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    Cdol - Form Application Exam

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    minhazalam786
    1) The document is an application form for a student to appear for an examination through Jamia Millia Islamia's distance education program. 2) It requests permission to appear for a specific examination and declares that the examination fee has been paid and no debarment exists. 3) The student agrees to abide by the university's statutes, ordinances, and regulations and declares that the information provided on Forms A, B and C is true.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Cdol - Form Application Exam

    Uploaded by

    minhazalam786
    112 views2 pages
    1) The document is an application form for a student to appear for an examination through Jamia Millia Islamia's distance education program. 2) It requests permission to appear for a specific examination and declares that the examination fee has been paid and no debarment exists. 3) The student agrees to abide by the university's statutes, ordinances, and regulations and declares that the information provided on Forms A, B and C is true.

    Original Description:

    cdol jamia information

    Original Title

    Cdol.form Application Exam

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    1) The document is an application form for a student to appear for an examination through Jamia Millia Islamia's distance education program. 2) It requests permission to appear for a specific examination and declares that the examination fee has been paid and no debarment exists. 3) The student agrees to abide by the university's statutes, ordinances, and regulations and declares that the information provided on Forms A, B and C is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    112 views2 pages

    Cdol - Form Application Exam

    Uploaded by

    minhazalam786
    1) The document is an application form for a student to appear for an examination through Jamia Millia Islamia's distance education program. 2) It requests permission to appear for a specific examination and declares that the examination fee has been paid and no debarment exists. 3) The student agrees to abide by the university's statutes, ordinances, and regulations and declares that the information provided on Forms A, B and C is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    JAMIA MILLIA ISLAMIA, NEW DELHI

    Particulars of Forms A , B & C to be filled in by the candidate in his/her own hand writing.

    Application for permission to appear at

    Examination:………………….…(Distance Mode) Part I/II/III Year……… Distance Mode


    TO BE FILLED IN BY
    The Controller of Examination THE OFFICE
    Jamia Millia Islamia
    New Delhi – 110025 Roll No……………………..
    Enrolment No………………
    Sir, Study Centre Code…………
    I request you to permit me to appear at the examination noted above.
    The examination fee has been deposited. I declare that I have not been
    debarred by any University or Board from taking any examination during the
    above mentioned year and that the entries made by me on the forms A, B and Candidate’s
    C(attached) are true to the best of my knowledge and belief. I agree to abide
    by the statutes, Ordinance and regulations existing and amended from time to Photograph
    time. To be pasted here

    Yours Faithfully,
    Photo & Signature to be attested by
    Date………………. the Hony. Director, Arjun Singh
    _______________________ Centre for Distance & Open
    Candidates Signature (in full) Learning, Jamia Millia Islamia

    Course(s) in which he/she wishes to be examined (Mention option of Courses, if any). Write Title of Courses
    COMPULSORY PAPERS / CORE COURSES OPTIONAL PAPERS

    Course Code Course Title Course Code Course Title

    Practicals & Viva Voce, if any

    Specimen signature of the candidate ( in full)…………………………………


    1. Name of candidate (in Urdu or Hindi)………………………………………………………………………….

    2. Name of Candidate Mr./Miss/Mrs.


    (in English) (BLOCK LETTERS)
    3. Date of Birth……………………….(in words)………………………………………………………………...
    4. Place of Birth………………………………………………………………..Nationality…………………….
    Town Distt. State
    5. Father’s Name…………………………………………………..Occupation…………………………….…...
    6. Address (Present)………………………………………………………………………………………………
    …………………………………………………………………………………………………………………...
    (Permanent)…………………………………………………………………………Phone No…………………
    7. Medium of Examination……………………………………………….Enrolment No………………………..
    8. Whether you belong to S.C/S.T/P.H……………………………………………………………………………
    I hereby solemnly affirm that I have submitted/will submit all the required number of assignments
    prescribed for the above course(s) within the deadlines prescribed by the University to the appropriate
    authority for evaluation.

    I am aware that submission of assignments prescribed for these courses is a pre-requisite for taking Term-
    End Examination, in case my above statement regarding submission of assignment is found to be untrue, the
    University may cancel the result of my above mentioned Term-End Examination and I undertake that I shall
    have no claim whatsoever in this regard. I also undertake that I shall abide by the decision, rules and
    regulations of the University. I have signed this undertaking on this ………………..day of ………………

    Signature of Student………………………..

    Declaration:
    I hereby declare that all the entries made in the form and copies of documents attached herewith are
    correct to the best of my knowledge, if any falsification is found in this connection the Jamia Millia Islamia
    has the right to cancel the examination any time.

    Signature of Candidate

    Signature of Father/Mother/Guardian

    CERTIFICATE

    Certified that the above named student is a Distance Mode student. His /her conduct is satisfactory and
    that he/she is eligible to appear at the examination noted above. The information furnished by him/her on Forms
    A, B and C is correct. Photographs & Signatures of the candidate on forms A, B and C are attested.

    Date………………………

    …………………………………
    Hony Director
    Arjun Singh Centre for Distance & Open Learning

    To be filled if applicable:
    Fee of Rs…………………….paid vide DD No:……………………….Name of the
    Bank……………………………………Date…………………………..DD is attached.

    Note : Required for Clear – Remaining / Improvement of Result papers etc. Please read Programme Guide for
    fee and rule. Please attach a self-addressed envelope affixing postal stamps for Registered Post.

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