CHANAKYA NATIONAL LAW UNIVERSITY Nyaya Nagar, Mithapur, Patna-800 001 E-mail:- admissioncnlu@gmail.com Website: - www.cnlu.ac.in Phone No. 0612-2352300, 2352309 Fax No.0612-2352315 Application Form for the Academic Year (2016-17) APPLICATION FORM FOR ADMISSION UNDER FOREIGN NATIONALS/NRIs/ NRI/OCI SPONSORED CATEGORY Application for (tick the appropriate column): B.A., LL.B. (Hons.) B.B.A., LL.B. (Hons.) Last date for the receipt of application with enclosures : - Monday 30 th June 2016 *(as amended on 18.06.2016) Date for finalising admission by payment of ` 3, 54, 500/-(Including tuition fee of ` 2.62, Lakh) or equivalent amount in foreign currency. : - Date will be announced later on through University website (1) Full Name of the Applicant: (2) Date of Birth: / / Nationality Gender: Religion Affix Recent Passport Size Photograph (3) Father s Name & Nationality: (4) Mother s Name & Nationality: (5) Full Name of the sponsorer : Nationality Relationship with Applicant (In case of NRI/OCI sponsored category) (6) CLAT Roll No. CLAT Rank (applicable only for NRI/OCI Sponsored Category) (7) Category: (For office record only) 1. General 2. S.C. 3. S.T. 4. Extremely Backward Classes (Annexure-I) 5. Backward Classes (Annexure-II) 6. P W D (8) Details of the qualifying examination passed (Enclose the percentage / conversion certificate in case of Grades): Examination Passed/Appeared (Year) Board/Authority Place and Country Maximum Marks. Marks Marks Obtained Percentage Matric (10 th ) Intermediate (+2) (9) Address for Correspondence (Please include State, Telephone, Fax, E-mail, if any) (Any change in the address may please be intimated immediately) PIN CODE Phone with STD Code: Mobile Fax: E-mail: Permanent Address (Please include State, Telephone, Fax, E-mail details, if any) PIN CODE Phone with STD Code: Mobile Page 1 of 4
Fax: E-mail: (10) Details of Parents and Sponsorer (In case of NRIs /NRI sponsored) I. Occupation and Designation II. Annual Income III. Phone IV. Fax V. E-mail VI. Office Address Mother Father Sponsorer VII. VIII. IX. PAN Card No. Passport No. Date of Issue X. Validity period of Visa (when expires) (11) List of Enclosures: 1. NRI/OCI Sponsorship Certificate (photocopy) 2. Attested copy of the Stamped Passport of the Sponsorer. 3. Attested copy of the VISA of the Sponsorer. 4. Copy of CLAT Admit Card signed by the invigilator. (applicable only for NRI /OCI Sponsored candidates) 5. Copy of latest Character certificate from the institution last attended indicating that he/she has never been found guilty of misconduct during the study period. 6. Copy of School Leaving Certificate/ College Leaving Certificate. 7. Copy of the Migration Certificate. 8. Attested copy of the Statement of Marks of 10 th Standard. 9. Attested copy of the Statement of Marks at the qualifying examination (i.e. equivalent to Intermediate / PUC / HSC / etc.) and percentage / conversion certificate in case of Grades. 10. Medical Certificate with Blood Group Certificate. 11. One photograph of the Local Guardian (who shall be a near/close relative) if any. 12. Demand Draft bearing no. dated for ` 7,500/-Drawn on (Bank) in favour of Registrar Chanakya National Law University, Patna. DECLARATION We hereby affirm that the information furnished in the Application Form is true and no material information has been concealed. If any information is found to be false, incorrect or misleading, the University shall have the right to cancel the candidature / admission without any further enquiry or notice. We undertake to abide by the Regulations and disciplinary rules already in force and such other rules that may be made by the University from time to time, if admitted. The applicant shall not to indulge in ragging or sexual harassment or drinking or possessing alcohol or any other undesirable activity against University norms or prejudicial to the interests of the University, which will attract disciplinary action. We undertake not to claim any seat against general or reserved category to be filled through CLAT. We undertake not to make the University responsible in any way for placements. Date: Place: Page 2 of 4
Signature of Parents / Guardian Signature of Applicant Note: - 1. The duly filled in application form should be sent to: The Registrar, Chanakya National Law University, Nyaya Nagar, Mithapur, Patna 800 001, Bihar, INDIA on or before Monday 20 th June 2016. 2. Candidate once admitted under NRIs / NRI sponsored category will not be allowed to claim seat under general category/other Reserved Category. CERTIFICATE OF NRI/OCI SPONSORSHIP I,....... son/daughter of Mr./Mrs... aged about. Years, do hereby declare that I am a Non-Resident Indian (NRI) / an Overseas Citizen of India (OCI) and I am herewith enclosing the certified photocopy of my valid passport / OCI card. That my present address is: Phone / Mobile No... Country Email:.. That I have taken Mr. / Ms. son/daughter of Mr./Mrs... Address: as my ward and that I am willing to sponsor him/her as a candidate in the NRI sponsored category for admission to the B.A., LL.B. (Hons.) / BB.A., LL.B.(Hons.) Degree in Chanakya National Law University, Patna, INDIA, for the Academic Session 2016-17. That I undertake to bear the entire expenditure of Mr./Ms..... for the B.A., LL.B. (Hons.) / BB.A., LL.B.(Hons.) Degree in Chanakya National Law University, Patna, INDIA, till he / she successfully completes the said programme. I am holding. Passport No. and Visa No place of issue Declared on this.. day of. 2016. Signature of the Sponsorer. Name. Page 3 of 4
Place of Residence. Page 4 of 4
Format of Certificate from the Indian Embassy / The High Commission (on the Letter Head) Ref. No Date. CERTIFICATE This is to certify that Mr. / Ms.. Holder of Indian Passport No. Dated.. Issued at. (Place of Issue) is residing in this Country since.... with a valid Visa which is valid upto... (Signature, Designation & Seal of the Issuing Authority) Page 5 of 4