Application Form - Bangalore University

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
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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)
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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.
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Verified by:
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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
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