Application No.: Roll No.

K.L.E Society’s Please affix recent

Passport size photo
LAW COLLEGE
II Block, Rajajinagar, Bangalore – 560 010
Post Box No. 1059

APPLICATION FOR PROVISIONAL ADMISSION TO THE

FIRST & SECOND
SEMESTER LL.B
(Five Year Law Course)
BA.LL.B./ B.B.A., LL.B.
Note: Every row of the application must be filled in clearly.
Incomplete application is liable to be rejected.

PERSONAL DATA

1. Full Name (IN BLOCK LETTERS )______________________________________________

2. Father’s Name & Occupation

3. Date of Birth Age

4. Place of Birth: Town Dist. State

5. Local Address Address (Native Place)

Tel No. Tel No.

6. Sex: Married/ Unmarried

7. Nationality Caste Sub-caste

8. Whether Scheduled Caste/ Tribe / Backward Class

(Enclose a certified copy. Original to be produced at the time of admission)

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9. Father’s Income per annum Rs.
(If less than Rs. 3,600 produce certificate)

10. Qualifying Examination Passed

EXAM PASSED NAME OF UNIVERSITY NAME OF INSTITUTION YEAR OF AGGR.

(LAST STUDIED) PASSING MARKS
PUC SECURED

EQUIVALENT
COURSE

PREVIOUS RECORD

12. Reason for leaving the previous college

13. ACADEMIC ACHIEVEMENTS

Last Public Exam Passed with class

Year of Passing Register No.

No. of attempts taken to complete the Examination

Medium of instruction in the college studied last

Date:

Place: Signature of the Applicant

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 DECLARATION

1. I understand that my admission is provisional subject to the approval of the Karnataka State
Law University, Hubli.
2. I agree to abide by the rules of the college to return all the books borrowed from the
college library, and to pay all the prescribed fees and any other dues in time, failing which
my application for examination shall not be entertained/ admission card denied or any
marks cards or my result be with-held.
3. I agree to abide by the rules of discipline of the college and give an undertaking of my
good conduct in the college.
4. I will attend the lectures, tutorial classes, periodical examination and test regularly.
I undertake to attend not less than three fourth of the number of working period in each of
the subjects comprised in the course from now and that I shall not be eligible to appear for
the examination if I fall short of attendance beyond the condonable limit.
5. I will produce the original marks cards/ cumulative records / migration certificate/ T.C at
the time of admission failing which I shall not be admitted to the college.
6. I have gone through the rules and regulations of the college and I have given correct
information. False information may make me ineligible for admission to the college or
subject to dismissal or other legal action.
7. I certify that the above statements are correct and complete to the best of my knowledge
and belief.
8. I enclose two latest copies of my passport size and two stamp size photographs.
9. I know that once fee is paid, it will not be refunded or otherwise adjusted.
10. I hereby undertake that I will not press for formation of any type of associations and
holding of elections during the course of my studies in the college.

Date:

Place

Signature of Parent/ Guardian Signature of the Applicant

(Furnish full permanent address &
Telephone no)

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 STATEMENT OF MARKS OBTAINED IN THE PRE-UNIVERSITY II YEAR EXAM

Subjects Register No. Max. Marks Month & Year Marks Obtained

PART I
1) English
2)

PART II
1)
2)
3)
4)

5) __________________

6) __________________

Institution Code Total Marks

FOR OFFICE USE ONLY

Fees Paid Rs. Receipt No. Date

1. Name of the Student

2. Date of Admission

3. Class

Date: Clerk Superintendent

Admission is granted subject to the production of all certificates in originals required as per Rules and Subject to the

approval by the Karnataka State Law University, Hubli

Date: PRINCIPAL

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