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Jamia Form

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68 views2 pages

Jamia Form

Uploaded by

tigertt4321
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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JAMIA MILLIA ISLAMIA

(A Central University by an Act of Parliament)

APPLICATION FOR
ISSUE OF DEGREE/DIPLOMA/CERTIFICATE
TIMING TO RECEIVE APPLICATION AND ISSUE OF
DEGREEDIPLOMA/CERTIFICATE:
MONDAY TO THURSDAY: 10,00 A.M. TO 1.00 P.M.
FRIDAY:10.00 A.M. TO12.00 NOON

The Controller of Examinations


Jamia Millia Islamia M an
New Delhi-110025

Sir,

Irequest you to please issue me the Degree / Diploma / Certificate mentioned below. I
certify that I am
the same candidate who appeared at the following examination. My particulars are as follows:

Nane of Candidate...MLA.NI.SH DHAkJA.


(in Block Letters)
Name of Candidate in Urdu or Hindi:....d...aa..
Father's Name:....GM..G.ALD..DnAA...
(Gin Block Leters)
Father's Name in Urdu or Hindi:
Mothers Name:...AL.SH.A.A...D..
Present Fostal Adress..Mil..DNgA.a..Pasa..anaLAIAplN9,
w 4a
Name of Examination
uphanc Mabile Na..&.anS.,073I9
Year of Passing: ..g..-+
Roll No....D.4.1.A.2.7...Enrolment No:.4.a4gs4
Previous EBnrolment No., if any:.....
Verified from the records and certified that
Mr.Ms.... Yours faithfully
whose signature &photograph are attested above, has signed
in my presence and is a genuine candidate. He/She has no dues.
Signature of Candidate

Signature with Seal Received the Degree/Diploma/Certificate


Dean/DirectorPrincipalHeadmaster (çoncerned)
Candidate's/Messenger'
Signature with date s

Iauthorize
.aah..tsaG...to collect my above mentioned Certificate.
The Specimen Signature of Messenger is given below:

Specimen Signature of Messenger


Mamish
Signature of Candidate
Note : CANDDATE MUST READ THE INSTRUCTIONS GIVEN OVERLEAF BEFORE FILLING THE FORM.
INSTRUCTIONS

examination (passed).
1 Attach photocopies of marks sheets of all years
improved marks sheet).
(In case of improvement, attach a'photocopy of
minimum duration of course, attach the
2 If the course is completed in more than
photocopy of the combined marks shect.

3. Photocopy of NOTIFICATION in caSe of Ph.D. Degree.


4. Incase of authorization to collect the Certificate. attach PHOTOCOPY of ldentity
Cards (WITH PHOTO &SIGNATURE) Of the Candidate and the Authorized Person.

5. The fee willbe charged Rs. 100/- Per Degree/Certificate.

6. In case of more than 10 years old the fce will be charged 500/- per Degree/Certiticate.
ISSUE OF DUPLICATE DEGREEDIPLOMAJCERTIFICATE:
Duplicate degree/diploma/certificate can also be obtained on submitting an application
alongwith the following:
1. An affidavit signed and certified by the FIRST CLASS MAGISTRATE.
2. Cuting from the LEADING NEWSPAPER showing that the original has been lost or
destroyed, or submit defaced/remainíng portion of degree/diploma/certificate.
3. Prescribed fee: Rs. 500/

Time required for preparation/ssue of the certificate provided all other


required documents are attached.

Degree/Diploma/Certificate 30 days

Duplicate Degree/Diploma/ Certificate 60 days

Note : Old cases of more than 5years will require more time.
I have read all above mentioned instructions carefully. I will abide by the rules and regulations
or any instructions given by Examinations Department.

Slgnature of
CandidatelAuthorized Person

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