SAGE UNIVERSITY INDORE, INDO

Kailod Kartal, Rau Bypass Road, Indore, Madhya Pradesh - 452020

Phone : 91-9522578382, Email : info@sageuniversity.in, Website : www.sageuniversity.in

ENROLLMENT FORM 2022-2023

Institute and Course Details :

Institute Name Institute of Law & Legal Studies Course Name LL.B. (Hons.)
Class Name LLB (Honors) I Semester Faculty / Branch LLB (Honors)

Admission Type Regular Medium ENGLISH

Payment Details :
Order ID 5759584880699 Bank Ref No. 111715237700

Amount 1100 Status Success

Personal Details :
Full Name VIJAY DAWAR Date of Birth 05/07/1989

Father's Name SHOBHARAM DAWAR Mother's Name RAJLI DAWAR

Marital Status Married Enrollment Date 21/11/2022

Nationality INDIAN Religion HINDU

Category ST Sub Category Minority No Handicapped No

Gender Male M.P. Domicile Yes

Academic Qualification :
Passing Obtain Marks Percentage
Qualification Name of Degree Board / University
Year / Total Marks / CGPA
2007 Madhya Pradesh Board Of 2007 241 / 500 48.20 /
10th Secondary Education
GOVERNMENT H.S. SCHOOL, Madhya Pradesh Board Of 2009 52.00 /
12th 260 / 500
BAMNALA KHARGONE Secondary Education
UG PG KHARGONE DAVV INDORE 2012 1025 / 1950

PG

M Phil

Correspondence Address :
Address RATANPUR, WARD NO. 19, POST CHIRIYA, WEST NIMAR (M.P.) 451332

City KHARGONE Tehsil

District State Madhya Pradesh

Pincode 451332

1
 SAGE UNIVERSITY INDORE, INDO
Kailod Kartal, Rau Bypass Road, Indore, Madhya Pradesh - 452020
Phone : 91-9522578382, Email : info@sageuniversity.in, Website : www.sageuniversity.in

Permanent Address :
Address RATANPUR, WARD NO. 19, POST CHIRIYA, WEST NIMAR (M.P.) 451332

City KHARGOAE Tehsil JHIRANIYA

District State Madhya Pradesh

Pincode 451332

Other Details :
Phone No.(with STD Code) Mobile No. 9009699003

Email Id vijaydawar1989@gmail.com

Aadhar No. 983895439237 Samagra No. 301220971

Enclosures :
Document Name Status
Migration Attached
Domicile Attached
Caste Certificate Attached
Income Certificate Attached
PG Degree Attached
Aadhar Card Attached
10 Mark Sheet Attached
12 Mark Sheet Attached
Transfer Certificate Not attached
Gap Certificate Not attached
UG Mark Sheet Not attached
Declaration :

I hereby declare that the infomation filled by me is true and complete as per my knowledge. If any informatio
provided by me is found false or incorrect then I shall be disqualified by the university.

HOI / HOD Signature Student Signature

Verified by Registrar