7/22/22, 2:45 PM NLUA Online Admission Form for B.A., LL.B.

National Law University and Judicial Academy,

Assam
(FOR B.A., LL.B.(HONS.) FYIC FIRST SEMESTER STUDENTS)
ADMISSION FORM
(SESSION 2022-23)

FORM SUBMISSION ID
(Keep this number for future reference)
6264085926

PERSONAL DETAILS
Name : SIDDHI VINAYAK
Email ID : siddhi12vinayak12@gmail.com
Alternate Email ID : siddhi12vinayak12@gmail.com
Phone Number : 7549648181
Blood Group : O+
Gender : Male
Date of Birth : 2004-12-01
Postal Address : mor east ward no 3 mokama patna bihar mor east ward no 3 mokama patna, mor mokama patna PATNA BIHAR
Pin : 803302
Permanent Address : mor east ward no 3 mokama patna bihar mor east ward no 3 mokama patna, mor mokama patna PATNA BIHAR
Pin : 803302

DETAILS OF PARENTS / GUARDIANS

Mother's Name : sima kumari
Father's Name : sanjeeb kumar
Parent's Email ID : sima22472@gmail.com
Parent's Mobile No. : 9546035407

DETAILS OF LOCAL GUARDIAN (FOR THE CANDIDATES OF OUTSIDE GUWAHATI)

Local Guardian's Name:
Email ID:
Address:
Mobile No.:

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7/22/22, 2:45 PM NLUA Online Admission Form for B.A., LL.B.
 

PARTICULARS of CLAT
Application No. : 1622111286
Marks Obtained : 72
Rank : 2526
Category : General
Person with Disability : No
PRA : No

EDUCATION (10TH/MATRIC ONWARDS)

Examination Passed : 10th
Year of passing : 2019
Board : CBSE
Percentage / CGPA : 88.20

Examination Passed : 10+2

Year of passing : 2021
Board : CBSE
Percentage / CGPA : 90.40

DECLARATION BY THE CANDIDATE

I SIDDHI VINAYAK born on(DOB) 2004-12-01 S/D/O sanjeeb kumar resident of mor east ward no 3 mokama patna bihar mor east ward no 3 mokama patna, mor
mokama patna PATNA BIHAR hereby declare that the information given in the admission form are true to the best of my knowledge and belief, and nothing has
been concealed therein. I am aware of the fact that in case the information given by me is found wrong, I am liable to be punished and the Institution will cancel my
admission to the course to which I have been admitted.

Date: 2022-07-22 (SIDDHI VINAYAK)

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