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22 views2 pages

download सूरज

g rtgrgrtg

Uploaded by

Ok Kuche
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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For Office Use

Batch: Scrutiny Payment: Online/DD PI

Only Serial:

Dr. D. Y. Patil College of Law, Nerul (698)


Application No :
University of Mumbai 568123
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
Academic Year: 2024-2025
Regular
APPLICATION FORM

Course Applied for : B.A. LL.B. (5 Years)(with Credits) - Regular - Revised PRN:2020016402231791
Pattern (L.L.B.) - Fif.Y. L.L.B. Sem IX (-)

Application Date : 14/11/2024

1.Personal Information

Candidate's Name(Regional) :
Candidate's Name as printed on GAIKWAD SURAJ ASHOK
Mark sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : ASHOK Mother's Name : CHANDRAKALA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : Matawali Gender : Male Date of Birth (DD/MM/YYYY) : 19/05/2001
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 : Thane Tehsil : Thane City/Town/Village :
Available
Address (House
Room No 329, Annabhau Sathe Nagar Thane Belapur Road Digha Pin Code : 400708
no,street/area/suburb etc.) :
Contact details
Mobile Number 8369926091 Email ID: [email protected]
2.Legal Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem IX
68011 - Civil Procedure Code & Limitation Act 68013 - Interpretation of Statutes
68014 - Public International Law & Human Rights 75712/68012 - Criminal Procedure Code, Juvenile Justice Act. 2000 &
L33005R - Practical Training- III Probation of Offenders Act
Sem X

35811 - Alternate Dispute Resolution System 35812 - Law of Evidence


L33008 - Practical training III 35814 - Law and Medicine
35816 - Intellectual Property Law

Medium of Instruction : Marathi


4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 0
5.Educational Details
Month and Exam
Name of Name of Board/University and State Name of Certificate Mark
Year of Seat Out of CGPA %
Examination of University School/College No. Obtained
Passing No.
MAHARASHTRA STATE BOARD OF
Std 10th SECONDARY AND HIGHER March 2017 -- -- 378.00 500.00 -- - -- 75.60
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD OF
Std 12th 12Th February
SECONDARY AND HIGHER -- -- 315.00 650.00 -- - -- 48.46
(Science) 2019
SECONDARY 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 Thu Nov 14 2024 12:12:09 GMT+0530 (India Standard Time)

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