Centre For Coaching & Career Planning

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RESIDENTIAL COACHING ACADEMY

CENTRE FOR COACHING & CAREER PLANNING


Jamia Millia Islamia, New Delhi-110025
Tel. No. 26985492, 26981717 Extn. No. - 4271, 4272, 4274

The hardcopy of the form will be acceptable only for Srinagar


Center.
Roll No:
(To be filled in by the office)

Read the instructions carefully before filling up this form

Application Form for Civil Services (Preliminary-cum-Main) Coaching Program – 2017

1. Name
(in block letters)

2. Date of Birth: Date Month Year

3. Father's/Husband’s Name:

4. Sex: Male Female

5. Family's Annual Income: Rs.

6. Local Address:

Pin Phone No.

E-Mail: Mobile No.

7. Permanent Address:

Pin
Phone No.

8. Medium: English Hindi Urdu

9. Category: Minority SC ST Woman


(Tick any one only)
10. Optional Subject:

11. Details of Examinations Passed:

Examinations Board/University Year of Subjects Division


Passed Passing (with % age)

M.A/M.Sc./M.Com.

B.A/B.Sc./B.Com./Engg.

Intermediate / Senior
Secondary (XII)
Matric / Higher
Secondary (X)
Others

12. Competitive Examinations appeared at:

S. No. Name of the Examination Year Roll No. Result

1
2
2
4

DELCARATION

I hereby, solemnly declare that the information given in the form is true to the best of my
knowledge and belief. I undertake to accept and abide by the rules of Jamia Millia Islamia and all
the decisions of the admission committee and other appropriate university bodies in regard to my
admission. I further declare that I am not involved in any criminal case and / or no such case is
pending against me in any court of law.

Date: (Signature of the Candidate)


RESIDENTIAL COACHING ACADEMY
CENTRE FOR COACHING & CAREER PLANNING
Jamia Millia Islamia, New Delhi-110025 Affix your self
Tel. No. 26985492, 26981717 Extn. No. - 4271, 4272, 4274 attested recent
passport size photo
Hall Ticket (For Centre)

Roll No:
(To be filled in by the Office)

1. Name

2. Father's/Husband’s Name:

3. Local Address:

Pin Phone No.

(Signature of Applicant) (Signature of Invigilator)

– – – – – – – – –– – – – – – –– – –Cut Here –– – – –– – – –– – – –– – – –– – – –– – – –– – –––


RESIDENTIAL COACHING ACADEMY
CENTRE FOR COACHING & CAREER PLANNING
Jamia Millia Islamia, New Delhi-110025
Tel. No. 26985492, 26981717 Extn. No. - 4271, 4272,4274
Affix your self
attested recent
Hall Ticket (For Candidate) passport size photo

Roll No:
(To be filled in by the Office)

1. Name

2. Father's/Husband’s Name:

3. Local Address:

Pin Phone No.

(Signature of Applicant) (Signature of Invigilator)


ACKNOWLEDGMENT SLIP

Received an application form from (candidate’s name) ………………………………………… for


admission to Civil Services (Preliminary-cum-Main) Coaching Program – 2015

Date…………………….. (Signature of receiving Official)

…………………………………………………………………………………………

INSTRUCTIONS

1. T h e h a r d c o p y o f t h e f o r m w i l l b e a c c e p t a b l e o n l y f o r
Srinagar Center.
2. All the particulars must be filled in by the candidate in Block Letters.

3. Candidate falling under more than one category should choose any one category for
consideration and tick the same in the form. The woman candidate should also tick the
woman category.
4. Submission of Application Form will be no basis for claiming admission.
5. Do not attach copies of mark sheets, certificates etc. with this form.
6. The self-attested legible copies of the following documents shall be submitted at the time
of interview and admission. The candidate has to verify the originals documents at the
time of admission.
• All Educational Certificates and Degrees.
• Permanent Address Proof.
• Category/Caste Certificate (if any).
• Annual Family Income Certificate.
• Four recent passport size photographs.
• Admit card of last competitive examination (if applicable)

7. Incomplete Application form will not be considered.

**************************
Notification

Residential Coaching Academy

(Centre for Coaching and Career Planning)

Jamia Millia Islamia

Invites applications for

FREE COACHING (with Hostel Facility)

for

CIVIL SERVICES (Preliminary-cum-Main) - 2017

For Minorities, SCs, STs and Women


Schedule for Civil Services (Preliminary-cum-Main) 2017 Coaching Programme

1. Only those candidates who have already completed their Graduation need to apply.

2. Coaching will include (a) classes on General Studies, CSAT and selected optional papers - History, Public
Administration, Geography, Sociology and Urdu, (b) Test series and evaluation shall be carried out by faculty
members of Jamia and professional Faculties (c) Essay writing practice shall form part of the curriculum.

3. The Academy will also conduct Mock Interview for those who qualify the main examination.

4. Library facility is provided

5. Scholarship to 20% admitted students @ Rs. 2000/- per month will be provided on mean-cum-merit basis

6. Total seats available: 125. Hostel accommodation will be available to 98 students in order of merit. The rest will
be provided accommodation as per subsequent availability and in order of merit. However, those who are not
allotted accommodation may make their own arrangements of residence.

i. Application form may be downloaded from Jamia’s Website (www.jmi.ac.in). The Link is Centre, Centre for
Coaching and Career Planning

ii. Applications have to be submitted at the office of the HoD, Zoology, Kashmir University, Srinagar, with a fee of
Rs. 500/- in Bank Draft/IPO (to be drawn in favour of the Registrar, Jamia Millia Islamia, New Delhi -110025) with
a self addressed envelope with postal stamp of Rs. 40/-

iii. Contact: Office: 26985492 (Direct), 26981717 Extn- 4271, 4272, 4274

Deputy Director

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