Alumni Registration Form

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Reference No. *
Enrolment Number *
Name of the Student (In Caps) *
Father's/Guardian's Name *
Mobile No. of Father/Guardian *
Email id of Father/ Guardian *
Student ID *
Photograph *
Date of Birth *
Course *
Year/Semester *
Faculty/Centre/ Department *
Distance from Hometown *
Family Annual Income *
NCC	Yes No
Sports	Yes No
Whether old resident of JMI *	Yes No
Are you differently abled (40% disability)	Yes No
Permanent Address *
Street *
Post/Town *
City/ District *
Country *
Pincode *
E-mail of Applicant *
Contact No. of Applicant *

Particulars of Local Guardian

Particulars of Local Guardian 1

Name *
Relation with the Applicant *
Address *
Mobile No. *
Email Id *
Signature of Local Guardian I

Particulars of Local Guardian 2

Name *
Relation with the Applicant *
Address *
Mobile No. *
Email Id *
Signature of Local Guardian II

Signature of Parent/Husband/Guardian

Academic Record

Qualification	Board/ University	Year	Mark	Percentage

Percentage of Marks in Qualifying Examination		Result Awaited
Signature of Applicant		Signature of Parent

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Note:

Kindly bring a copy of this form along with the following documents when called for interview. If the form is incomplete in any respects or if the candidate fails to provide any of the following documents when called for interview, she will not be allowed to appear for interview before the interview Committee.

List of Documents:

Fee Receipt of Admission to the Course
Attested Mark sheet of all Examination
Certificate of Sports (State/National Level) or NCC (A,B,C Certificate).
Attested copy of Voter ID/ Adhar/ Passport.
Documents supporting Economically Weaker Section.
Documents supporting Physical Disability (40%) for PH category.
Six passport size photos of applicant.
Photographs, ID proofs, Address proof of Parents and both the Local Guardians.
Undertaking by the Applicant to follow University/Hostel Code of Conduct*.
Financial Guarantee and declaration by the applicant's parent/guardian*.
Affidavits by both the Local Guardians*.

*These documents are to be provided on Rs10/- Stamp Paper. The text for these documents are uploaded on http://jmi.ac.in/studyatjamia/hostel/latest/2