were MAA VAISHNO DEVI EDUCATION LAW COLLEGE (Access By - Maa Vaishno Devi Educational Trust) Institutional Area Tiwari Ganj, Juggour, Chinhat, Near Indira Canal, Lucknow-226028 APPLICATION FORM FOR ADMISSION TO LL.B. 3 YEARS/LL.B. (HONS.) 5 YEARS 2013 (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 2, Father’s Name in Capital Letters as given in Class X Certificate of Candidate | Photograph 3. Date of Birth 4, Age (as on 01.07.2013) 5. Gender 6, Religion Date Month Year Months Days Male Female 7.Nationality 8. Category 9. BPL 10. Course Indian For Gen_SC_ST PD oBc sC_sT. LLB. LLB. 3yrs. Hons.) ess (Tick If applicable) Gen= General SC-Scheduled Caste _‘ST=Scheduled Tribe ‘PD Persons with Disabilities OBC-Other Backward Class 11. Address for Correspondence (Any change in the address may please be intimated immediately) City State Pin Code 12. Contact Number and E-Mail Address (a)Mobile No. (b) E-MAIL: 13. Whether Day Scholar or Hosteler 14, Name of Local Guardian : 15. Relationship with student (if any) 16. Address of Local Guardian : City State Pin Code17. Demand Draft No. Date Amount Drawn on (Name of the Bank) in favour of “ Maa Vaishno Devi Educational Law College” payable at Lucknow. 18, Details of Qualifying Examination (Enclose attested copies of Memoranda of Marks) a Mark: Examination id of | Name of College / School Board ans ‘assing Max. | Obtained |Percentage| 10" Std. 10+2 Graduation 19, Details of Parents: Particulars Mother Father Name Occupation & Designation ‘Annual Income Office Address Phone Signature of the Candidate 1. Attested copy of the marks statement of X Standard (as a proof of age)) 2. Attested copy of the marks statement of XII Standard (if available) 3. Attested copy of Latest Certificate (in case of SC / ST/PD/ KM) 4. Attested copy of Below Poverty Line (BPL) Certificate from competent authority (in case of BPL candidates of SC/ST category). 5. Four passport size photographs pasted on the application form. 6. Demand Draft bearing no datedDECLARATION BY THE CANDIDATE © fulfill all the eligibility conditions as laid down in the Advertisement/Prospectus. © Thave not been debarred from taking admission in any educational institution in India. « Ifadmitted | will abide by the disciplinary and other rules and regulations of the Maa Vs Education Law College, framed and enforced from time to time. « [promise not to indulge in raging or any other undesirable activity against University norms or Prejudicial to the interests of the University, which will attract disciplinary action. The information given by me in my application form is true to the best of my knowledge and belief. Signature of Candidate DECLARATION BY PARE! 1 declare that the particulars furnished by my son/daughter in this application form are correct to the best of my knowledge. Tundertake and bind myself to pay on behalf of my son/daughter such fee: charges etc., which Maa Vaishno Devi Educational Law College, Lucknow, may levy from time to time and in the event of failure on my part and / or on the Part of my son/daughter in this regard, The Principal, Maa Vaishno Devi Educational Law sary. College, Lucknow may take such action against my son/daughter, as he may deem fitand nec Lalso undertake to ensure his/her good and disciplinary behaviour. Place Date: Signature of the Parent Note: Incomplete application forms shall be rejected, Any concealment of required information o furnishing wrong information will amount to cancellation of admission at any time, ‘The University reserves the right to cancel the admission of any candidate who indulges in any act of indiscipline or is, guilty of misconduct during the course of study at Maa Vaishno Devi Educational Law College, Lucknow *The downloaded application form should be only on A-4 size paper and printed on one side onl