KNOW THY RIGHTS AND DUTIES

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BABA SAHEB BHIM RAO AMBEDKAR LAW COLLEGE
Harkans Garhi, Raebareily Road, Lucknow
(Associated College of the University of Lucknow; Approved by Bar Coundil of India)
(Recognised u/s 2(f) of the UGC Act)
Committed to Legal Excellence
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For Office Use only (Registrar's Office)

A. Admission : Provisional/ Confirmed

Registration No._______________________ University Roll No. __________________________________
Fee amount _________________________ Receipt No. _________________ Date _________________
Demand Draft Details: ________________ DD No. ____________________ Date _________________
Issuing Bank & Branch ______________________________________________ Amount _______________
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6- tUe frfFk (Date of Birth DD/MM/YYYY) ............................... (In Words)................................................

.................................................................................................................................................
C. 'kSf{kd ;ksX;rk (Academic Record)
Examination Passed Examining Body Year Total Marks Percentage
Marks Obtained
Highschool/Equivalent
Intermediate/Equivalent
B.A.,B.Sc.,B.Com.or Equivalent
M.A.,M.Sc., M.Com. or Equivalent
Any other qualification

D. Personal Particulars
Name (Block letters) ___________________________ Father's Name _____________________________
(Subname first) Qualification ______________________________
Gender ____________ Date of Birth ______________ Occupation _______________ (M)_____________
Nationality ___________Religion (Optional) ________ Annual Income ____________________________
Category (Gen/SC/ST/OBC/NRI/Other)_____________ Mother's Name ____________________________
Aadhaar No. _________________________________ Qualification ______________________________
Army or defence background ____________________ Occupation _______________ (M)_____________
Email _______________________________________ Annual Income ________ Email_______________
Permanent Address________________________________________________________________________
___________________________ Ph. (R) ______________ (O) _________________ (M) ________________
Correspondence Address ___________________________________________________________________
________________________________________________________________________________________
Local Guardian's Address
________________________________________________________________________________________
___________________________ Ph. (R) ______________ (O) _________________ (M) ________________

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