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Md Shamshad Alam
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0% found this document useful (0 votes)
53 views7 pages

Adm Form

form

Uploaded by

Md Shamshad Alam
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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APPLICATION FORM FOR ADMISSION T 3 YEAR LL.B.

, COURSE

Al- Ameen College of Law Affix Recent


No 69 Al-Ameen tower Hosur Road, Bangalore - 560 027. Tel: 080-22112563/65 Passport size
AFFILIATED TO THE KARNATAKA STATE LAw UNIVERSITY Photograph
AND
APPROVED BY THE BAR COUNCIL OF INDIA, NEW DELHI
TO BE FILLED IN BY THE STUDENT

Application for Admission to the First year LL.B., (3 year) course for the academic
year...2022- 23
1. Student Name Male Female
(in Block Letters)
Annual
2. Name of the Father Occupation
Income

3. Name of the Mother

4. Date of Birth Place of Birth Age

Date Month Year District State

5. AddresSS
& contact
Nos.

Contact Number must be mention:

6. S.C S.T G.M Cate Cate II | Cate lI Cate l Cate ll Others

Nationality Religion Caste (a) (b) (a) (b)

7. Qualifying Board/ Pre-University Pass year Total Max. Total Total


Marks Obtined Aggregate %
Examination Studied Reg.No &
month Marks

S.S.L.C

+2 or 2"
P.U.C
Degree
****************** .*.* * * *************************s**********************************************"
...hereby state that
a) Iagree to pay the fees regularly as and when notified failing which the name will be removed from the rol from
the date of default.
b) I have no other vocation besides my studies in the College and I will attend the classes punctually.
c)The Original Certificates will be returned onlyafter the candidate's admission is approved by the University.
d) Once the candidate is admitted he/she shall have to pay the entire course tuition fee and on such payment only
the original of Marks Cards, T.C. & other documents submitted by the candidate will be returned, failing which they
said documents will not be returned.
e) The information furnished in the applications is correct to the best of my knowledge and belief. If at any time it is
found to be false, action may be taken against me by the Principal to remove my Name from the Rol No.
Ihave understood the implications of the points given in the Note above. I will abide by the laws of the University,
the Bar Council of India and the College.
8) Admission fee paid will not be refunded under any circumstances.

***
.the father/ guardian of the applicant certify that the details
************************************

furnished in the application by.. .who is ..are correct to the


************************************

my.. * *****************************************

best of my knowledge and belief. I also undertake to abide by the above conditions.

Signature of the Applicant Signature of the Parent/ Guardian

Note: 1. Minimum marks for admission to 1" year LL.B., is 45% in aggregate of the qualifying examination passed.
2. Candidate can join the college immediately after interview on their presenting the duly filed in

application, provided they fulfill all the requirements, pay the notified fees and seek admission before the

Expiration of the last date for admission.


3. Application including the enclosures of the candidate who are not allotted seats or who do not join the

College, will not be preserved beyond six months from the date of commencement of the term.

4. Any fee paid or payment made towards admission for which proper receipts are issued would not be

Refunded under any circumstances.


5. Candidates admitted to the college are liable to be dismissed for indiscipline, disobedience.
Misbehavior, ragging, any kind of malpractice in the examination etc.
6. Admission is subject to approval by the University.
Application No
KARNATAKA STATE LAWUNIVERSITY /2022-23

Navanagar, HUBBALLI 580 025.


Phone: 0836-2222392, 2222472, Fax: 2223392
Website: www.kslu.ac.in
($Z) Email: caseworker.acad.kslu@amail.com
(NZ) Email: kaksluacademic9@qmail.com
ACADEMIC SECTION:
Admission application for.1t" year of..3.years
(to be submitted by the College to the
LL.B.2022-2023
K.S.L.U. at the time of Admission approval),
1. Name of the
College :
2 College Code: PHOTOORAPM As
your lsteet asspon
lze Photegaçn
(4 em en)
3. Programme Code Self attested
4.
Admlssion / Registration Numbor
5. Name of the Candidate (Leave one box empty between First
Qualifying examination Marks card name, Middle name, Surname) as in

6. Father Name:
7. Mother Name:
8. Date of Birth
L 9. Gender
(Male/Female/TG) 10. Nationality
(DD/MMYYY)
11. Religion:
12. Category 13. Belongs to Minority (Yes/No)
14.
Marital Status : Married ,Unmarrled
15.Whether Employed (Yes/No):_ (1 yes, Enclose the NOC from
omployer)
16. A) Academic Detalls
(Only for Fresh Admission to LL.B)_
SI
Qualification Year of Total Marks Maximum
No College/Board/University
01 10Matriculation Passing obtained
-
Marks Percentage (%)
02 PUCI+2/ntermediate
0 3 Gradualion

First Year (, Il sem)


Second Year (I,IV sem)|
Third Year (V, VI sem)
Fourth Year (VIl VI)
Any Other Courses
(P G)
Please specity the degree in s no.03 of above table (B NBSC/8 Com/8 B
A/BCVOthers)
B) Academic Details
(Onlyfor Subsequent year admisslons to LL.B)_
SI Qualification Year of Total MarksMaximum
No College
Passing obtauned Marks Class Grade
LLB

Semester
nd
2Semester
3 Semesler
4 Semester
5 Semester
6 Semesler
7 Semester
17) Total University Fee paid: Rs.

blank between each until of address


18) Present address for the correspondence (Do Not give Post Box No. Leave a

like House No. Street Name, P.O..etc)_

CIy District

State PIN Code

elephone No with Country &STD Code Mobile Number(if any)


LLILLI
Email id (it any)

19) Permanent Address (Do Not give Post Box No. Leave a blank between each until of address like House No.
Street Name, P.O.,etc)

CITY
II1I|IL ||LIIIIILLLILIU
District
State PIN
L
elephone No with Country 8& STD Code Mobile Number (if any)
Email id (if any)

DECLARATION BY APPLICANI
I hereby declare that I have read and understood the condition of eligibility for the programme for which I seek
admission. I fulfill the minimum eligibility criteria and I have provided necessary information in this regard. In the event of
any information being found incorrect or misleading, my candidature shall be liable to cancellation by the University at
any time and I shall not be entitled to refund of any fee paid by me to the University. Further, I have carefully studied and
accepted the regulations of the University and shall not raise any dispute in future over the same regulations.

Date:

Place
Left Hand Thumb Impression Signature
I have received back all original Marks Cards and Degree Certificate which were submitted at the time of
admission

Date.. Signature of Applicant

For College Office use only


Application & the Marks cards, certificates are verified and found correct. As per the K.S.L.U. admission
regulations, this candidate is held eligible for admission to ... First.,. ...year of ......3.... years..LL.,B... Coursse
& he/she is given admission for the academic year 2022-23.

Details of Admission Fees amount received:


Amount
Receipt No. & Date :
Date of Admission

PrinclpalDirector
(With seal of the college)
SI.No.
AL-AMEEN COLLEGE OF LAW
Hosur road, Bangalore.

AAALu

STATE YEAR
COURSE
2022-23.

Name:.. .

***

Address:.
**

***
"**

Permanent Contact No:

SI.No. Documents Submitted Pending


1 SSLC Marks Card / 10"
2 +2/PUC.
3 Degree Marks Cards: 1" Sem
2no Sem
3 Sem
4tTh Sem
5th Sem
6th Sem
7h Sem
10 8h Sem
11 gth Sem
12 10h Sem
13 Transfer Certificate
14 Provisional Degree Certificate
15 Migration Certificate
16 Cast & Income Certificate
17 Photographs
Total

Date: Left Hand Thumb Imoression Sienature of Apolicant


"I have received back all original Marks
Cards and Degree Certificate which were
submitted at the time of admission".

Date: Left Hand Thumb Impression Signature of Applicant.


STUDENT INFORMATION FOR ID CARD

Name
OOOOOOOODO|
OOOOOUOLOUU| PHOTO
Department
JOOOIUUOJUU|
Date of Brith
DOOOOOOOI
Signature only in Box
Mobile No. DOOODOOOOOOO
Blood Group Validity
Res.Address UUULJUULDL
UULUUDLUDDOII
JOOODOOOL

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