I hereby apply for enrolment as a research scholar for consulting records in the Research Room of the Haryana State Archives. I agree to comply with the rules and conditions in force and promise to deposit a copy of each of my work based on the materials consulted at Haryana State Archives immediately after the publication.

1.   Name, including Surname:

2.   Father's/ Husband's Name:

3.   Date of Birth:

4.   Qualification:

5.   Nationality:

6.   Profession:

7.   Subject of Research:

8.   University/ Institutions* registered with:

9.   Period for which admission is sought:

10.  Signature and date:

11. Address    (i) Local:

(ii) Permanent:

Particulars of records to be consulted: