Application ID: 201724041 ILS LAW COLLEGE Chiplunkar Road (Law College Road), 411004, . +91-20-25656775 [email protected] ILS Law College, Pune is an equal opportunity institution. It does not discriminate on the grounds of race, age, religion, caste, sex, disability, and origin. It observes the principle of equality as guaranteed under the constitution of India and other statutes.

Application for Admission DTL for 2017-18

For Office Use Only

Receipt No Date Roll No Year

Name: Mr. PRATIK DILIP TONAGE Telephone No: SHASHIKALA ILS Unique Number: SHRIDHAR Mother’s Name: MANISHA Gender: male Student Mobile No: 9881941098 E-mail: [email protected] Guardian’s Name: Name in Marathi/ Hindi: प्रतिक दिलीप टोणगे

Current Address: FLAT NO. 10,E 20 Permanent Address: M/s VIJAY PASCHIMANAGARI HOUSING TRADING COMPANY, RAJMATA JIJAU SOCIETY,KARVENAGAR,, CHOUK, LAXMI ROAD, KALAMB PUNE PINCODE - 411029 TALUKA - KALAMB DISTRICT - OSMANABAD PINCODE - 413507

Self Information

Date of Birth: ”05/03/1996” Place of birth: KALAMB Town/ City:KALAMB

District: OSMANABAD State: Country:INDIA

Nationality: INDIAN Mother Tongue: MARATHI Marital status:Single

Admission Status:Within Maharashtra Employed:no Blood Group:O+ Open Sub Caste:MARATHA Do you want to avail GOI scholarship?: no Caste: Open Religion:Hindu Physically Disabled: no

Academic Qualifications

Examinatio Month & Marks Out of % of Marks School/ Bord/ Seat No. n Year Obtained Marks College & University & Passed Total Marks Place Place (All Subjects)

1 / 2 S.S.C. (Xth) MARCH-201 434 550 78.91 PRAVARA PUNE C138506 1 PUBLIC SC UNIVERSIT HOOL,PRAV Y ARANAGAR

XIth MARCH-201 432 700 61.71 MARATHWA PUNE 1118 2 DA MITRA UNIVERSIT MANDAL'S Y COLLEGE OF COMME RCE,PUNE

H.S.C. FEBRUARY- 387 600 64.50 MARATHWA PUNE P135278 (XIIth) 2013 DA MITRA UNIVERSIT MANDAL'S Y COLLEGE OF COMME RCE,PUNE

B.A./ APRIL-2016 616 1200 51.33 MARATHWA PUNE 11662 B.Com./ DA MITRA UNIVERSIT B.Sc. MANDAL'S Y COLLEGE OF COMME RCE,PUNE

Other

Bring the Copies of following attested documents:

1. Passing certificate 2. Proof of date of birth 3. Marksheet of the SSC or equivalent examination 4. Marksheet of XIth 5. Marksheet of the HSC or equivalent examination 6. Mark Sheet of Graduation (for LLB, DTL, DLL & LW and MLL & LW) 7. Domicile certificate if required 8. Non creamy-layer certificate if required 9. Transfer Certificate / School Leaving Certificate / Migration Certificate / I undertake to produce the above within fifteen days from the date of admission. 10. Caste certificate for all Reserved Category Students 11. Caste Validity certificate for S.T. Student 12. Certificate for disability 13. Employers permission/ No objection certificate from the employer Undertakings

1. I have read the undertakings and abide by rules prescribed by college and university. Date

Signature of Student

Decision By Principal

Admitted provisionally subject to completing admission formalities, payment of fees, production of transference certificate / migration certificate and grant of eligibility by the Pune University.

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