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Price: Rs.

250/-

No. -----------------

THE UNIVERSITY OF BURDWAN


Affix recent
passport size
photograph
here

APPLICATION FORM FOR ADMISSION TO 3-YEARS LL.B. (HONOURS) COURSE


ACADEMIC SESSION -------------------------------------(Please put tick mark in appropriate box)
1.

Name of the candidate (in block letters)

: -----------------------------------------------------------

2.

(a) Fathers/Husbands name

: -----------------------------------------------------------

(b) Mothers name

: -----------------------------------------------------------

3.

Address
(a) Permanent

4.

(b) Present (mailing)

Name and address of local guardian, if any

: ---------------------------------------------------------------------------------------------------------------------

5.

Contact telephone no., if any

: -----------------------------------------------------------

6.

Reservation claimed as

7.

Date of birth

DD

8.

(a) Nationality

(c) Marital status

(b) Sex

9.

Name of the College and University last


attended

10.

Registration No. with year of the University


last attended

11.

Present engagement elsewhere, if any

SC

If yes, please state (a) For academic


course of study: Nature of course

ST

PH

SP

MM

Yes

Others

YYYY

Married Unmarried

No

Date of commencement

(b) For employment: Nature of job

Place

12. Choice of place for studies:


1st choice

2nd choice

3rd choice

4th choice

5th choice

[2]
13. Examinations passed
A. Madhyamik or its equivalent examination
Name of the Board/Council -----------------------------------------------------------------------------------------Roll No ---------------------------------------------------- Year of passing ----------------------------------------Details of marks obtained in different subjects
SUBJECTS
OFFERED

TOTAL

Percentage
of marks (in
aggregate)

Division as
per
marksheet. If
any

F. M.
Marks
obtained

B. Higher Secondary or its equivalent examination


Name of the council/Board ---------------------------------------------------------------------------------------Roll No. ---------------------------------------------- Year of passing -------------------------------------------Details of marks obtained in different subjects
SUBJECTS
OFFERED

TOTAL

Percentage
of marks (in
aggregate)

Division as
per
marksheet. If
any

F. M.
Marks
obtained

C. B.A./B.Sc./B.Com. or its equivalent examination


Name of the University ----------------------------------------------------------------------------------------------Roll No. -------------------------------------------------- Year of passing ------------------------------------------Honours/Pass Course -----------------------------------------------------------------------------------------------Honours/
Pass Course

Subjects offered

Percentage
of marks

F. M.
Marks
obtained
DECLARATION OF CANDIDATE
I do hereby solemnly declare and affirm that the entries made herein are true and that if any of the information
furnished proves to be materially false or incorrect, either wholly or partly, the University may cancel my admission or
take such other action as may be deemed fit. I am in a position to defray the necessary expenses for my stay & studies.

-----------------------------------------------------------

------------------------------------------------------

Counter signature of the guardian with date

Full signature of the candidate with date

N.B. Details regarding the filling up of the form may be had from the Information Sheet to be provided alongwith the form

FOR OFFICE USE ONLY

Entries verified and found correct

JA/SA/JS/SS

Written test for admission to the


3-year LL.B. course of studies
(Session: 2015 2017)

HALL TICKET
Name of the candidate .
.

Test Roll No..

-------------------------------------Signature of the Receiving Assistant

***************************************************************

THE UNIVERSITY OF BURDWAN

THE UNIVERSITY OF BURDWAN

Test Roll No...

Written Test for Admission to the 3-year LL.B. course of studies


(Session: 2015 2017)

HALL TICKET*
Name of the candidate .
TEST SCHEDULE

Date of admission Test

: 07.12.2014 [Sunday]

Time of Test

: From 11-00 a.m. sharp

Reporting Time

: 10-30 a.m.

Venue

: University Auditorium
Golapbag Campus, B.U.

Affix self attested


recent passport
size photograph
here

* This card has to be compulsorily


produced at the Test Centre
----------------------------------------Signature of the Receiving Assistant

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