Online Application Form


Name
Course Applied For B.A.LL.B
B.B.A.LL.B
LL.B
P.G Diploma in Cyber Law & IT
Date of Birth
Age:
Gender: Male
Female
Blood Group:
Nationality:
Place of Birth:
Category:
Father's Name:
Occupation:
Anual Income:
Mother's Name:
Occupation:
Anual Income:
Email :


Contact Details:

Permanent Address:
Pincode:
Email:
Telephone/Mobile No:
Correspondence Address:
Pincode:
Email:
Telephone/Mobile No:
Student Email-Id:
Local Guardian (if any) Name:
Relationship:
Emergency Contact No:
Do you require hostel facility? Yes
No


Academic Qualification:

Course School/College Board Year of Passing Marks obtained/Grade Max Marks Percentage Reg No
1
2
3
4

Declaration
I hearby declare that all the details furnished above are true to best of my knowledge and belief.