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Law Program Admission Form

This document is an application form for admission to the B.A. LL.B. (Hons.) and LL.M. programs at Hidayatullah National Law University for the 2019-20 academic year. It contains details about the applicant such as personal information, contact details, educational qualifications including marks obtained in BA LL.B, CLAT score and rank, family details including occupation and income of parents, and a declaration agreeing to abide by university rules.

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Shivam Kumar
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159 views2 pages

Law Program Admission Form

This document is an application form for admission to the B.A. LL.B. (Hons.) and LL.M. programs at Hidayatullah National Law University for the 2019-20 academic year. It contains details about the applicant such as personal information, contact details, educational qualifications including marks obtained in BA LL.B, CLAT score and rank, family details including occupation and income of parents, and a declaration agreeing to abide by university rules.

Uploaded by

Shivam Kumar
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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NameExamination

of Account Holder
in the Qualifying Examination

i Hidayatullah National Law University


< Atal Nagar, Raipur - 492002 (Chhattisgarh), India
Application Form for Admission to the B. A. LL. B. (Hons.) and LL.M. Program
(Academic Year: 2019-20)

Application for the Program B.A.LL.B. (Hons.) / LL.M.:LLM Category... Schedule Caste
922312568759

Name of Bank & Branch:


ICICI Pilihana Date of Payment11/08/2019 ,

Yuvakshi Grover

1. Name of the Applicant SHIVAM KUMAR


(In CAPITAL letters)
Paste your recent
2 Date and Place of Birth 26/07/1996, Kanpur passport size
colour
3. Sex Male photograph

4. Nationality Indian

5. Father's Name Akhlesh Kumar Singh

6. Mother's Name Mona Singh


M-309 Keshavpuram
7. Correspondence Address Awas Vikas No. 01 Kalyanpur
Kanpur, Uttar Pradesh (208017

8. Telephone/Cell Phone No. 9455851325

9. E-mail ID shivamkumar.nlu@gmail.com
10. Details of the qualifying examination passed. Please enclose the conversion certificate in case of grade

system.

Examination Yearof Board/University Marks


Passed Passing withPlaceandName Maximum Marks Percentageof
oftheCountryMarks Obtained Marks

Dr. Ram Manohar Lohiya


National Law University 10 CGPA 6.19 CGPA 58%
BA.LLB (Hons.) 2018
Lucknow

11. Medium of Instruction and the Medium of


English

219076657
12. CLAT-2019Roll Number:

43.5
CLAT-2019 Score:
14. CLAT-2019 All India 3756
Rank:
15. Have you ever been subjected to any disciplinary action in the past in the school or college you studied?
If so, state reasons and the punishment awarded.
NO

16. Details of Parents

Father Mother
Name
Akhlesh Kumar Singh Mona Singh
OccupationandDesignation
Police Service Homemaker
Annual Income
Upto 5 lacs Nil
OfficeAddress Police Station Kotwali
District- Farrukhabad No Office
Uttar Pradesh

PhoneNumber 9415440249
E-mail ID
kanis962@gmail.com

DECLARATION

I hereby declare that the information furnished above is true to the best of my knowledge and belief, and no

material information has been concealed. In case any information is found to be false, incorrect or misleading

at any stage before or af


ter admission, the University shall have the authority to cancel my

candidature/admission without any further inquiry or notice. 1 undertake to abide by the disciplinary rules and

regulation already in force in the university and such other rules that may be made by the University from

time to time, if admitted.

11/08/2019
Date: ..

Place: . Kanpur

Signature of Parent/Guardian Signature of Candidate

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