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 567965
[Link], 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:2020016402217976
Pattern (L.L.B.) - Fif.Y. L.L.B. Sem IX (-)
Application Date : 13/11/2024
[Link] Information
Candidate's Name(Regional) :
Candidate's Name as printed on KUCHE ONKAR BANSILAL
Mark sheet : [*This name will appear on all University records/documents]
Father's/Husband's Name : BANSILAL Mother's Name : PUSHPA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : Aurangabad Gender : Male Date of Birth (DD/MM/YYYY) : 12/03/2000
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 : Aurangabad Tehsil : Aurangabad City/Town/Village :
Available
Address (House
5-12-3-245 MUKUNDWADI MUKUNDWADI Pin Code : 431006
no,street/area/suburb etc.) :
Contact details
Mobile Number 918379813603 Email ID: okkuche@[Link]
[Link] Reservation Information
Category Type :
Category : SC
Reserved
Is Guardian from EBC (Economic Backward
Is Specially Abled? No
Class)? No
[Link] 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
[Link] Information
Occupation of Guardian : Laborer Annual Income of Guardian : 40000
[Link] 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 June 2016 -- -- 365.00 500.00 -- - -- 73.00
SECONDARY EDUCATION,
MAHARASHTRA STATE BOARD OF
Std 12th 12Th
SECONDARY AND HIGHER July 2018 -- -- 433.00 650.00 -- - -- 66.62
(Science)
SECONDARY EDUCATION,
Your Last Qualifying Exam:
[Link] 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 13 2024 [Link] GMT+0530 (India Standard Time)
