NeNo

Slgnatiure uf Recelpt Clerk

Priee Ra, 10/- (If fom in downloded deposit Ha10/- extra wilh Exam, Foe)
Dit DtAMIILDKAIt NATIONALK LAW UNIVERSITY, SONEPAT
(stablished by ihe Harynna afe Logislature Adt No, 15 of 2012)
EXANMINATION FORM (PrlVnte/x Student)
Amun/Supplementary/Semester Examinations (Four Pages)
UNDER GRADUATIL.CLASSES
EXAMINATION FOM
yortant Note Peomplete odmission fom will be rajectod
ForAnnust xAnVSeneter System Koll No. (o tn alloted try the office)
(T1ex here)20010SR
Por
Supplementary Bxom Only CTick here)
Vor Accounts Braneh Only
ARmont R s L SEI Branch
R

(To be assigned by the Omioe)

l Examination for which appearing (Class)
Y t
Semestor System..shoorssasssosesess
(Write the name of class in which you have to saot
Session: appear otherwise your exam form will be
rejted)
April/May/Nov./Dec./20... an RCH 202/
() Full papers /l Addl. Paper/ Compartment/Re-appear/ Repeat..h..Mla.MEIS..
(i) Category: Regular
2 DBRANLU ReglstrationNo.RRRAMLUPlR2ooI OS
3. Name in English
(Capital Letters) tlA Aw I A TAM
Name in Hindi
Attested
4. Father's Name Photo be
(la Einglish)
(Capital Letters)
RAS ER R HETAMI pasted
Name in Hindi here
(ln English) (Capi
.Mother's Name tal Latters)HLLPL KHE7AWT MeyiaaK Bloun
6. Male/ Female...
1.
L Signature of Candidate
Category to which you belong (General/sC/ST/BC/P.MI) .L7. ME.kAL.
8. State to whieh you belong,.. pGa.Al.
9. Particulars of Previous Examination(s) on the basis of which applying for the present Exarmination and proof be uttached. The
Re-appear/Compartment studcnt must fill up the columns for Cachh availcd chance Session wise.
Name of Class Ycar Session Roll No. Result (Marks University/ Subjects
Obtained) Board

12 EMatISH, EtNCTIG
2o19 SOD CONmERCE, AUDUnT
10, Subject offercd (longwith Subject Code of Papers) LMATHEMATCS
(1) M7SH..ko Code.....) 4) 0STOR Code..
(2) C Code1 (5) F CodeL2
(C OGO Code.. )

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11. Corespondence Address:

7IES8LE3fLEG o D o r kpKTA
PhonerMebile 91E3/2332197PIN 7l0lo 714
12. Fee Detail: B.D. /Univ. Receipt No

13. Date of Birth a .

Indicate if blind or deaf or permanently
14.
disabled from writing with his her hands . .
TNUeerte* 4** ****sddadrse***
Have you applied for re-evaluation? Yes/No
M**EV*********44****
. . .

15.
Classw nsCSSTOn. sse

Revised Marks .
If'yes' indicate date of Revised Result & Yes/No..
16. Whether appearing simultaneously lower cxamination:
in
Subject ****************d*0**********5******A***s*d5**adessa********
Name of EXam
University/Board him/her in an Untair Means Case,
or any enquiry is pending against
17. If the applicant was ever disqualified
this fact should clearly be stated wilh full particulars:
******** ******. *****

EXaminaUon...*swesoemeest tsspeasoorvroonsesroasora YCarfbessto1.**s** *** *******

Name O1 me Period of disqualification
*

w University/Board *****O***iKY*******

Roll No.
Please write onsentence in Hindi/English each for speoien
18. ** **** **********

In Hindi...NI3.lsH......A.P1. 16 *****"*
******e*t**t*********

In EnglishtYNAY 41YA and nothing has

Declaration: correct and true to the
best of my knowledge
above are
I solemnlydeclare and afirm that the particulars given of the University. I have consultcd Syllabus,
rules and regulations
been concealed therein. I am eligible
for the Examination as per before filing it and i
rules/ instructions of DBRANLU, Sonepat
conditions and have gone through general
Scheme, Eligibility
undertake to abide by the same in all respecis,
Mey wnk RAaTaD
SIGNATURE OF THE CANDIDATE

Dated.. ATTESTATION under Roll No.. in Annual}

Certified that I have passed the Examination of examination of
lower Examination for appearingn the
Supplementary Examination which is a qualitying
Examination.
to be held in Annual/Supplcmentary

Full Signature of the Candidate

Dated: moral character and has signed this torm in my
bears a good
and his/her photo are correct,
of the candidate
presence. Particulars
Signature of attesting authority
Dated With office seal.

For Office use only

Discrepancy in the admission form
Not Eligible due t o . **doa*****e****************adc*b**

Superintendent AR/DR **************t*******t***A ******

Clerk Assistant 5.

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 FOR STUDENT
FOR CENTRE SUPERINTENDENT
Dr.B.R. Ambeckar National Law University, Dr. B.R. Ambedkar National Law University
Sonepat Sonepat
(Esnblished by the Haryana State Legislature Act No
(Established by the Flaryana State Legislature Act No. 15 of 1S of 2012)
2012)
Roll No.-cum-Adnit Card Roll No.-cum-Admit Card
Under-Graduate Examination Under-Graduate Examination
to be filled in by the Candidate to be filled in by the Candidate
Clas: Bf LLB[HONO
Class 8ALB HONS) Ticket Size Subject: 2L SUBTECTE Ticket Size
Subject:ALL SOBIEeTS atestea Atested
Photogapn Annual or Photograph
Semester System Semeste
Semester System E
April/May/Nov/Dec. 7AKCH 202/
April/May/Nov/Dec.ARCH 2021
Roll No. 200/OcS
Roll No. 2001 2S. (Assigned by the otice
Regn. No.8RANL.0NLIRM 200/osg
Regn. No 2BRAN= SNP/a/20cOIOSg
Name1AYANk LHEITAN
Name M NK KHAITAN Father's Name:Sh.RAIESH KHALTNV
Father's Name Sh. RAESH kHEI Centre of Exam
Centre of Exam. Signature of Candidate ayankk Ähat
Signature of Candidate Mtuk Ehatn
Controller of Exams.
This slip is to be preservcd by the candidate and show on
demand on day of the Cxaminatior
Controller of Exams. ny

Important: Mobile Phone, Bluetooth, other

Important: Mobile Phone, Bluetooth, other
electronic gadget etc. in the Examination
electronic gadget etc. in the Examination
Centre is strictly prohibited. Centre is strictly prohibited.

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 Serial No.

LAW UNIVERSITY, SONEPAT

DR. B.R. AMBEDKAR NATIONALK
the State Legislature Act Na. 15 of2012)
Estabished by Haryana
handwriting must be attached with the cxamination form)
(Thisform duly filled in bythe candidate in his/her ownFORM WILL BE REJECTED
INCOMPLETE ADMISsION
Roll No.(to be allotted by the offic)
Compiter Rorim
2001OS8
Examination for which appearing
1. Session:
(Class)LLE/HOM
inual .
or Semester SYstem.f LCERESTER
April/May/Nov/Dec./20.NARCH 202
Full papers/ Addl. Paper / Compartment/Re-appear. al.B
(it) (ti) Category:Regular
No.BAANLUgNPfRN/ 2001ose
DBRANLU Registration

3. Name in Letters)
(Capital Englist M1AYIANKL KFAITAV 1
Name in Hindi
H| |LLLI Unattested
Photo be
4. Father's Name pasted
InEnglish
KAE HEHE7AM here
(Capital Leters)
Name in Hindi
Myk kAn
(n English) (Capital LetersS
5. Mother's Name
EE7AM IL Signature of Condidate

6. Male/Female...2.A.
7. Category to which you belong (General/SC/ST/BCRH) ..47VERA.
8. State to which you belang. EST BN z
9. Particulars of Previons Examinationes) passed
Name of Class Year Session Roll No. Result (MarksUniversity/ Subjecis
Obtained) Board
ENGLISH EONoI
t2 |209 St 64S2h37 CoHNERCE, KCoUNt
MATHEAATICE
TO. Subject offered (alongwith Subject Code of Papers)
( 1 ) - N l S H . Cod.9..) (4).HSTR {Code.Kq
) TKSCN Code.l22 (MAtM.AR.TA.. .ccode.(2..
()-IOLAa.. Code.S) GAMO.ONTKKI Code26.)
11. Correspondence AddresS

7SBL3 G k A7A
Phonc/Mobile 2BI/21813|2
2212 PN 70 |o|75
12. Fee Detail: B.D./University Receipt No. .

IDeclaration:
solemnly declarc and affirm that the particulars glven above are correct and trae to the best of my knowledge and nothing
has been conccaled theroin. Maymk kntan
Date:. 2/202/ Signkture of the Applicant

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