THE W.B.

NATIONAL UNIVERSITY OF JURIDICAL SCIENCES

Dr. Ambedkar Bhawan,12 LB,Block, Sector III, Salt Lake City, Kolkata 700 098.
Stamp
size
Application For Admission for Academic Session 2017-2018 colour
Photo
(for candidates other than of Foreign National Category) graph

Date: Programme Applied for: B.A/B.Sc.LL.B (Hons.)/LL.M

Stream Applied for (for LL.M only): Corporate & Commercial Law/
International & Comparative Law
1. Name of the applicant: Mr. / Ms.
2. Address of local guardian (if any) in Kolkata
3. Correspondence address with Pin code...

Telephone No.:.. Fax:.. Mobile.
Email address
4. Date of birth.... Gender: Male / Female / Transgender 5. Place of birth.....
6. Fathers Name & Address .
Fathers Occupation & Annual income
Fathers Email Address:
7. Mothers Name & Address .
Mothers Occupation & Annual income
Mothers Email Address:
8 Educational background (give particulars of School/College/University attended for Xth/PUC/ XIIth std/LL.B with marks secured
Standard Name of Board / School / College Year of Stream Total Marks Percentage
Council/University attended Passing (Humanities Marks Secured
/ Science /
Commerce

(a) Xth Std

(b) PUC/XII Std

(c) LL.B (for LL.M

candidates only)

9. Religion: Do you belong to SC/ST/PH/NRI category.

Indicate choice by putting [ ] in the appropriate category.
10. Are you a person covered under Disabilities Act
11. Extra curricular activities & areas of special interests .
12. Will you need financial assistance? Yes/No *
If yes, details
13. Identification mark . Blood group
14. Rank awarded in CLAT 2017
Signature of the candidate:
 ____________________________ (to be filled up by the admission office)________________________

The eligibility of the candidate has been verified from the list provided by the office of the Registrar for
admission.

Dated: _______________ __________________________________

Id.No assigned:..
Remarks by the admission committee

Admitted on Signature of the chairman admission committee

_________________________________________________________________________________________
*Students seeking financial assistance/scholarship must be able to furnish necessary income proof when
demanded by the University Authority