Estd:1991 Cell: Ph:

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Estd:1991 Cell: 09849161157 08885511288 Ph: 0877-2234488 DR. AMBEDKAR GLOBAL LAW INSTITUTE TIRUPATI (Affiliated to Sri Venkateswara University, Tirupati) Recognised by B.C.I, New Delhi & Govt. of APSCHE, Hyderabad. 19-3-2J/F1/A20, K.K.Cheruvu, Renigunta Road, Tirupati, A.P, India. Application for Admission into LL.M. 2015-16 Constitution & legal order / Criminal law Management / Lawcet Quota On Line Lawcet Rank Lawcet Mark HallTicket No 1 Name of the Candidate (Capitals as per S.S.C) 2 Father s / Guardian s Name 3 Permanent Address Address for Communication 4 Date of Birth (As per S.S.C) Cell: Ph: Email: Age Sex Place of Birth District State Nationality M F 5 Local Area of the Candidate: (Tick in the appropriate box) Rayalaseema Andhra Telengana Other State student SVU SKU AU NU OU KU 6 Mention the Category to which you belong: (Tick in the appropriate box) SC ST BC MBC NCC NSS Exser PH Women Christian Muslim Other s 7 Annual Income of the parents / Guardian Fig Words 8 Details of qualifying examination: Name of the Examination: Year of Passing: Degree/Inter/+2 Total Marks Aggregate : (Including the languages) Total Marks: Marks Scored: Aggregate Percentage: Declaration by the Candidate I declare that the information given above is true to the best of my knowledge and belief and I am aware that if all or any part of the information given above is found incorrect, my application is liable for rejection. and admission if made on the basis of above information stands cancelled. Tirupati. Date: Signature of the candidate. PHOTO Declaration by the parent / guardian I certify that the information furnished above my son/ daughter / ward is correct and I shall be responsible for his/her good behavior as per the rules in force from time to time during the period of the study Tirupati. Date: Signature of the parent/guardian Provisionally Admitted / Not Admitted Principal Convener, Lawcet

Student Profile & Admission Declaration Form (To be filled in by the student with their own hand writing only) Name : Mother s name: Father s name : D. No : Photo Street /lane/village: Mandal : District : State : Cell.No : Phone No : Talents : Sir, Declaration I S/o..the Candidate seeking admission into 1 st year L.L.M degree course during the academic year 2015-2016 at Dr. Ambedkar Global Law Institute, Tirupati do hereby declare: 1. That I will abide by the rules and regulations of the college and maintain discipline and attend the classes regularly. 2. That I will pay the college fee as prescribed by the university/college at the time of admission and at the beginning of the subsequent academic years. i.e. by the end of April. 3. That if I discontinue the course, I will pay the balance of college fee for the remaining period of the course. 4. That I will submit the filled-in-application of post-metric scholarship within 10 days from the commencement of the course along with the necessary certificates. I will not request for original certificates during my period of study. (As the same may be inspected at any time by the authorities concerned) 5. I will appear for the university examinations as per the rules and regulations of the university. 6. That I am not an employee of any Government Service, Central Govt. /State Govt. /P.S. U.S. etc. 7. That all the certificates I have filed for admission into 3/5 Year LL.B/LL.M are genuine. 8. That I am not involved in any criminal case. I hereby declare that the above facts are true to the best of my knowledge and belief and if any thing found false my admission stands cancelled and I may be liable for Criminal/Civil action. Tirupati :- Date :- Email :- Signature of the Student

Total Marks Marks Obtained Percentage Month & Year of Passing Register.No Student Profile & Educational Qualification (To be filled in by the student with their own hand writing only) 1. Name : 2. Sur Name (Expansion):- 3. Mother s name : 4. Father s name : 5. Date of Birth : Age:- Photo 6. Caste :- Sub Caste:- 7. Mother Tongue:- 8. Address : D.No:- Street /lane/village: Mandal : District : State : Cell.No & Phone No. : Details of Educational Qualifications of the Student: School / College Studied University to which it is affiliated 10th Class or Equivalent Inter or +2 or Equivalent Name of the Degree:- P.G (if any) Signature of the Student

DR.AMBEDKAR GLOBAL LAW INSTITUTE - TIRUPATI (Affiliated to Sri Venkateswara University, Tirupati) (Certificates Submitted to College by Student) 1 Name of the Student 2 Father s Name 3 Year of Joining Certificate status YES NO 1 LAWCET HT & Rank Card 2 SSC / 10th 3 Intermediate / +2 (equalant) 4 Degree Marks 5 P.G. Marks ( if any ) 6 U.G. Convocation 7 P.G. Convocation ( if any ) 8 Migration Certificate 9 Provisional 10 T.C 11 Caste Certificate Office Stamp Signature of the Student

FEE FIXED FOR MANAGEMENT / LAWCET SEATS I,, S/O joined in Dr. Ambedkar Global Law Institute, Tirupati in 2 years LL.M (Constitution & Legal Order / Criminal Law) Course during academic years 2015-16 batch. I know that I have fixed amount of Rs. /- per year and I will pay regularly. I will abide the rules of the college and university, if all or any part of the information given above is found incorrect, my application is liable for rejection. and admission if made on the basis of above information stands cancelled. Tirupati. Particulars for ID card Signature of the candidate. 1. Name : - 2. Registration Number: - OFFICE PURPOSE 3. Address: - 4. Date of Birth: - 5. Blood Group: - 6. email-id - 7. Mobile Number: - 9. Course Details: - Branch:- 10. Duration of the course- 11. Year of joining: - 12. Signature of the student - [Within the Box] Recent passport size photo

SRI VENKATESWARA UNIVERSITY :: TIRUPATI PART-II DATA REQUIRED BY THE UNIVERSITY WITH REFERENCE L.R.NOSVU/C-I/2013, DATED:06-04-2015 INFORMATION RELATED TO THE STUDENTS(TO BE SUBMITTED EVERY YEAR ONCE ADMISSION IS COMPLETED) 1. Name of the student :: 2. Date of the Birth(DOB) :: 3. Father s Name :: 4. Residential Address of the Students :: Recent Photograph of the student with signature 5. Contact Number (Mobile Number) :: 6. Name of the Course Studying :: 7. Name of the Group Chosen Medium of Instruction Telugu/English :: 8. Year of Admission :: 9. Month & Year of Qualifying Exam Passed :: 10. Register Number of Intermediate Public Examination / National Open School :: 11. Name of the College in which Candidate Passed :: 12. Place of the College of the Qualifying Course Study :: 13. Please state whether SC/ST/BC/PHC/Minority/OC :: 14. Gender Please Specify :: 15. Aadhar Card Number :: Signature of the Principal Signature of the Correspondent Place: Date: