Application ID: 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 LLB Second Year,LLB for 2016-17

For Office Use Only

Receipt No Date Roll No Year

Last Year Roll Number: Telephone No: ILS Unique Number:

Name: Mr. Varun Gulati Gender:

Mother’s Name: Kaveri Gulati E-mail: [email protected]

Student Mobile No: 8377892944 Name in Marathi/ Hindi:

Guardian’s Name: PNR Number: 1211600119

Current Address: Shanti Niwas House Permanent Address: Shanti Niwas No 20 Phase 1 Vasant Viahr Dehradun House No 20 Phase 1 Vasant Vihar Uttarakhand-248001 Dehradun Uttarakhand-248001

Self Information

Date of Birth: Place of birth: Town/ City:

District: State: Country:

Nationality: Mother Tongue: Marital status:

Admission Status: Employed: yes Blood Group:

Caste: Religion: Do you want to avail GOI scholarship?: no Sub Caste: Parent/Guardian’s Name: Parent/Guardian’s Number: Physically Disabled: Parent/Guardian’s address: Parent/Guardian’s Email ID: Aadhar Card Number: PAN NO: Eligibility No:

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Academic Qualifications

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

Ist / IInd LL.B.

Undertakings

1. I understand that I have to complete admission process and get my documents verified in College office without which my admission will not be confirmed. 2. I hereby undertake to submit the copy of following documents at the time of physical verification in the College office. Latest Mark Sheet Last Year ID Card Aadhar Card PAN Card Caste Certificate (if applicable) Caste Validity Certificate (if applicable) EWS Certificate (if applicable) Non creamy-layer Certificate (if applicable) Income Certificate (if applicable) Disability Certificate (if applicable) Employer’s Permission/ No objection certificate from the Employer (if applicable) 3. I hereby undertake to submit within prescribed time all the necessary and prescribed documents for availing fee concession. In case I fail to submit the said Certificate within prescribed time, I will pay the fee for which I had claimed concession at the time of securing my admission. 4. I hereby undertake, if admitted, to attend lectures as required under the attendance rules of Savitribai Phule Pune University, and all internal assessment programs in the College. 5. I hereby submit to the disciplinary jurisdiction of the authorities of the University / and the authorities of the College, and shall observe and abide by the rules made by them. 6. I undertake to take an identity card immediately after college opens and carry it with me while in the College premises and to produce it when demanded by college authorities. 7. I understand the curriculum, admission rules, passing criteria of law Program/Course for this year may be revised from time to time by the Savitribai Phule Pune University, Bar Council of India, the State Government or the College. 8. I understand the fee structure may be revised by the Savitribai Phule Pune University, Bar Council of India, the State Government or the College. I hereby undertake to pay the revised fees as per rules from time to time. 9. I am aware that mobile phones, or similar electronic instrument have to be switched off in classrooms, library and during any activity in the College classes. If such instruments are used during classes, in the library or during activities, the instruments are liable to be confiscated by the college authorities, or fine may be imposed by the college. 10. I am aware that smoking cigarettes or taking any addictive substance in College premises including the canteen, hostel, mess etc. is prohibited and if found doing these, I will be liable for disciplinary action. 11. I am also aware that it is my responsibility to keep College premises clean. 12. I promise not to indulge in any ragging activity (as defined by ‘The Prohibition of Ragging Act, 1999’) inside or outside the College. 13. I am aware that College has zero tolerance policy towards Sexual Harassment and undertake not to indulge in any such activity inside or outside the College. 14. I promise not to indulge in any cybercrime or post any derogatory remarks about the college, teachers or fellow students in social media.

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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