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Jamia Job Application Form

This document is an application form for appointment to Jamia Millia Islamia. It provides information on application fees, which are Rs. 500 for general candidates and Rs. 250 for SC/ST candidates. It requests personal details from applicants such as name, father's name, address, date of birth, educational qualifications, work experience, research experience, and references. It includes a declaration by the applicant confirming the truth of the information provided. It also includes a note that 10 copies of the filled application form should be attached for teaching posts and 7 copies for non-teaching posts. Finally, it provides an acknowledgement form to be filled upon receiving the application.

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Jeshi
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126 views4 pages

Jamia Job Application Form

This document is an application form for appointment to Jamia Millia Islamia. It provides information on application fees, which are Rs. 500 for general candidates and Rs. 250 for SC/ST candidates. It requests personal details from applicants such as name, father's name, address, date of birth, educational qualifications, work experience, research experience, and references. It includes a declaration by the applicant confirming the truth of the information provided. It also includes a note that 10 copies of the filled application form should be attached for teaching posts and 7 copies for non-teaching posts. Finally, it provides an acknowledgement form to be filled upon receiving the application.

Uploaded by

Jeshi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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IPO/DD No.

:
Date:
Application Fee:
For General:
Rs. 500
For SC/ST:
Rs. 250

Affix
recent passport size
photograph
here

For office use only


Application fee paid

JAMIA MILLIA ISLAMIA


Jamia Nagar, New Delhi -110025
APPLICATION FORM FOR APPOINTMENT

Call for Interview

Yes
No

Received on.
Sign .

(All the particulars must be filled in Caps Letter by the candidate in his / her own hand-writing)

1.

Candidates Full Name


(In block letters)

2. (i)
(ii)

Ad vt. No.:

Dated:

Post applied for: ...

( i i i ) Department/Institution: .
3. Fathers/Husbands
name in full
4. Address:
(i) Correspondence:

(ii) Permanent:

Pin: Mobile No: ............

Pin: Mobile No: ............

Email Address:
5. Date of Birth: (Based on Matriculation/Hr. Sec. School Certificate)
Date

Month

6. Whether S.C.
`
7. Marital Status:

S.T.
Married

Year
O.B.C.

PWD (LV/HI/LD)

Unmarried

(Please tick the correct block)

Widow

8. Educational Qualifications: (Enclose attested copies of Marks-Sheet & Certificates etc.)


S.No.

*Exams. Passed

Matric/S.S.C.

Inter./Sr. Secondary

B.A./B.Com./B.Sc./B.E./B.Tech.

M.A./M.Com./M.Sc./M.E./M.Tech.

M.Phil.

Ph.D.

N.E.T.

Others

Board/University

* Strike out which is not applicable (Attach enclosures, if necessary)

Year

Div./%age

Subjects

9. Appointment so for held:


Period of Service
S. No.

Particulars of post

From

To

Total
Period

Particulars of main
duties

Name and address of


employer

10. Research work/Published Work/Scholarship/fellowships (Attach enclosures, if necessary)

11. If at present employed state separately basic pay & allowances:


(i) Basic Pay Rs. ............................. (ii) Scale of Pay ...................... (iii) Allowances Rs...
(iv) Total Rs. : ................................................. (v) Date of next increment ..

12. If appointed, time and notice required for joining the post:
13. Name of two referees:
S.No.

Name of referee

Period for which he


has known the
candidate

Address

1.
2.
* Applicant may send two testimonials from persons under whom he/she has studied or worked.
NOTE: Books, research papers and typescripts should be sent with the application and not separately.
DECLARATION
I hereby declare that the entries made by me in the above columns are true to the best of my knowledge and belief.

Place: .
Date: .

(Signature of the candidate)

If employed, remarks of the forwarding authority.


Attach separate sheet, if required.
Signature.
Name .
Designation.
Address
Place
Delhi

Jamia Millia Islamia


Jamia Nagar, New Delhi-110025

IMPORTANT

Advt. No. Date ..

Attach 10 typed copies of this proforma with the


application form duly filled in and signed (for teaching post)

Particulars of Mr./Ms./Mrs. ..
For the post of ..

Attach 7 copies (for Non-teaching posts)

Name & Address


for correspondence
& phone No.

Date of birth,
Mother tongue &
other languages

Teaching, Non-Teaching and other experience of


employment

Academic Qualifications
*Exams

Board/
University

Year

Division
& %age

Total
Years

From-To

Post &
Grade

Employer

Research and
Published
Work

School Cert.
Date of birth:

..

AgeYears Graduation

Mother tongue:

Post
Graduation

..

Other
Languages:

M.Phil.
Ph.D.

Others

* Give name of all Exams

Date .

Candidates signature

JAMIA MILLIA ISLAMIA, JAMIA NAGAR, NEW DELHI-110025


(A Central University by an Act of Parliament)
ACKNOWLEDGEMENT

Received an application from Dr./Mr./Mrs./Ms. _________________________________________________


for the post of _________________________________________________________________ in response to the
Advt. No. ______________________Dated ______________________________ alongwith a D.D./IPO bearing
No. _______________________Dated ____________________ for Rs. ____________________drawn on Bank
.

Date:

(Signature of the Receiver)

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