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Application ID: 2019108522

ILS LAW COLLEGE


Chiplunkar Road (Law College Road), Pune 411004, India.
+91-20-25656775
ilslaw@ilslaw.in
ILS Law College, Pune is an equal opportunity institution. It does not discriminate on the
grounds of race, age, religion, caste, sex, disability, and origin. It observes the principle of
equality as guaranteed under the constitution of India and other statutes.

Application for Admission LLM First Year,LLM for 2019-20

For Office Use Only

Receipt No Date Roll No Year

Name: Mrs. TABASSUM SHAUKAT Telephone No: 9422302173 ILS Unique Number:
INAMDAR
Gender: Female
Mother’s Name: RABIA
E-mail: tabassumsinamdar@gmail.com
Student Mobile No: 9372139561
Name in Marathi/ Hindi:
Guardian’s Name:

Current Address: R AND DE COLONY Permanent Address: R AND DE


TYPE-III ROOM NO 472 COLONY TYPE-III ROOM NO 472
VISHRANTWADI KALAS PUNE-15 VISHRANTWADI KALAS PUNE-15

Self Information

Date of Birth: ”05/09/1974” Place of birth: Pune Town/ City:Pune

District: Pune State: Maharashtra Country:India

Nationality: India Mother Tongue: HINDI Marital status:Married

Admission Status:Within Maharashtra Employed:no Blood Group:O +VE


Open/OBC/SBC
Sub Caste:MUSLIM FAKIR Do you want to avail GOI
Caste: OBC scholarship?:
Religion:Muslim
Physically Disabled: no PAN NO: AAZPI5028D Exservice man: no

Aadhar Card Number: 4276-6213-9778


Academic Qualifications

Examination Month & Year Marks Obtained Out of Marks School/ College Bord/ University Seat No.
Passed Total Marks & Place & Place
(All Subjects)
S.S.C. (Xth) 03/1991 261 700 37.28 St. Thomas' Maharashtra
School State Board

H.S.C. (XIIth) 03/1994 285 600 47.5 Abeda Inamdar Maharashtra


Junior College State Board

LL.B. 06/2019 499 1000 49.99 A.K.K. New Law SPPU


College

Copies of following attested documents have been submitted:

1. Mark-sheet of the SSC or equivalent examination


2. Mark-sheet of the HSC or equivalent examination
3. Non – creamy-layer certificate if required
4. Change of name certificate, if applicable
5. Consolidated / Final Marksheet of LL.B.
6. Conversion of CGPA into percentage of marks.
7. * Caste certificate for all Reserve Category Students
8. * Caste validity certificate for S.T. Students

Undertakings

1. I hereby undertake, if admitted, to attend lectures (Minimum 85%) and all internal assessment programmes in the College
as prescribed in the syllabus of Savitribai Phule Pune University. If I fail to do so, my term will not be granted.
2. I hereby submit to the disciplinary jurisdiction of the authorities of the University / and the authorities of the College, and
shall observe and abide by the rules made by them.
3. I understand that if admitted, my admission will be confirmed only on my production of the Transference Certificate /
Migration Certificate from my previous College or educational institution and the Final Eligibility Certificate of the
Savitribai Phule Pune University.
4. I undertake to take an identity card immediately and carry it with me while in the College Premises and to produce it when
demanded by college staff.
5. I undertake to pay the fees as approval by competant Authorities from time to time.
6. I understand that the curriculum and the fee structure and admission rules and criteria for this year, as well as for the law
course over the years is likely to be revised from time to time by the Savitribai Phule Pune University, the State
Government or the College and that fees might increase and I undertake to pay the increased fees whenever demanded by
the college and to comply with the rules from time to time.
7. I am aware that mobile phones, or similar electronic instruments have to be switched off in classrooms, library and during
any activity in the College classes. If such instruments ring or are used during classes, in the library or during activities,
the instruments are liable to be confiscated by the college authorities, or fine may be imposed by the college.
8. I am aware that smoking cigarettes or taking any addictive substance in College premises including the canteen, hostel,
mess etc. is prohibited and if found doing these, I will be liable for disciplinary action.
9. I am also aware that it is my responsibility to keep College premises clean.
10. I promise not to indulge in any ragging activity (As defined by ‘The Maharashtra Prohibition of Ragging Act. 1999’) inside
or outside the College.
11. I promise not to indulge in cyber crime or post any derogatory comment about the college, teachers or fellow students in
social media.
12. I declare that all statements made in the application are true, complete & correct to the best of my knowledge & belief. I
understand that in the event of any information being found false or incorrect my candidature is liable to be cancelled or
rejected.

Date

Signature of Student

Decision By Principal

Admitted provisionally subject to completing admission formalities, payment of fees, production of transference certificate /
migration certificate and grant of eligibility by the Savitribai Phule Pune University.
SAVITRIBAI PHULE PUNE UNIVERSITY

Form fees:Rs.50/- Application for Eligibility Roll No/Admission No


(For Under Graduate Course only) (For office use only)

I wish to apply for the Eligibility for the academic year: 2019-20
1. Name of the course to which Admission is sought: LLM First Year,LLM
2. Name of the Application : MRS. TABASSUM SHAUKAT INAMDAR (In English Capital Letters)
(Name as per last Mark sheet should be mentioned. N.R.I. Student should write their name as it appears in their Passport.)
3. Mother’s Name: RABIA 4. Aadhar No.: 4276-6213-9778
5. Mobile No.: 9372139561 6. PAN No.: AAZPI5028D
7. Email Id: tabassumsinamdar@gmail.com 8. Type: Maharashtrian
9. Nationality: India 10. Religion: Muslim
11. Gender: Female 12. Date of Birth: ”05/09/1974”
13. Category: OBC
(If you belong to any of the Reserve category attach a certificate of a Competent Authority in support of it.)

1. Do you belong to DT(A), NT(B), NT(C), NT(D), OBC, SBC, SEBC or EWS? Yes
(If you belong to any of the Reserve category attach a certificate of a Competent Authority in support of it.)

14. Are you Physically Disabled? no (If yes please spacify type:)

15. Perticulars of the Qualifying Examination

1. Name of the Course: LLB

2. Duration of the Course: 3 years

3. Name of the University/Board: Savitribai Phule Pune Univeristy

4. Name of the College/Institute/University Dept.: A.K.K New Law College

Seat No. Month & Year of Passed Percentage Class/Grade

25866 July 2019 49.99 II class

5. Please spacify Educational gap details if any

Last Examination Seat No. Month & Year of Percentage Class/Grade


Name Passed

LLB 25866 JULY 2019 49.99 II CLASS

15. Do you belong to the Minority?: Yes (If yes please spacify type which has given below)

Linguistic :

Religion : Yes

Signature of Candidate

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