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CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT

Law (LL.B. 3 Years) Admission Registration Form


SESSION 2019 - 2020
Registration # 19K0234813 Reg. Date : 3 August, 2019 07:22 PM

1. Candidate Name : sudhakar kumar


2. Father's Name : anurag kumar
3. Mother's Name : mamo devi
4. Date of Birth : 17-Jul-1995 5. Gender : MALE
6. Caste/Category : O.B.C. 7. Reservation : Not Applicable
8. Caste Certificate #: 012193011548 9. Income Grp : Less than 1 Lac per
annum
10. Domicile : Uttar Pradesh 11. Religion : Hindu
12. Domicile Cert. #: 13. Is Minority : NO
14. Nationality : INDIAN 15. Other Cat. : Not Applicable

16. Address for Correspondance : 17. Permanent Address :


146 vishal vihar 146 vishal vihar
Saharanpur Saharanpur
Uttar Pradesh Uttar Pradesh
PIN Code : 247001 PIN Code : 247001

18. Mobile : 9897989856 19. Email : www.coolbudysudhakar@gmail.com


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AF

20. Weightages Claimed :


Weightage Add %
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21. Academic Record :


Examination Year Max Obt. Roll No. Stream Board %
Highschool 2010 500 456 1137434 N/a Central Board of Secondary Edu. 2, Co... 91.2
Subjects: hindi eng math sci soc sci

Intermediate 2012 500 434 905364 PCM Central Board of Secondary Edu. 2, Co... 86.8

B.Sc. (Honors) 2019 3000 1343 14079268057 Computer Application,, University of Delhi, Delhi-110007. (Cent... 44.7

22. College Application Details :


Pref. College Degree Subject/Group
1 [836] HARI COLLEGE OF LAW SHARANPUR L.L.B (3 years) Law

23. 10th Marksheet #: 0089580 24. 10th Roll No. : 1137434

25. 12th Marksheet #: 905364 26. 12th Roll No. : 905364


27. 10th Passing Year: 2010 28. 12th Passing Year : 2012
29. AADHAAR No.: 680096550925 30. AADHAAR Enroll # :
31. Payment Details: Paid Rs.115.00 on 3/8/2019 PayU# 8857565343 Bank Ref: VISA - 120054067038

Printed: Sunday, August 4, 2019 09:52 AM Page: 1/2


CHAUDHARY CHARAN SINGH UNIVERSITY, MEERUT
Law (LL.B. 3 Years) Admission Registration Form
SESSION 2019 - 2020
Registration # 19K0234813 Reg. Date : 3 August, 2019 07:22 PM

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AF

NOTE: Mark the number of documents ( Photocopy/Xerox) attached by the Candidate during form submission to the college

Xth Marksheet Xth Certificate


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XIIth Marksheet Last Exam Passed Marksheet


Recent Passport Sized Photograph Scanned Signature
Domicile (for other state) Certificate for Kashmiri Resident
Certificate for Horz./Reservation Category Certificate for Vert./Caste Category

Declaration

I declare that I have never been convicted for any criminal act and that there is no case pending against me in
the court of law. I also declare that I have never been caught using Unfair Means or any Disciplinary action
has been taken against me. If I was charged for using Unfair Means, the punitive duration is over and charges
have been cleared.

I have read carefully and have understood all rules as mentioned in the University Rules and Admission
Brochure.

Furthermore I also declare that if my application is found to contain incorrect/false information regarding my
Name, Birth Date, Gender, Religion, Domicile, Weightage, Caste, Horizontal Reservation, Marks obtained or
any other field, my application is liable to get cancelled, and I will have no objection in getting disqualified for
admission to the concerned course/college.

Signature of Parent/Guardian Signature of Candidate


Date: Date:

Printed: Sunday, August 4, 2019 09:52 AM Page: 2/2

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