For Office Use only

Application No: 40034301/BLLB

ALIGARH MUSLIM UNIVERSITY

ONLINE PAYMENT

Session: 2018 - 2019 Do not send/submit

Application Form for Admission to the PDF copy of
B.A. LL.B. the Application Form

Faculty of Law

Bank: 1170, CR No./Online Txn No.: 461293833, Date: 2018-02-19 14:52:01, Amount: 600 Nationality: INDIAN

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Preference for Test Centres:

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1. Kozhikode 2. Aligarh
Personal Details:
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ONLINE PAYMENT

Name: HABEEB RAHIMAN.O.M Father's Name: ABDUL RASHEED.O.M

Date of Birth: 30-10-1998 Mother's Name: SULAIKHA
Gender: MALE
Religion: Islam

Details of Qualifying Examination: Status & Special Categories:

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Examination: HIGHER SECONDARY EXAMINATION Status: External
Enrolment No.:
Roll No.: 4390870
Hall: ML
Year of Passing/Appearing: 2017 Special Categories: 1. NA 2. NA 3. NA
Board/Univ.: 405
Marks Obt./Max. Marks: 934/1200
Remarks (if any):
Documents to be kept ready if selected for Interview/Admission/Chance Memo
5. Documents in support of Internal
1. ______________________________ Status/Spcl. Categ., if claimed
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2. Self Attested copy of HS/SS Certificate 6. Copy of document(s), if rusticated/debarred

in support of date of Birth or convicted by a court of law
Copies of Marksheets/Grade Sheets of all previous Examinations
3. passed/appeared including parts therein after passing High School 7. ________________________________________

4. If employed, copy of No Objection 8. ________________________________________

Certificate from the employer
* Attach latest Marksheet/Document(s) in support, failing which your claim will be rejected

Permanent Address: Address for Correspondence:

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Address: OTTAKATH MANGARATHODI HOUSE MUTTPPALAM,MANJERI(PO)
Address: OTTAKATH MANGARATHODI HOUSE MUTTPPALA
BEHIND MANASNEHA HOSPITAL BEHIND MANASNEHA HOSPITAL
MALAPPURAM - 676121(KR) MALAPPURAM - 676121(KR)

Phone 1: 9020574313 Phone 2: 9061705970 Email ID: om.habeebrahman114@gmail.com

Is hostel accommodation required? NO (Hostel accommodation is not guaranteed; it is subject to availability of seats in the hostel)
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DECLARATION: I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Aligarh Muslim University and all the decisions of the Academic
Council & other appropriate University bodies in regard to my admission. I hereby solemnly affirm that I have gone through the Guide to Admissions
& Supplement - M and solemnly declare on oath that the entries made by me in the above columns are true to the best of my knowledge and belief
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and if at any time, the entries are found incorrect, the admission may outrightly be cancelled and disciplinary action may be initiated against me.

Application No: 40034301/BLLB

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Signature of the Candidate
Left Hand Thumb Impression (for All candidates)