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KES`s Shri. Jayantilal H. Patel Law college (976)

Application No :
University of Mumbai 2990021
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2023-2024
Regular
APPLICATION FORM

Course Applied for : L.L.B. (5 years) - Regular - Revised Pattern (L.L.B.) - T.Y.
PRN:2021016402514216
L.L.B. Sem V (-)

Application Date : 01/11/2023 Payment Category : 13

1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed on SIDDIQUI FAIZAN ZAHEER
Mark sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : ZAHEER Mother's Name : ALMAS

Marital Status : UnMarried Mother Tongue :

Place Of Birth : Mumbai Gender : Male Date of Birth (DD/MM/YYYY) : 29/01/2004

Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
Location Area : Not
State : Maharashtra District : Mumbai Suburban Tehsil : Boriwali City/Town/Village :
Available
Address (House
Plot No 34 Room No B/8 Malwani Siddhi Sai Housing Society Malwani Mahada Pin Code : 400095
no,street/area/suburb etc.) :
Contact details
Mobile Number 917045967644 Email ID: faizansiddiqui2914@gmail.com
2.Legal Reservation Information
Category Type : Open Category : GEN
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem V
75705 - Labour Laws 75706 - Contract I
75707 - Tort & Consumer Protection Laws 75708 - Legal Language including Legal Writing & General English

Sem VI

L31005 - Law of Crimes L31006 - Contitutional Law

L31007 - Family Law I L31008 - Envieonmental Laws
L31009 - Practical Training I

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Business Annual Income of Guardian : 100000
5.Educational Details
Month and Exam
Name of Name of Board/University and State of Name of Certificate Mark
Year of Seat Out of CGPA %
Examination University School/College No. Obtained
Passing No.
:
 Std 12th 12Th MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY August 2021 -- -- 503.00 600.00 -- - -- 83.83
(Commerce)
EDUCATION,
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
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 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 )
Document printed on Wed Nov 01 2023 13:18:38 GMT+0530 (IST)
: