HIMACHAL PRADESH NATIONAL LAW UNIVERSITY, SHIMLA

16 MILE, SHIMLA-MANDI NATIONAL HIGHWAY, GHANDAL

DISTRICT SHIMLA, HIMACHAL PRADESH-171014
Ph. 0177-2779802, 0177-2779803, Fax: 0177-2779802
Website:http://hpnlu.ac.in

ADMISSION FORM

BATCH: 2018-23 / ACADEMIC SESSION: 2018-19

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

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

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1020181925
UNIVERSITY ENROLLMENT ROLL NO. : _________________________

1. VANSHAJ AZAD
NAME(IN CAPITAL LETTERS): _________________________________________________
2. DATE OF BIRTH 02-02-2001
: ______________________
3. GENDER : MALE FEMALE THIRD GENDER(TG)

8219655757
MOBILE NO. ______________________________________________
vanshajba1825@hpnlu.ac.in
EMAIL ID _________________________________________________
569421024127
AADHAAR NO. ____________________________________________
4. FATHER’S NAME JAI KUMAR AZAD
: __________________________________________________________
OCCUPATION Self-employed
: ___________________ 7018403467
MOBILE NO. ____________________
jaikumarazad@gmail.com
: EMAIL ID ________________________________________________
5. MOTHER’S NAME ANITA RANI
: __________________________________________________________
OCCUPATION Govt. Employee
: ___________________ 9418955573
MOBILE NO. ____________________

jaikumarazad@gmail.com
: EMAIL ID ________________________________________________

6. Vill. Bhalwan, P.O. & Teh. Sarkaghat, Distt Mandi, 175024

CORRESPONDENCE ADDRESS: _________________________________________________________
(CURRENT ADDRESS) : _________________________________________________________
7. PERMANENT ADDRESS Vill. Bhalwan, P.O. & Teh. Sarkaghat, Distt. Mandi, 175024
: _________________________________________________________
: _________________________________________________________
8. N.A.
GUARDIAN (IF APPLICABLE) : _________________________________________________________
N.A.
__________________ MOBILE NO. ____________________
N.A.
EMAIL ID _______________________________________________
9. CATEGORY : _________________________________________________________

✔ GENERAL ✔ HP DOMICILE
SCHEDULED CASTE J & K RESIDENT
SCHEDULED TRIBES WARD OF KASHMIRI MIGRANT
SPECIALLY ABLED PERSON/PWD FOREIGN NATIONAL
DEFENSE NRI

10. HPNLET DETAILS:

1. HPNLET : ___________________________
2. HPNLET RANK 853
: ___________________________
3. MARKS OBTAINED 49.25
: ___________________________
 Have you ever been punished for misbehavior or for using unfair means in an educational institution?
No, not yet.
Ifyes, give full details _____________________________________________________________________
_______________________________________________________________________________________.

11. QUALIFICATION: 10th/ MATRIC ONWARDS

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

NO. PASSED OF NUMBER BOARD/UNIVERSITY OBTAINED MARKS AGE
PASSING
1. 10th
2016 6220255 Indian Certificate Of Secondary Education 557 600 92 6
th
2. 12
2018 6220255 Indian School Certificate 411 500 82 5

12. SUBJECTS OPTED

SEMESTER SUBJECTS OPTED

English-I ✔
Law of Torts & Consumer Protection ✔
Legal Methods
✔
Political Science-I (Political Theory)
st ✔
SEMESTER I
Economics-I (Micro-Economics)
✔
Sociology-I (Essentials of Sociology) ✔
Principle of Management

Organizational & Behavioral Psychology

English-II
✔
Law of Contract-I (General Principles)
✔
History of Legal & Constitutional Development in India
✔
Political Science-II (State & Political Obligations)
nd ✔
SEMESTER II
Economics-II (Macro-Economics)
✔
Sociology-II (Sociology of Contemporary India)
✔
Strategic Management

Financial Accounting
 DECLARATION BY THE CANDIDATE

VANSHAJ AZAD Son/Daughter/ TG of Sh. ______________________________________________

I __________________________ JAI KUMAR AZAD
Vill. Bhalwan, P.O. & Teh. Sarkaghat
R/o ____________________________________________________________ Mandi
Distt. __________________________
Himachal Pradesh
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.

Name/Signature

Verified by the Admission Committee : VANSHAJ AZAD