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[[

NATIONAL LAW UNIVERSITY, DELHI
(A University of Law Established in 2008 by Act No. 1 of 2008 of NCT of Delhi)
Sector - 14, Dwarka, New Delhi - 110 078

APPLICATION FORM FOR AILET FOR ADMISSION
TO FIVE YEAR B.A.LL.B. (HONS.) 2012
(Please read the Admission Notice carefully before filling the Application form. Use ballpoint pen only to fill this form.
Leave the blank space in between two words)

1.Candidate’s Name in Capital Letters as given in Class X Certificate
Paste
Recent
Photograph

2.Father’s Name in Capital Letters as given in Class X Certificate of Candidate

3. Date of Birth
Date

[

Month

6. Nationality

Indian

Foreign

4. Age (as on 01.07.2012)
Year

Year

7. Category
Gen SC ST PD KM

(Tick GEN/SC/ST/PD/KM

SC=Scheduled Caste

Days

5. Gender
Male Female

9. Religion

8. BPL
SC ST

(Tick If applicable)

Whichever is applicable)

Gen= General

Months

ST=Scheduled Tribe

PD= Persons with Disabilities

KM= Kashmiri Migrant

10. Choice of Examination Centre:
Ahmedabad, Bangalore, Bhopal, Chandigarh, Chennai, Cochin, Delhi, Guwahati, Hyderabad, Jammu, Jaipur, Kolkata, Lucknow,
Mumbai, and Patna (Please indicate 3 centres in order of preference. If sufficient applications are not received for any centre, the University reserves the right to cancel such Test Centre.)

i)

ii)

iii)

11. Address for Correspondence (Any change in the address may please be intimated immediately)

State
Pin Code
12. Contact Number and E-Mail Address (a)Mobile No.
(b) E-MAIL:-___________________________________
Date
Amount
13 Demand Draft No.
Drawn on ___________________________________________ (Name of the Bank) in favour of “The
Registrar, National Law University, Delhi,” payable at Delhi

14. Details of Qualifying Examination (Enclose attested copies of Memoranda of Marks)

Examination

Year of
Passing

Marks
Name of College / School

Board

Max. Obtained

Percentage

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