STUDENT COPY

Faculty of Law (33812) Application No :

Vadodara
The Maharaja Sayajirao University of Baroda 110028
Fatehgunj, Vadodara-390 002, Gujarat (India) Regular
Academic Year: 2019-2020

Course Applied for : Bachelor of Arts and Bachelor of Laws (Honors) Integrated Five Years Law Degree PRN:2018033800028636
Course in Social Science and Language-No Branch-Regular-B.A.LL.B.(Hons.)-II-FS B.A.LL.B.(Hons.)-II (-)

Application Date : 20/08/2019 Payment Category : 4

Exam Center Name [Code] : - [-]
1.Personal Information
Candidate's Name(Regional) :
Candidate's Name as printed on DUDHAREJIYA KRUTIKA PRAVIN
School leaving/Passing Certificate [*This name will appear on all University
: records/documents]
DUDHAREJIYA DUDHAREJIYA
Father's/Husband's Name : Mother's Name :
PRAVIN DUDHAREJIYA HEENA
Marital Status : UnMarried Mother Tongue :
Place of Birth : jodhpur Gender : Female Date of Birth (DD/MM/YYYY) : 04/08/1999
Blood Group : Religion : Country of Citizenship : India
Weight : Not
Height : Not Available Hemoglobin : Not Available
Available
Is Student NRI/ Foreign National : No Domicile State:
Address For Correspondence :
Tehsil/Taluka : Location Area : Not
State : Gujarat District : Jamnagar City/Town/Village :
Jamnagar Available
Address (House
no,street/area/suburb near ram mandir moti khavdi Pin Code : 361140
etc.) :
Contact details
Mobile
918855874400 Email ID: krutika4899@gmail.com
Number
2.Legal Reservation Information
Category Type : Reserved Category : SEBC
Is Specially Abled? No Are you Employed/Self-employed?  NO
3.Social Information(Additional Information)

Paper Selected for:

FS B.A.LL.B.(Hons.)-II
LAW1307C14 - Political Science-III: Types and Machinery of
Government
LAW1309C16 - Economics-III: Economic Legislations
LAW1311C18 - Law of Crimes-I: Indian Penal Code-I
SS B.A.LL.B.(Hons.)-II
LAW1308C15 - History-III: Legal and Constitutional History of
India
LAW1310C17 - Constitutional Law-II
LAW1312C19 - Clinical Course: Moot Court

LAW1408C20 - Political Science-IV: Introduction to LAW1409C21 - English-III: Introduction to Legal Language

International Relations LAW1410C22 - Law of Crimes-II: Indian Penal Code-II
LAW1413C24 - Legal Methods: Jurisprudence LAW1412C23 - Family Law-I: Hindu Law
LAW1415E01 - German-I: Introduction to German LAW1414C25 - Internship-II

Medium of Instruction : English

Admission Fee Payment Details Payment Status : Paid Transaction Date : 20/08/2019
Fee Category : Yearly Admission Fees - HP(B) - Transaction Type : Online Payment Transaction Number :
[MSUHP] 1100281566334915540
Admission Fees - 500 Miscellaneous Fees - 200
Fine/Late Fees - 0 Foreign Students Co-ordination Fees - 0
Additional Hostel Fees - 0 Academic Fees - 24700
Foreign Students Assistance Fees - 0 Tuition fees - 1800
Faculty/College Development and Maintenance Fund - 900 University Development and Maintenance Fund - 2250
Library & Learning Resources Fund - 200 Internal Assessment Fees - 1000
Facilities & Services Charges - 5400 Academic Activity Fees - 1000
MSU Union Membership Fees - 25 Faculty/College Students Association Fees - 25
Sports & Physical Education Activities Fees - 50 Economically Disadvantaged Students' Support Fund - 450
Examination Fees - 1320 Total : 39820
4.Guardian Information
Occupation of Guardian : Retired Annual Income of Guardian : 200000
5.Educational Details
Month and Exam
Name of Name of Board/University Name of Certificate Mark Out
Year of Seat CGPA %
Examination and State of University School/College No. Obtained Of
Passing No.
Std 12th 12th CENTRAL BOARD OF
March 2017 -- -- 327.00 500.00 -- - -- 65.40
(Science) SECONDARY EDUCATION,
Your Last Qualifying Exam:
7.Other Information
Would you like to apply for Hostel accommodation required NA
DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my
knowledge and belief. I do understand that I need to obtain and produce all the required documents.
I admit to having understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I
hereby affirm that if found guilty of ragging or sexual harassment I am liable for punishment according to the university
regulations. "I hereby confirm that I will SUBMIT SYSTEM GENERATED APPLICATION-FORM along with necessary enclosures
required to verify the Academic credentials and Personal details (Like Mark-sheets, Degree Certificates, Caste Certificates-if
applicable…etc.) to the concerned Faculty/College under which I have applied through this application, at the time of "Merit-based
Admission Schedule/Spot Admission Schedule" as available under the Prospectus/Published on the University website as notified
by the concerned Dean of the Faculty/Principal of the College."
I will undergo Thalassemia Test before the First Semester Examination. I hereby declare that I shall refrain from engaging in any
behavior or activity that is prohibited as per the university regulations.
Note: Candidate must carry two copies of above printout of his/her “Application Form” at the time of entrance test/merit based
admissions, along with the self-attested copies of all required documents, as mentioned in the respective prospectus and identical
photograph pasted at the appropriate place.On one copy of the application form , Candidate signs partially on the photograph and
partially out side at the time of handing over the form.
Completing the online application form does not guarantee admission in that particular course/program. All admissions are
through entrance test/merit as per the requirement of the program and faculty norms. See Faculty Prospectus for Details.

Place : Date  :
( Signature of the Candidate )