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J.C.C.L. OR Jitendra Chauhan College of Law (90)

8th Floor,Mithibai Building Mumbai Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2877819
Academic Year: 2020-2021 Regular
APPLICATION FORM

Course Applied for : L.L.B. 3 Years - Regular - Revised Pattern (L.L.B.) - S.Y. L.L.B. Sem III  (-) PRN:2016016400388337
Application Date : 01/09/2020 Payment Category : Candidate
Photo
1.Personal Information
Candidate's Name(Regional) :
TIWARI DHIRAJ DILIP SHARMILA
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : DILIP TIWARI Mother's Name : SHARMILA
Candidate
Marital Status : UnMarried Mother Tongue : Signature
Place Of Birth : MUMBAI Gender : Male Date of Birth (DD/MM/YYYY) : 05/06/1999
Blood Group : Religion : Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State:
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Thane Tehsil : Thane City/Town/Village :
Available
Address (House
302,DWARIKA PALACE, KASHI NAGAR, VIMAL DAIRY LANE, BHAYANDER-
no,street/area/suburb Pin Code : 401105
EAST.
etc.) :
Contact details
Mobile
917303521717 Email ID: DHIRAJ788@GMAIL.COM
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Specially Abled? No
3.Social Information(Additional Inforamtion)

Paper Selected for:

Sem III
L32001 - Administrative Law L32002 - Family Law - II
L32003 - Transfer of Property Act and Easement Act L32004 - Company Law
Sem IV

L32005 - Contract - II L32006 - Jurisprudence

L32007 - Land Laws L32008 - Practical Training - I
L32009.1 - Bankruptcy Laws

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 120000
5.Educational Details
Month Exam
Name of Name of Board/University Name of Certificate Mark Out
and Year Seat CGPA %
Examination and State of University School/College No. Obtained of
of Passing No.
 Month Exam
Name of Name of Board/University Name of Certificate Mark Out
and Year Seat CGPA %
Examination and State of University School/College No. Obtained of
of Passing No.
MAHARASHTRA STATE
BOARD OF SECONDARY AND March
Std 10th -- -- 338.00 500.00 -- - -- 67.60
HIGHER SECONDARY 2014
EDUCATION,
MAHARASHTRA STATE
Std 12th 12Th BOARD OF SECONDARY AND February
-- -- 421.00 650.00 -- - -- 64.77
(Arts) HIGHER SECONDARY 2016
EDUCATION,
Degree : B.A.
(With Credits)- Passed -- -- - - -- - -- -
Regular-Rev16
Your Last Qualifying Exam: B.A.(With Credits)-Regular-Rev16
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last
Qualifying Exam like degree,diploma,etc.

Statement of Marks of First Year/ Semester.

DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my
knowledge and belief. I do understand that I need to obtain and produce all the required documents. I Application No :2877819
(TIWARI DHIRAJ DILIP SHARMILA) admit to having understood what constitutes ragging and sexual harassment. I have read the
guidelines related to the same. I hereby affirm that if found guilty of ragging or sexual harassment I am liable for punishment
according to the university regulations.

Place : Date  :
( Signature of the Candidate )
For College/Institute/Study Center Use Only
Designation Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Tue Sep 01 2020 10:44:53 GMT+0530 (India Standard Time)