LEA

MILAT

CLEA-MILAT
Human Rights & Social Justice Summer School-
2022 (HR&SJ SS)
Participant's Application Form

1. PERSONAL DATA

Applicant Name (In BLOCK Letters) : Balveer Godara

Present Institution: NMIMS LAW Mumbai Year/Semester:2nd semester

Date of Birth:25 /06 /2003 Gender:male

State : Maharashtra Country :India Nationality:Indian

Mailing Address:

Permanent Address: E-29 everhshine 2, Versova metro station , Andheri

Mobile No:7727819935 Email : Balveergodara.bbg@gmail.com

2. ACADEMIC BACKGROUND (Attach attested copies of Certificates)

Grade
Name of Degree Board/ Institution Group/Subject Passing Year
GPA/CGPA Out of
RBSE ARTS 381 500 2020
HSC/ A Level
or Equivalent

*In case of B.A LL.B (Hons.), please declare 3rd & 4th year Marks (as applicable).
And, in case of LL.B (Hons.), please declare 1st & 2nd year Marks (as applicable).

3. LANGUAGE PROFICIENCY (Mention: Fluent, Fair or Moderate)

English Speaking: fluent Writing: fair Reading:moderate

Other(s) Speaking: Writing: Reading:

4. PREVIOUS TRAINING EXPERIENCE (If any)

Program Title Organizing Institution Medium of Instruction Time/ Year Special Achievement
5. EXTRA-CURRICULAR FEATS (If any) [Please attach Evidence]

Human Rights Campaign

Social Service

Volunteering

Cultural Activities

6. LIST MAXIMUM OF FIVE MAJOR CONTRIBUTIONS TO SAVE ENVIRONMENT & PROTECT HUMAN RIGHTS

ii

iii

iv

7. ENGAGEMENT/ ATTACHMENT WITH HUMAN RIGHTS ORGANIZATION (If any)

Organization Position Responsibilities Time/Year

8. HEALTH INFORMATION (This is intended only for your health and safety)

Please mention any medical requirement of Physical

or Mental health (if any)

Please list any special medical attention, if required.

Please mention any food/drug allergies you have.

9. ANSWER THE FOLLOWING: (Please use extra page if required)

i. Why do you want to participate in the HR&SJ SS? [200 words]

(Upload doc. or PDF file)

ii. What are you expecting to gain as being a participant in the HR&SJ SS? [200
(Upload doc. or PDF file)
words]

(Upload doc. or PDF file)

iii. Explain the relevance of HR&SJ SS spirit and experience in your future
career plan towards the society. [200 words]
10. REFEREE INFORMATION

Name Name

Institution Institution

Address Address

Phone No Phone No

Email Email

Signature Signature

* Reference may be head of the Institution OR person of repute.

11. DECLARATION

I certify that the information submitted in my application form is complete and correct at the time of submission. Further, I understand
that misrepresentation of any information or failure to provide necessary documents may result in my ineligibility for admission in HR&SJ
SS.

If selected, I also hereby agree to pay the registration fee of 7500/- Rupees only (domestic applicants) / USD 100.00 only (international
applicants).

Please take note that, if selected, the domestic applicants have to pay the registration fee by 20th April, 2022. The international
applicants, if selected, can pay the registration fee at the HR&SJ SS Registration Desk on 27th May, 2022.

Signature: balveer godara Date:11 /04 /2022

Instruction for submission:

Please send the complete application form along with all necessary documents required for the application and color passport size
photograph (not older than six months) preferably in one single PDF file to the following email id, mentioning your Name, University
and country in the subject line. For all queries, please note to contact the same Email id.
Email ID: hrsjsummerschool@lloydlawcollege.edu.in

For further information on HR & SJSS please visit our

website: https://www.ili.ac.in/HR_summerschool_2022.htm
https://summerschool.lloydlawcollege.edu.in/

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*Last date of submission of Applications - 11 April, 2022