TAMIL NADU NATIONAL LAW SCHOOL

(A University established by Tamil Nadu Act No.9 of 2012)

Navalurkuttappattu, Tiruchirappalli – 620 027, Tamil Nadu, India.
Phone Off: 0431-2692000/2692111 E-mail: registrar@tnnls.ac.in; www.tnnls.ac.in
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APPLICATION FORM FOR ADMISSION TO II/III/IV/V YEAR

ACADEMIC YEAR 2018-2019

Sl.
Particulars Details
No.
Name of the Candidate
(In BLOCK LETTERS as specified in Affix the Recent
1
SSLC Certificate) Passport Size
Photograph
( (Do not Staple)
2 Register No.

3 Gender

4 Father’s Name

5 Mother’s Name
Guardian’s Name [If applicable]
6
(Mention the Relationship)
Occupation of Father / Mother/
7
Guardian with annual income
Name of the Community
8 [Mention whether the community is categorized
under General/BC/BC(M)/MBC/SC/SC(A)/ST]

9 Nationality

10 Religion
Whether you belong under ‘Specially
11 YES / NO
Abled Person’ (SAP) Category

Residential Address for

12
Communication

13 House Tel. (Landline, if any)

14 Mobile No. of Candidate

15 E-Mail ID of Candidate
 Sl.
Particulars Description
No.
Mobile Number of Father / Mother /
16
Guardian
17 E-Mail ID of Father / Mother / Guardian
Course and Year of B.A. LL.B. (Hons.)
18 / B.Com. LL.B. (Hons.) study during
2017-2018
Whether tuition and other fees paid for
Academic year 2018-2019. If yes, attach
Yes / No
fee receipt / proof of payment.
19
Payment through online transaction,
UTR No:
specify UTR No. may be written down
legibly.
Whether any tuition fees / user charges
20 of previous year(s) outstanding/
pending. If so indicate the same.
Whether any hostel dues / fines are
21 pending. If so,the amount to be
indicated

DECLARATION

I solemnly declare that the information furnished above is true to the best of my knowledge and belief.
In case any information is found to be false or incorrect, I will abide by the decision of the Authorities.

Date: Signature of the Candidate

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For Office use only
Yes / No Eligible for Promotion to II / Yes / No
Tuition Fees for 2018-2019 paid III/IV/ V year
Yes / No
Hostel Fees for 2018-2019 paid
Any arrears Yes / No

Remarks:

Office Seal: Academic Section

Whether Promoted to next year of Yes / No

the Course

Faculty-in-Charge
Admission Committee