S.No.
…………
Tagore Public Law College, Kotputli (Jaipur) Raj.
Session : 20 - 20
Application Form for Admission to LL.B. Ist/IInd & IIIrd Year
1. Name of the applicant (Surname First) : …………………………………………….
2. Father’s/Husband’s/Guardian Name : …………………………………..
3. Mother’s Name : …………………………………..
4. Date of Birth : …………………………………..
5. Nationality : ………………………………….. Photo
6. Permanent Address : …………………………………………….
………………………………….................
7. Local Address : …………………………………………….
…………………………………………….
8. Whether applicant belongs to Scheduled Cast/Schedule Trible/O.B.C./Physical Handicapped Category
(If yes please specify and enclosed certificate): …………………………………………................
9. Qualifying Examination Passed………………….……………Year…………….Roll No. ……….
Total Marks obtained………………Out of……….………….% of the marks……...…………….
Name of University…………………………………………...... Enrollment No. …………………
(If belong to other then Rajasthan University, Please enclose Migration Certificate)
Name of the Institution last attended……………………………….……………………………….
10. Details of Previous Exams. :
Board/University Year Percentage
Senior Secondary
B.A./B.Sc./B.Com.
M.A./M.Sc./M.Com.
LL.B. Ist/IInd/IIIrd Year
11. List of the documents attached :-
(Only Original document and one photocopy attested by the Gazetted Office)
(a) ………………………. (b) ……………………………
(c) ………………………. (d) ……………………………
(e) ………………………. (f) …………………………….
12. Declaration by the applicant :
I …………………………………………………S/o, D/o, W/o…………………………………
Solemnly affirm and declare on both that:
I have read the rules and regulations of the college as given in the prospectus and the conditions of BCI
subject to which I am being admitted. I undertake of remain in the college as disciplined student and abide by the
order issued from time to time by the authorities of the college. I hereby undertake to regularly attend my classes as
per time table and to put in at least 75% attendance in each Subject, falling which I may be restrained from
appearing at the examination. I further undertake that in case I remain absent in my class for a period of one month
or more my name may be struck off from the rolls. Further, no F.I.R. or Criminal case is pending against me, not I
have been convicted of any offence in the past I declare that I am not working in any Govt./PSV/etc orgainsation.
All information given herein above are correct to the best of my knowledge and belief. So help me God.
FOR OFFICE USE ONLY Signature of Applicant
Section…………………………………
Fees Rs. ………………………………. Registration No………Date………...
D.D. No. ………………………………
Bank……………………………………
Branch…………………………………. Provisionally Admitted
Receipt No………………Date………...
Cashier Principal