Dr. B. R.

AMBEDKAR NATIONAL LAW UNIVERSITY, RAI, SONIPAT Staple Three

(Established by the Haryana State Legislature Act No. of 15 of 2012) Passport Size
Photos Here

ADMISSION FORM FOR SESSION 2019-20

B.A. LL.B. (HONS.) FIVE YEAR INTEGRATED COURSE

TO BE ALLOTED BY THE DBRANLU OFFICE

1. UNIVERSITY ROLL NO. :

Passport
Size Photo
2. UNIVERSITY REGD. NO. : _______/DBRANLU/2019

3. ANTI-RAGGING AFFIDAVIT REF. NO. :

1. NAME (IN CAPITAL LETTERS) : ____

_________________________AGE _________________________________
2. DATE OF BIRTH :

MALE FEMALE THIRD GENDER (TG)

3. GENDER :

MOBILE NO. _____________________________________

EMAIL ID ____________________________________________________
AADHAAR NO. ________________________________________________
4. FATHER’S NAME : _____________________________________________________________
OCCUPATION : ____________________________ MOBILE NO. _______________________
EMAIL ID______________________________________________________
5. MOTHER’S NAME : _____________________________________________________________
OCCUPATION : ____________________________ MOBILE NO. _______________________
EMAIL ID______________________________________________________
6. POSTAL ADDRESS* : _____________________________________________________________

_____________________________________________________________
7. PERMANENT ADDRESS : _____________________________________________________________

_____________________________________________________________
8. CATEGORY:

GENERAL HARYANA RESIDENT

SCHEDULED CASTE ANCESTRAL RESIDENT OF VILLAGE RAI/ LOCAL

RESIDENTS
SCHEDULED TRIBES
J & K RESIDENT
OBC
WARD OF KASHMIRI MIGRANT
SPECIALLY ABLED PERSON
FOREIGN NATIONAL
EWS
NR
HORRIZONTAL RESERVATION CATEGORY (IF APPLICABLE) ____________________________________________
*THE STUDENT MUST NOTIFY ANY CHANGE IN ADDRESS OR OTHER DETAILS TO THE UNIVERSITY OFFICE.

QUALIFICATION: 10TH / MATRIC ONWARDS

S. EXAM YEAR OF ROLL NAME OF THE MARKS MAX. PERCENTAGE SUBJECTS

NO. PASSED PASSING NUMBER BOARD/UNIVERSITY OBTAINED MARKS / CGPA

10th
1.

12th
2.

3.

CLAT DETAILS (not applicable for Foreign Nationals):

1. CLAT ROLL NO. : ______________________________________________________

2. CLAT RANK : ______________________________________________________

3. MARKS OBTAINED (CLAT) : ______________________________________________________

DEMAND DRAFT DETAILS

1. DD Number:____________________________ 3. Bank Name: ______________________________

2. Date: _________________________________ 4. Branch:__________________________________

Have you ever been punished for misbehavior or for using unfair means in an educational institution? If yes, give full
details_______________________________________________________________________________________

HOBBIES:

(I) (II) ________________

DECLARATION BY THE CANDIDATE

I ______________________________________Son / Daughter / TG of Sh. ____________________________________

R/o _______________________ Distt. _____________ State _______ _________ hereby
declare that the information given by me in the admission form and in the documents attached herewith are true
to the best of my knowledge and belief, and no relevant information relating thereto has been concealed. I am
also aware of the fact that in case any part of the information provided by me is found to be incorrect, I am liable
to be punished and the institution may cancel my admission to the course to which I am admitted.

SIGNATURE OF THE CANDIDATE

PLACE : _______________________________

DATE : _______________________________
SIGNATURE OF PARENT/GUARDIAN
 Dr. B.R. AMBEDKAR NATIONAL LAW UNIVERSITY, RAI, SONIPAT
(Established by the Haryana State Legislature Act No. of 15 of 2012)

CHECKLIST OF DOCUMENTS ATTACHED

1. NAME

2. THREE PASSPORT SIZE PHOTOGRAPHS YES NO

PROOF OF DATE OF BIRTH – EITHER OF THE FOLLOWING YES NO

3.
BIRTH CERTIFICATE / MATRIC CERTIFICATE / COPY OF PASSPORT

4. 10+2 CERTIFICATE – DETAILS MARKS CARD (DMC) YES NO

5. CHARACTER CERTIFICATE YES NO

6. MIGRATION CERTIFICATE YES NO

7. CLAT ADMIT CARD YES NO

8. CATEGORY CERTIFICATE (FOR SC / ST / PWD / HARYANA YES NO

CATEGORY)
N
RELEVANT DOCUMENTS AS A PROOF FOR RESIDENT OF VILLAGE YES NO O
9.
RAI/LOCAL RESIDENT
RELEVANT DOCUMENTS FOR NRI / FOREIGN NATIONAL / KASHMIRI YES NO
10.
RESIDENTS / KASHMIRI MIGRANTS CATEGORY

SIGNATURE OF THE CANDIDATE