SRI GURU NANAK KHALSA LAW (P.G.

) COLLEGE
SRI GANGANAGAR - 335001 (RAJ.)

Form No................ 2013-2014

Class Roll No. ……………………. Class to which admission is sought ……………
ID Card No. ………………………
(Leave Blank) CATEGORY
Gen. S.C. S.T. OBC
Note: Use only capital latter

STUDENT’S DETAILS : MEDIUM Latest Photo

Male Female of Applicant

1. Name……………………………………………………… Mob.n.……………………………
2. Date of Birth ………………………. 3. Place of Birth ……………………………….……….
4.Family Details:

(a) Father’s Name ……………………….. …………..Occupation ……………… Annual Income …………………

(b) Mother’s Name …………………………………....Occupation ……………… Annual Income………………….

(c) Guardian Name ……………………….. …………Occupation …………….. Annul Income ……………………
5. Permanent Postal Address: ………………………………………………………………………………………...
……………………………………………………………………………………Pin……………………………..
Phone ……………………….. …………………(Mob.)……………………….….. …………………………..
6..Blood Group ……………………… 7. E-mail address ………………………………………………………………..
8.Details of marks obtained in the qualifying examination
Name of qualifying Year Maxi. Marks
Roll N. University %
Examination Passed Marks Obtained
Part-I-
Part-II-
Part-III-
Total

9. Name of Institution last attended …………………………………………………………………………………………….

10. Are you in service? (Yes/No) ……………………………...if yes submit employers no objection certificate ………….
11. Hobby (Games / NSS / Debate) ………………………………… Details …………………………………………………

12. Enclosures (I) ……………………… (2) ………………………… (3) ………………………… (4) ……………………..
13. …………………………………………………………………………………..

Date:

Signature of the Applicant

DECLARATION:
1. I.......................................................................(name) S/o .....................................................…….. hereby

declare on oath/solemnly affirm that the entries made in application form are correct.

2. I have completed each entry of the application form and have attached the attested true copies of marks
sheet of Part-I, Part-ll & Part-Ill of degree/P.G.,LLB I,II,III ,Diploma & LLM PART-I examination.

3. I shall bring the original mark sheets at the time of interview (if called for). If there is any lapse on my part, I
shall be personally responsible for rejection of the application form.

4. I hereby declare that neither any criminal case is pending against me in any court of law nor I am convicted
by a court of law for any offence.

5. I hereby declare that I have gone through the 144,145 and 145A for compulsory attendance, given in the
prospectus. I hereby declare that I shall be personally responsible for maintaining requisite attendance to
enable myself to appear in University examination.

6. I promise not to take part in Political activity of any kind or in agitation whatsoever directly or indirectly and
undertake to abide by the rules, framed by the Principal from time to time and I also hold myself responsible
for prompt payment of college dues.

7. I will abide by the rights of the principal of detaining me in any class in case of negligence of studies or
expulsion for gross misconduct.

8. All disputes regarding admission, examination and other academic matters shall be subject to the jurisdiction
of Sri Ganganagar court/District forum.

9. Admission is given subject to approval of MGS University , Bikaner

Date......................... Signature of Applicant

FOR OFFICE USE

Eligible for admission to ………….………………………………………………………………………………………..

Scrutinizer

Admitted to ………….………………………………

Date: Admission Incharge