BANGALORE UNIVERSITY UNIVERSITY LAW COLLEGE & DEPARTMENT OF STUDIES IN LAW Jnana Bharathi Campus, Bangalore 560 056 Phone: 080-22961179/22961172 Affix latest Passport Size photograph Application No: Quota: Regular [ ] Payment [ ] Both [ ] (Tick the appropriate) APPLICATION FOR ADMISSION TO ONE YEAR LL.M 2017-18 INSTRUCTIONS: 1. Application to be duly filled in by the Applicants only. 2. Affix a recent Passport Size Photograph in the space provided. 3. Photo-copies of relevant certificates /marks cards should be submitted for all your claims. 4. All fields should be filled. Fields not applicable should be mentioned as N.A. Incomplete Application is liable to be rejected. 5. All photocopies of Certificates/Marks Cards should be self-attested. Application fee paid details Application form fee paid Rs. :. Applicant s Name :. Receipt No. : Bank:. (Branch) :.. Date:.. 1
Carefully read the instructions given above before filling the Form. A) Personal particulars: 1. Name of the Candidate : 2. Date of Birth : Date Month Year. 3. State of domicile/ :.. State to which Candidate belongs 4. Nationality : Indian: Foreigner:.. (Tick the relevant) 5. Religion :. Category :. 5(a). Online Scholarship (Post Metric) Registration No. (SC/ST Candidates from State of Karnataka only) 5(b). Online Scholarship (Post Metric) Registration No. (Cat I, IIA, IIIA, IIIB Candidates & Other Candidates excluding Minorities from State of Karnataka only) 6. Gender : Male Female Transgender (Tick the relevant) 7. Aadhaar Number :.. 8. Father s Name :.. 9. Mother s Name :.. 10. Gaurdians s Name :... 11. Occupation of the Father/: Mother/Guardian 2
12. Annual income of Father/: Rs Mother/Guardian (in words... 13. Address for Correspondence:.. Telephone No. : Off/Mobile: Residence. (with STD code) e-mail:. 14. Permanent address :.. Telephone No. : Off/Mobile Residence. (with STD code) e-mail*. B) Marks obtained in SSLC/10 th : Max. Marks Marks Scored C) Marks obtained in 2 nd PUC/ : Max. Marks Marks Scored XII/10+2 D) Details of qualifying Examination: a) Degree :... (Tick the appropriate) b) Bangalore University Affiliated Other University within Karnataka Other University Outside Karnataka c) Year of passing :. d) Register No. :. 3
e) Class I/II/III :. f) Max. Marks :. g) Marks Obtained :.. h) Aggregate % :.. E) Marks Obtained in LL.B Degree: Year Max. Marks Marks Scored I Year II Year III Year IV Year V Year Grand Total Educational Qualifications: (Enclose attested Marks sheet/result sheet) F) Have you passed any Post Graduate Degree? Yes.. No.. Bangalore University : Other University within Karnataka :.. Other University outside Karnataka :.. a) Year of passing :. b) Register No. :.. c) Class I/II/III :.. d) Max. Marks :.. e) Marks Obtained :.. G) Other examinations passed: (If any) 1.. 2. 3.. 4. 4
H) *Supernumerary seats: Read instructions carefully before applying under this category. 1. To be allotted as per University rules only if the candidate fails to secure seats under Regular seats (Category/GM) are eligible as per the decision of the Admission Committee on the basis of merit of marks and Authenticated Certificates. 2. There is no claim as a matter of right over Supernumary seats. Sports/NCC/NSS/ /Cultural/Defence/Kan.Medium/Rural/Differently Abled/University Employee/Kashmiri Migrant/Single Girl Child/Transgender/Foriegner (Tick the Appropriate) *Enclose attested certificates issued by the Authorities Categories. Sports NCC NSS Cultural Defence Kan.Medium (Should have studied up to 10 th std in Kannada Medium) Rural (Should have studied up to 10 th std in Rural Area in Karnataka) Differently Abled /Blind Single Girl Child (Karnataka only) Transgender Foreign National Kashmiri Migrant University Employee Quota (Teaching) University Employee Quota (Non-Teaching) Nature of Distinction I) Have you ever been involved in any disciplinary matter in any university or college? Yes No if Yes please explain it on a separate sheet. J) Have you ever been involved in unfair means in university or college? Yes No if Yes please explain it on a separate sheet. 5
K) Would you require hostel accommodation? Yes No if if Yes mention the distance from your native to College...kms L) Have you studied for 7 years in Karnataka? Yes No M) Do you belong to Below Poverty Line Family (BPL) Yes No N) Are you a student of Hyderabad Karnataka? Yes No if Yes please enclose the relevant document. O) If you are a Sponsored candidate - mention the Organisation s Name & enclose a copy of the certificate. P) Any other information you would like to furnish: Q) Total No. of Enclosures attested by the Gazette Officer.. 6
DECLARATION 1. I undertake to abide by the rules and regulations of the college which may be notified from time to time. 2. 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. Further, I state I have read the anti-ragging guidelines /orders farmed by the UGC available at www.ugc.ac.in 3. I,..Son/Daughter of do hereby verify on this day that the above information is completely 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 ab initio. Signature of Candidate Date : Place: 7
OFFICE RECORD SUPERNUMERARY WEIGHTAGE Details Weightage Awardees Name Signature Date Sports Cultural NCC NSS Defence Physically Challenged Details to be filled by the applicant and to be verified by the concerned Department Sl. No. PARTICULARS 1. Whether photocopy of the SSLC/10 th Marks card enclosed 2. Whether photocopy of the PUC/XII/10+2 Marks card enclosed 3. Whether photocopy of LL.B(5years/3years) Degree Marks Card enclosed Register No. Register No. Register No. 4. Whether photocopy of Degree Certificate/ Provisional Degree Certificate enclosed 5. Whether photocopy of the Caste Certificate enclosed 6. Whether photocopy of the Income Certificate enclosed 7. Whether photocopy of Aadhaar Card enclosed If yes, which category you belong to: If yes, parent s/guardian s annual income: If yes, Aadhaar No.: 8
8. Whether registered for scholarship in Social Welfare Department? (For SC/ST applicants only) 9. Whether applied for scholarship in Backward classes welfare department previous year? 10. Whether the candidate applied for any supernumerary quota? If yes, Register No.: If yes, Register No.: Verified by: Seal & Signature of the Chairman 9
BANGALORE UNIVERSITY UNIVERSITY LAW COLLEGE & DEPARTMENT OF STUDIES IN LAW Jnana Bharathi Campus, Bangalore 560 056 ACKNOWLEDGEMENT [UNIVERSITY COPY] 1. Candidate s Name:.. 2. Application No.: 3. Category:. 4. Date of submission: College Seal and Receiving Officer s Sign ------------------------------------------------------------------------------------------------------------------------------------------ BANGALORE UNIVERSITY UNIVERSITY LAW COLLEGE & DEPARTMENT OF STUDIES IN LAW Jnana Bharathi Campus, Bangalore 560 056 ACKNOWLEDGEMENT [CANDIDATE S COPY] 1. Candidate s Name:.. 2. Application No.: 3. Category:. 4. Date of submission: College Seal and Receiving Officer s Sign 10