TO BE PRINTED ON NON-JUDICIAL STAMP WORTH RS.

50/AFFIDAVIT (To be sworn in by Parent of the candidate) I _____________________________________ S/o _______________________________ R/o ______________________________________________________ hereby solemnly state and affirm as under : 1. That my son/daughter Mr./Ms. ___________________________________________ has sought admission in the Hidayatullah National Law University, Raipur and provisionally admitted in the University. 2. That my son/daughter/ward is neither suffering from any incurable disease that would directly hinder courses of studies in this University nor he/she is a drug addict. I shall not have any grievance in removal of my son/daughter in case if this statement is found incorrect at any stage. 3. The Hidayatullah National Law University being a Residential University, I have no objection for my son/daughter to stay in the Halls of Residence as long as he/she is pursuing his/her studies in the University. 4. I shall make all efforts to see that the Rules of Conduct of the University are obeyed; proper discipline is maintained; and instructions of University Officers/Authorities are adhered to by my son/daughter, and I am prepared to accept any punishment imposed on my son/daughter, consequent to violation thereof. 5. In any case my son/daughter will not participate in any type of agitation/strike/demonstration sue moto or on instigation by someone else against the University or its Authorities and if he/she does so I accept any punishment upto the level of expelling my ward from the University. 6. I have visited the University campus, met faculty members and I am fully satisfied with the facilities provided by the University. 7. I undertake to pay all the fees and dues of my son/daughter, applicable from time to time. In case the fee and/or dues are not deposited with the University on time, necessary action may be initiated.

DEPONENT

Solemnly and sincerely affirmed and Signed and name in my presence on this ______ day of _______________

Before me

Notary Public

TO BE PRINTED ON NON-JUDICIAL STAMP WORTH RS. 50/ANNEXURE I AFFIDAVIT BY THE STUDENT

I, (full name fo student with admission/registration/enrolment number) , S/o / D/o Mr./Mrs./Ms. , having been admitted to (name of the Institution) , have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions, 2009 (hereinafter called the "Regulations") carefully read and fully understood the provisions contained in the said Regulations. 2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging. 3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and administrative action that is liable to be take against me in case I am found guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. 4) I hereby solemnly aver and undertake that, a) I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations. b) I will not participate in or abet or propagate through any act of commission or omission that may be constituted as ragging under clause 3 of the Regulations. 5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the Regulations, without prejudice to any other criminal action that may be taken against me under any penal law or any law for het time being in force. 6) I hereby declare that I have not been expelled or debarred from admission in any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm that, in case of declaration is found to be untrue, I am aware that my admission is liable to be cancelled. Declared this _______ day of ____ month of _______ year. _________________ Signature of deponent Name : VERIFICATION Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at (Place) on this the (day) of (month) , (year) . _________________ Signature of deponent

Solemnly affirmed and signed in my presence on this the

after reading the contents of this affidavit.

Name : (day)

of

(month), (year)

OATH COMMISSIONER

TO BE PRINTED ON NON-JUDICIAL STAMP WORTH RS. 50/ANNEXURE II AFFIDAVIT BY THE PARENT / GUARDIAN
I, Mr./Mrs./Ms. (full name of parent/guardian) , father/mother/guardian of (full name of the student with admission/registration/enrolment number) , having been admitted to (name of the Institution) , have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions, 2009 (hereinafter called the "Regulations") carefully read and fully understood the provisions contained in the said Regulations. 2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging. 3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and administrative action that is liable to be take against my ward in case he/she is found guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote ragging. 4) I hereby solemnly aver and undertake that, a) My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations. b) My ward will not participate in or abet or propagate through any act of commission or omission that may be constituted as ragging under clause 3 of the Regulations. 5) I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of the Regulations, without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for het time being in force. 6) I hereby declare that my ward has not been expelled or debarred from admission in any institution in the country on account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm that, in case of declaration is found to be untrue, the admission of my ward is liable to be cancelled. Declared this _______ day of ____ month of _______ year. _________________ Signature of deponent Name : Address : Telephone/Mobile No. : VERIFICATION Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at (Place) on this the (day) of (month) , (year) . _________________ Signature of deponent

Solemnly affirmed and signed in my presence on this the

after reading the contents of this affidavit.

Name : (day)

of

(month), (year)

OATH COMMISSIONER

TO BE PRINTED ON NON-JUDICIAL STAMP WORTH RS. 50/AFFIDAVIT OF THE CANDIDATE AND HIS/HER PARENT REGARDING PAYMENT OF FEES We (1. Name of the candidate) _____________________________________ and (2. Name of the Father/Monther) _______________________________________________ R/o ______________________________________________________ hereby solemnly state and affirm as under : 1. That I have/my son/daughter has sought admission and admitted in the Hidayatullah National Law University, Raipur, Chhattisgarh. 2. I/We undertake to pay all the fees and dues to the University as applicable from time to time during the course of my/my ward's stay in Hidayatullah National Law University. 3. I/We also undertake that, in case, the candidate leaves the University without completing the total period of integrated Five Year B.A.LL.B. (Honours) Degree Programme, I/We shall be liable and shall pay 50% (Fifty Percent) of the fee which would have been payable for the uncompleted period of the Degree Programme. Signature of the Candidate : ____________________________ Name of the Candidate : _______________________________ Signature of the Father/Mother : ________________________ Name of the Father/Mother : ___________________________ Place : Raipur Date : ______________ VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false and nothing has been concealed or misstated therein. Verified at (Place) on this the (day) of (month) , (year) . _________________ Signature of deponent Name :

Solemnly and sincerely affirmed and Signed and name in my presence on this ______ day of _______________

Before me

Notary Public

HIDAYATULLAH NATIONAL LAW UNIVERSITY Village-Uparwara, Teh.-Abhanpur, Dist. - Raipur, Chhattisgarh

REGISTRATION FORM FOR HOSTEL

1) Name E-mail ID 2) Father's Name Father's Occupation Office Address Contact Nos. Email ID 3) Mother's Name Mother's Occupation Office Address Contact Nos. Email ID 4) Parent's Residential Address : : : : : : : : : : : : : : : 5) Local Guardian's Name Local Guardian's Occupation Local Guardian's Address Local Guardian's Tel.No. 6) Any known health problem 7) Allergic to : : : : : : : : : _______________________________________________ ____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________

(Father's Signature) (Mother's Signature) (Local Guardian's Signature) (Candidate's Signature) Date :

HIDAYATULLAH NATIONAL LAW UNIVERSITY Village-Uparwara, Teh.-Abhanpur, Dist. - Raipur, Chhattisgarh APPLICATION FORM FOR ADMISSION TO B.A.LL.B. (HONS.) ACADEMIC YEAR 2011-2012
ONLY FOR OFFICE USE Enrolment No. : Registration/Admission No.: Details of Fees Paid : D.D. No.: Amount : Bank : 1) 2) Name E-mail ID Father's Name Father's Occupation Office Address Contact Nos. Email ID 3) Mother's Name Mother's Occupation Office Address Contact Nos. Email ID 4) Date of Birth (In figure) (In words) Age as on 01.07.2011 5) 6) 7) 8) 9) 10) Religion Nationality State of Domicile Correspondence Address Permanent Address Contact No./s (with STD code) : : : : : : : : : : : : : : : : : : : : : : : _____________________________________________ ____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Date: Paste your Recent passport Size photograph

11) 12)

Annual Income of Family Category SC/ST/OBC/Minority/Gen. (Please specify)

: :

_____________________________________________ _____________________________________________

13) 14) 15)

Gender

Male / Female Yes / No Medium % of Marks Secured Board of Examinations

Whether Physically Handicapped :

Name & Address of Institution last attended with Tel.No.

16)

Local Guardian's Name Local Guardian's Address Local Guardian's Telephone No.

: : : : : : :

_____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ (1)_____________________________________________ (2)_____________________________________________ (1)_____________________________________________ (2)_____________________________________________ _____________________________________________

17) 18) 19)

Health Problem (if any) Allergic to medicines (if any) Blood Group

(Candidate's Signature) DECLARATION We hereby declare that the information furnished above is true and correct to the best of our knowledge and belief. In case at any stage after admission if any information is found incorrect, appropriate action may be initiated for furnishing such false information and we undertake to abide by the Regulations & Disciplinary Rules as may be prescribed by the University from time to time.

(Father's Signature) (Mother's Signature) (Local Guardian's Signature) (Candidate's Signature) Date :