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This document contains a registration form for the Government Law College's five year law course for the 2011-2012 year. It requests information such as name, date of birth, address, caste or tribe if applicable to receive benefits, details of previous examinations passed including board and percentage, and other courses applied to. It notes that a photocopy of the 10+2 marksheet should be attached and that there is no application fee required to submit this registration form.

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Pooja Soni
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15 views

22 File

This document contains a registration form for the Government Law College's five year law course for the 2011-2012 year. It requests information such as name, date of birth, address, caste or tribe if applicable to receive benefits, details of previous examinations passed including board and percentage, and other courses applied to. It notes that a photocopy of the 10+2 marksheet should be attached and that there is no application fee required to submit this registration form.

Uploaded by

Pooja Soni
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Government Law College

A ROAD, CHURCHGATE, MUMBAI 400020

REGISTRATION FORM [2011-2012] (FIRST YEAR OF FIVE YEAR COURSE)


1. NAME: ______________________________________________________________ Surname First Name Fathers /Mothers/ Husbands Name

2. DATE OF BIRTH: _____________________________________________________

3. ADDRESS:____________________________________________________________ ____________________________________________________________ TEL. NO. (IF ANY): ____________________________________________________ 4. A candidate intending to avail the benefits of the following categories should attach attested Xerox copy of the same at the time of submission of Registration form, failing which he/she will not be considered for the benefit under any circumstances. A) Scheduled castes C) Denotified Tribes E) S.B.C. B) Scheduled Tribes (including those outside specified areas) D) Nomadic Tribes (with non-creamy layer certificate) F) Other Backward Classes (with non-creamy layer certificate)

(Benefits for clause A to F are applicable ONLY to students from Maharashtra State)

G)

i) Wards of Central/ State/ Government employees transferred from other States ii) Wards of Ex-servicemen/ Defence Personnel iii) National / State Level achievers in Sports and Cultural Activities iv) Physically handicapped or disabled students v) Widow or divorcee student (self) vi) Wards and grandchildren of freedom fighters

5. In case of a student migrating from another Board/University, Provisional Eligibility Certificate from the Mumbai University is required. Application for Provisional Eligibility is to be made to the Registrar, Mumbai University in the prescribed form along with prescribed fees through the GLC Office (AFTER selection in the merit list) 6. DETAILS OF EXAMINATION PASSED EXAM PASSED S.S.C. (10th) H.S.C. (12th) NAME OF BOARD AGGREGATE % SECURED YEAR OF PASSING NO. OF ATTEMPTS STREAM [Science/Commerce/ Arts/Other(Specify)]

7. DETAILS OF ANY OTHER COURSE APPLIED FOR: _____________________________________________________________________ NOTE: Please attach an attested photocopy of the H.S.C. (or other equivalent 10+2 examination) Marksheet at the time of submission of Registration Form. This form does not require any application fee for submission. Students of all Boards must ONLY fill in their aggregate percentage of all subjects.

DATE:

SIGNATURE OF THE STUDENT

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