REQUEST LETTER FOR WITHDRAWAL/CANCELLATION OF ADMISSION

Name
Date of Application
Father’s Name
Date of Admission Date of Birth
Registration Number
(or) CLAT Application Number
Programme/Course 5 Yr Integrated BA/B.Com./B.Sc./BBA/BSW LL.B.(Hons)/ LLM
If, admission to LL.M., specialization

Mobile No. Email Id

Bank details/ Address for receipt of fee refunded

Address Bank Details

(Please attach address proof) Name of the
Account Holder
Bank Name
Branch Name
Bank IFSC code
Bank A/c No.
DECLARATION
I, _______________________bearing Reg. No. ______________willing to withdraw the admission for the seat
allotted in Gujarat National Law University during the Academic year 20_____-20______. I am currently
studying in ____/______Semester/Year & undertake to admit that, after cancellation/withdrawal of the
admission, I do not have any right whatsoever in future.

Signature of Candidate

Countersigned by Parent
APPROVAL OF THE AUTHORITY

The candidate is permitted to withdraw his/her seat/admission on his/her own request.

Registrar

DATE: __________________

Note :-
1. The student must return his/her ID card of GNLU with this form.
2. The student must carry Photo ID Proof, Address proof and other required documents at the time of
cancellation/withdrawal of the admission.