BANGALORE UNIVERSITY UNIVERSITY LAW COLLEGE Jnana Bharathi Campus, Bangalore – 560 056 Phone: 080-22961172/1174/23392384 APPLICATION UNDER REGULAR QUOTA/PAYMENT QUOTA/BOTH Tick the appropriate Name of the Student : Application No. : Name of the Parent/Guardian : S.C. Category* S.T. Cat-I Cat-II(a) Cat-II(b) Cat-III(a) Cat-III(b) G.M. * Certificate obtained from the Competent Authority shall be enclosed for claim of seats under the above mentioned category. Please tick ( ) the appropriate column Category* Karnataka Hyderabad Karnataka (Art. 371J) Defence Other State Sports NCC P. H. NSS Cultura l Kannada Rural Medium *Certificate obtained from the Competent Authority shall be enclosed for claim of seats under any of the above mentioned supernumerary category. Please tick ( ) the appropriate column Verified by Principal BANGALORE UNIVERSITY UNIVERSITY LAW COLLEGE, Jnana Bharathi Campus, Bangalore – 560 056 ACKNOWLEDGEMENT Received Application from Mr./Ms…………………………………………………………………………………………… st …… for admission to 1 Semester B.A., LL.B. Integrated Degree Course for the year 2015-16 under Regular/Payment/both category seats. D.D.No. Name of the Bank Date Date Signature of the receiving official with seal 1 BANGALORE UNIVERSITY UNIVERSITY LAW COLLEGE Jnana Bharathi Campus, Bangalore – 560 056 Application for Admission to 1st Semester B.A., LL.B. Integrated Degree Course for the year 2015-16 Affix latest Passport Size photograph Application No: Application Form fee paid Rs. :…………………………………………. Vide D.D. No……………………………… Bank (Branch)…………………………………Date …………………………. Please carefully read the instructions given at the end before filling the Form. A) Personal particulars : 1. Name of the Candidate : ………………………………………………………………………………………… 2. Date of Birth : 3. State of domicile/ State to which belongs : 4. Nationality & Religion : ……………………………………………………………………………………….. Month……………………….date……………………year………………… ……………………………………………………………………………………….. 4a. Social Welfare Online Registration No. (SC/ST Candidates only) 5. Gender : Male…………………..Female……………………Transgender…………. 6. Father’s Name : ……………………………………………………………………………………….. 7. Mother’s Name : ……………………………………………………………………………………….. 8. Occupation of the Father/: ………………………………………………………………………………………… Mother/Guardian 9. Annual income of Father/: Rs…………………………………… 2 Mother/Guardian (in words…………………………………………………………………………. 10. Address for Correspondence: ………………………………………………………………………………………… ………………………………………………………………………………………. .……………………………………………………………………………………… Telephone No. (with STD code) : Off/Mobile………………………………Residence………………………. e-mail……………………………………..Fax…………………………………. 11. Permanent address : ………………………………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………. Telephone No. (with STD code) : Off/Mobile………………………………Residence………………………. e-mail……………………………………..Fax…………………………………. B) Educational Qualifications : Roll No./ Class Year Reg No. Board / Institute Subjects Division Percentage of Marks obtained X/ S.S.L.C. XII / II PUC 10+2 Others Do you claim seat under Sports/NCC/NSS/Phy. Challenged/ Cultural/ Defence/Kan.Medium/Rural ? Tick the Appropriate Nature of Distinction/Remarks Sports NCC NSS Phy. challenged Cultural Defence Kan. Medium (Should have studied up to 10th Std in Kannada Medium) Rural (Should have studied up to 10th Std in Rural Area) 3 C) Have you ever been involved in any disciplinary matter in any school or college? Yes No if ‘Yes’ please explain it on a separate sheet. D) Have you ever been involved in unfair means in school or college? Yes No if ‘Yes’ please explain it on a separate sheet. E) Would you require hostel accommodation? Yes No If ‘Yes’ mention the distance to Bangalore from your native place. F) Have you studied for 7 years in Karnataka? Yes 1. 2. 3. 4. No DECLARATION I have read the college prospectus carefully and shall abide by rules and regulations of the college. I also undertake to abide by the rules and regulations of the college which may be notified from time to time. I promise not to indulge in ragging or any other undesirable activity against University norms or prejudicial to the interests of the University, which will attract disciplinary action. I……………………………………………………..Son/Daughter of ……………………………………………………do hereby verify on this day………………………that the above information is true to the best of my knowledge and belief and nothing has been concealed. If found otherwise, my application/admission is liable to be cancelled abinitio. Signature of Parent/Guardian Signature of Candidate Date : FOR OFFICE USE 1. Date of Admission………………………………………………. 2. Fee Paid through a D.D. Drawn in favour of Finance Officer, Bangalore University, Bangalore. D.D. No………………………………………………..Date……………………………….Rs……………………………… 3. Application of Mr./Ms……………………………………………………is in order and is also complete. He / She may be considered for admission in the college. 4. Original Certificates have been checked and found to be in order. 4 Verified by: 1 PRINCIPAL Photostat copies to be attached with Application: 1) II PUC / XII Std. / 10+2 Marks Card. 2) I PUC / XI Std. / 10+1 Marks Card. 3) X Std. S.S.L.C. Marks Card. 4) Character certificate from head of the Institution last attended 5) Proof / Certificate of reservation category & Income Certificate. 5a) Social Welfare Online Registration Form Number (SC/ST Candidates only). 6) Explanation of the gap period. If any, on a separate sheet. 7) Any other Proof / Certificate that may advance the cause for admission / merit of the candidate. 8) Transfer Certificate, Migration Certificate. Instructions : 1. 2. 3. 4. 5. 6. 7. 8. 9. The age limit on the date of counseling day for General category is 20 years and SC/ST categories 22 years The application form and registration form must be filled in by the candidate only Duly attested photocopies of marks cards/certificate of examinations passed shall be enclosed, Recent passport size photograph must be pasted in the space provided in the application. In case of gap / discontinuation in studies, it must be explained fully. SC/ST Students to be admitted to B.A., LL.B. course after discontinuation of their graduation degree shall pay general category fee both Admission & Examination (full fee). Application form found incomplete or deficient or required photocopy is not attached or attested, the application shall be treated as incomplete and shall be rejected The Application/admission fee once paid shall not be refunded under any circumstances The candidates, who leave the course after taking admission, to join some other institution shall have to pay full five years course fees, as applicable to them and to take their original documents 5
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