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ANNEXURE 'A'
(Application form for permission to consult records)
Click to download
 
To

The Director General,
Archives Department,
Haryana, Panchkula.

 

Sir/ Madam,

    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:

Department

PeriodRemarks

1.

2.

3.

4.

 

* Scholars are requested to attach a letter of recommendation from their University/ Institution/ Department. However, the foreign scholars are requested to bring a letter of accredition from the diplomatic representatives of their country in India as well.

 

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