee.
S. Clerk
Admitted and allotted
No. ………………...
Admit and send teaching material
Head Signature
“Please send a Postal Order or a Bank Draft of Rs. 100/- (Rs. Hundred only) for Indian National, US $ 20 (US Dollars Twenty only) for Foreigners (SAARC
countries) and US $ 50 (US Dollars Fifty only) other Countries addressed to JAMIA MILLIA ISLAIMA, NEW DELHI” along with this admission form
For detail please contact at: ucc_jamia@yahoo.co.in or coord.ucc@jmi.ac.in
Download Prospectus http://www.jmi.nic.in/cdol/Uccform.pdf Download Syllabus: http://www.jmi.nic.in/cdol/ucc.syllabus.htm

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