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Annexure-I
JAMIA MILLIA ISLAMIA
Jamia Nagar, new Delhi-110025
APPLICATION FOR ADMISSION TO THE
DOCTOR OF PHILOSPHY (Ph.D.) PROGRAMME
The Chairman,
Board of Studies/ Committee of Studies,
Department/ Centre of 
Faculty of ..
Jamia Millia Islamia, New Delhi  110025
Sir,
1. I am applying for admission as research scholar to the Ph. D. programme in
................. under the Faculty of/ Centre for .
and submitting the following particulars in support of my application along with a crossed
Demand Draft of Rs. 1000/- vide no. . dated , issued by
(Bank) .. .
2. I would also like to be considered for admission as research scholar to the Ph.D. programme
in .. Department/Centre/Faculty, as my subject of Post graduation is
being considered as an allied subject in the Department/Centre/Faculty as mentioned below in
Note A of this application form.
Yours faithfully,
Date (Signature of the Candidate)
Name: .
(PARTICULARS TO BE FILLED BY THE CANDIDATE)
Category (see Note (B) for category code): ....................
Name of the Candidate ..
Fathers Name ....
Mothers Name ..........................
Name of Spouse (if married) ...............
Date of Birth (as given in the Matriculations/ Secondary School Certificate) ...
Nationality.. Jamia Enrolment No. (if any) ..
Permanent Address............................................................................................................................
...............
......................
Local Address (with proof of residence). ..
.......
. ..
Telephone with STD code: ... Mobile:  
E-Mail: ..
Affix here
a Recent
Self-Attested
Photograph
2
DETAILS OF PREVIOUS EXAMINATIONS
Exam Passed Name of the
University
Year of
Passing
Division &
Percentage
Subjects
UG Course
PG Course
M.Phil.
Any Other
Proposed Topic of Research .
Details of Research experience, if any (Attach separate sheet, if necessary) ....
Languages, which the candidate knows .
If employed, write the name of the institution and the position held .....

I declare that the information provided above are true in all respect.
Dated  (Signature of the Candidate)
(RECOMMENDATION OF THE BOARD OF STUDIES/ COMMITTEE OF STUDIES)
The Board of studies/ Committee of Studies held on recommended Shri/ Smt./ Km.
For admission to the Ph. D. Course
inon the topic ...
.......
under the supervision of .. .
Chairman Board of Studies/ Committee of Studies
Department/ Centre/ Faculty .....
(APPROVAL OF THE DEAN OF THE FACULTY/ DIRECTOR OF THE CENTRE)
Dated Signature of the Dean/ Director with Seal
Note:
(A) Allied Subjects: To ensure the correct choice of the allied subjects refer to Ph.D. Admission
2013-14 at JMI website (www.jmi.ac.in) under Ph.D. admissions  no. of vacancies.
(B) If a candidate is applying for admission to Ph.D. programme in two Departments/Centres/
Faculty, he/she will be required to submit separate Research Proposal in the respective
Departments/Centres/Faculty, by the due date (as per the schedule).
3
(C) The following documents will have to be submitted at the time of submitting the application form.
1. Attested copies of all Mark Sheets and Degrees of Graduation and Post Graduation Examinations.
2. Proof of the date of birth.
3. Proof of claimed reserved category.
4. An attested copy of M.Phil. Marks Sheet/ Degree (in case of exemption from the Entrance Test is required).
5. An attested copy of UGC NET/SLET or an equivalent examination (in case of exemption from the Entrance
Test is required).
6.An attested copy of valid GATE Score Card.
(D) Category Code:
G: General
M: Muslim
MW: Muslim Women
MO: Muslim OBC
MT: Muslim Scheduled Tribe
PD: Persons with Disability
If at any stage it is found that the applicant has provided false/incorrect information, his/her
application is liable to be rejected and admission (if granted) will be cancelled.
JAMIA MILLIA ISLAMIA
Jamia Nagar, New Delhi-110025
Admit Card for Entrance Test 2013-2014
Course applied for: ................................................. Dept./Faculty .............................
Name (In Block Letters):......................................................................................................
Fathers Name:.............................................................................................................
Mothers Name:.............................................................................................................
Address:........................................................................................................................
....................................... .......................................
Signature of Applicant Signature of Invigilator
FORCENTRE
JAMIA MILLIA ISLAMIA
Jamia Nagar, New Delhi-110025
Admit Card for Entrance Test 2013-2014
Course applied for:................................................. Dept./Faculty .................................
Name (In Block Letters) : ..........................................................................................................
Fathers Name:..................................................................................................................
Mothers Name:.................................................................................................................
Address:............................................................................................................................
....................................... .......................................
Signature ofApplicant Signature of Invigilator
Note: Contact the Concerned Dept /Faculty for venue of Entrance Test.
Acknowledgement Slip
Received an Application Form from (Candidates Name) ............................................................ for admission
to ................................................................................................course.
...........................................................
Date................................. Signature of receiving official with Stamp
FORCANDIDATE
Cut Here
Cut Here
Affix your recent
self attested coloured
photograph
(Size 2.0 x 1.5)
It should be pasted with gum
and covered with
transparent tape
Affix your recent
self attested coloured
photograph
(Size 2.0 x 1.5)
It should be pasted with gum
and covered with
transparent tape
Form No.
Roll No.
(To be filled by the office)
Form No.
Roll No.
(To be filled by the office)
Form No.

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  • 1. 1 Annexure-I JAMIA MILLIA ISLAMIA Jamia Nagar, new Delhi-110025 APPLICATION FOR ADMISSION TO THE DOCTOR OF PHILOSPHY (Ph.D.) PROGRAMME The Chairman, Board of Studies/ Committee of Studies, Department/ Centre of Faculty of .. Jamia Millia Islamia, New Delhi 110025 Sir, 1. I am applying for admission as research scholar to the Ph. D. programme in ................. under the Faculty of/ Centre for . and submitting the following particulars in support of my application along with a crossed Demand Draft of Rs. 1000/- vide no. . dated , issued by (Bank) .. . 2. I would also like to be considered for admission as research scholar to the Ph.D. programme in .. Department/Centre/Faculty, as my subject of Post graduation is being considered as an allied subject in the Department/Centre/Faculty as mentioned below in Note A of this application form. Yours faithfully, Date (Signature of the Candidate) Name: . (PARTICULARS TO BE FILLED BY THE CANDIDATE) Category (see Note (B) for category code): .................... Name of the Candidate .. Fathers Name .... Mothers Name .......................... Name of Spouse (if married) ............... Date of Birth (as given in the Matriculations/ Secondary School Certificate) ... Nationality.. Jamia Enrolment No. (if any) .. Permanent Address............................................................................................................................ ............... ...................... Local Address (with proof of residence). .. ....... . .. Telephone with STD code: ... Mobile: E-Mail: .. Affix here a Recent Self-Attested Photograph
  • 2. 2 DETAILS OF PREVIOUS EXAMINATIONS Exam Passed Name of the University Year of Passing Division & Percentage Subjects UG Course PG Course M.Phil. Any Other Proposed Topic of Research . Details of Research experience, if any (Attach separate sheet, if necessary) .... Languages, which the candidate knows . If employed, write the name of the institution and the position held ..... I declare that the information provided above are true in all respect. Dated (Signature of the Candidate) (RECOMMENDATION OF THE BOARD OF STUDIES/ COMMITTEE OF STUDIES) The Board of studies/ Committee of Studies held on recommended Shri/ Smt./ Km. For admission to the Ph. D. Course inon the topic ... ....... under the supervision of .. . Chairman Board of Studies/ Committee of Studies Department/ Centre/ Faculty ..... (APPROVAL OF THE DEAN OF THE FACULTY/ DIRECTOR OF THE CENTRE) Dated Signature of the Dean/ Director with Seal Note: (A) Allied Subjects: To ensure the correct choice of the allied subjects refer to Ph.D. Admission 2013-14 at JMI website (www.jmi.ac.in) under Ph.D. admissions no. of vacancies. (B) If a candidate is applying for admission to Ph.D. programme in two Departments/Centres/ Faculty, he/she will be required to submit separate Research Proposal in the respective Departments/Centres/Faculty, by the due date (as per the schedule).
  • 3. 3 (C) The following documents will have to be submitted at the time of submitting the application form. 1. Attested copies of all Mark Sheets and Degrees of Graduation and Post Graduation Examinations. 2. Proof of the date of birth. 3. Proof of claimed reserved category. 4. An attested copy of M.Phil. Marks Sheet/ Degree (in case of exemption from the Entrance Test is required). 5. An attested copy of UGC NET/SLET or an equivalent examination (in case of exemption from the Entrance Test is required). 6.An attested copy of valid GATE Score Card. (D) Category Code: G: General M: Muslim MW: Muslim Women MO: Muslim OBC MT: Muslim Scheduled Tribe PD: Persons with Disability If at any stage it is found that the applicant has provided false/incorrect information, his/her application is liable to be rejected and admission (if granted) will be cancelled.
  • 4. JAMIA MILLIA ISLAMIA Jamia Nagar, New Delhi-110025 Admit Card for Entrance Test 2013-2014 Course applied for: ................................................. Dept./Faculty ............................. Name (In Block Letters):...................................................................................................... Fathers Name:............................................................................................................. Mothers Name:............................................................................................................. Address:........................................................................................................................ ....................................... ....................................... Signature of Applicant Signature of Invigilator FORCENTRE JAMIA MILLIA ISLAMIA Jamia Nagar, New Delhi-110025 Admit Card for Entrance Test 2013-2014 Course applied for:................................................. Dept./Faculty ................................. Name (In Block Letters) : .......................................................................................................... Fathers Name:.................................................................................................................. Mothers Name:................................................................................................................. Address:............................................................................................................................ ....................................... ....................................... Signature ofApplicant Signature of Invigilator Note: Contact the Concerned Dept /Faculty for venue of Entrance Test. Acknowledgement Slip Received an Application Form from (Candidates Name) ............................................................ for admission to ................................................................................................course. ........................................................... Date................................. Signature of receiving official with Stamp FORCANDIDATE Cut Here Cut Here Affix your recent self attested coloured photograph (Size 2.0 x 1.5) It should be pasted with gum and covered with transparent tape Affix your recent self attested coloured photograph (Size 2.0 x 1.5) It should be pasted with gum and covered with transparent tape Form No. Roll No. (To be filled by the office) Form No. Roll No. (To be filled by the office) Form No.