G.M. LAW COLLEGE, PURI-752003, Odisha

FORM NO.
___________
G.M. LAW COLLEGE, PURI-752003,

ODISHA
Affix your self
AFFILATED TO UTKAL UNIVERSITY attested (on
ACCREDITED BY NAAC WITH ‘B’ GRADE
the front)
IN 2007
recent colour
Website: www.gmlawcollege.org passport size
OFFLINE APPLICATION FORM FOR ADMISSION photograph
POST-GRADUATE TEACHING IN LAW (LL.M.)

FOR OFFICE USE ONLY
________________________
DATE OF SUBMISSION INDEX NO: ……………………. SIGNATURE OF THE RECEIVING OFFICIAL
I. CAREER MARKS :
NAME OF THE EXAM MARK SECURED FULL MARK % OF MARKS CAREER MARKS
I. H.S.C.
EXAM./EQUIVALENT
II. +2/EQUIVALENT
III. +3/EQUIVALENT
IV. 3yR. LL.B./5yr. LL.B.
GRAND TOTAL
II.APPLICATION DETAILS:
1. NAME OF THE APPLICANT: (IN CAPITAL LETTER) _______________________________________

2. FATHER’S / GUARDIAN NAME: _____________________________________________________
3. DATE OF BIRTH____________________ 4. NATIONALITY ____________________
5. BLOOD GROUP ____________________ 6. RELIGION _______________________
7. MARITAL STATUS __________________ 8. SEX ____________________________
9. PERMANENT ADDRESS 10. PRESENT ADDRESS
Ph. No. : Ph. No. :

11. DETAILS OF FEES PAID FOR COST OF FORM
Crossed Demand Draft No. /
College Cash Receipt No. ___________ Date ___________ Rs. __________ Bank Name______________
12. Utkal University Registration No.:___________ Year : ____________________
13. DETAILS OF ACADEMIC CARRER
NAME OF THE
NAME OF THE PERCENTAGE
EXAMINATION IN TOTAL MAXIMIUM YEAR OF
BOARD/UNIVERSITY OF MARKS
WHICH MARKS MARKS PASSING
OBTAINED WHICH PASSED
APPEARED
14. Do You Belong To Schedule Caste Or Schedule Tribe - SC ST

 If yes Tick the Category
15. Do You Have Any Criminal Antecedents, Including Police Case if Any
If Yes,
GIVE DETAILS:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
16. Whether Employed? (If Yes, Mention Service Particulars)
Designation and Nature of Service:
Full Signature of applicant

Date:
Declaration by the Applicant
I Sri/ Ms. /Smt. _________________________________________________ Son/

Daughter/ Wife of _____________________________________________ do here by
declare that all information given above are true to the best of my knowledge and belief.
Any misinformation found false on verification of the original document shall lead to
cancellation of selection / admission and will be treated as cognizable offence.
Date ____________ Full Signature of Applicant

Place ________________ Ph. No.
________________________________________________________________________
INDEX CARD
The undersigned acknowledges the receipt of your application for admission into LL.M.
course vide index quoted below.
Please quote this number in all your correspondence regarding admission.
PRINCIPAL
G.M. LAW COLLEGE,
PURI
Documents to be submitted along with ADMISSION FORM
_________________________________________________________
1. Certificate & Mark Sheet of Matriculation. (Attested Copies)

2. Certificate & Mark Sheet of +2 Arts/Science/ Commerce or equivalent examination.
(Attested Copies)
3. Certificate & Mark Sheet of +3 Arts/Science/ Commerce or equivalent examination.
(Attested Copies)
4. Certificate & Mark Sheet of LL.B. examination. (Attested Copies)
5. College Leaving Certificate and Conduct Certificate from the head of last institution
attended.(Attested Copies)
6. SC/ST Certificate in case of candidate entitled to such benefit. (Attested Copies)
7. Self Attested passport size photograph of applicant to be pasted on the first page of
the application form.
8. Demand Draft / Original Money Receipt.
9. Two self addressed envelope with postage fixed for communication through speed
post.
________________________________________________________________________
POST CARD
STAMP
RS.5/-
Address: (To be written by Candidate in
Capital Letter)
To, __________________________________________________
__________________________________________________
__________________________________________________
From: PRINCIPAL
G.M. LAW COLLEGE,
PURI

G.M. LAW COLLEGE, PURI-752003, Odisha

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FORM NO.

G.M. LAW COLLEGE, PURI-752003,

POST-GRADUATE TEACHING IN LAW (LL.M.)

IV. 3yR. LL.B./5yr. LL.B.

1. NAME OF THE APPLICANT: (IN CAPITAL LETTER) _______________________________________

9. PERMANENT ADDRESS 10. PRESENT ADDRESS

Ph. No. : Ph. No. :

14. Do You Belong To Schedule Caste Or Schedule Tribe - SC ST

Full Signature of applicant

I Sri/ Ms. /Smt. _________________________________________________ Son/

Date ____________ Full Signature of Applicant

Please quote this number in all your correspondence regarding admission.

1. Certificate & Mark Sheet of Matriculation. (Attested Copies)

Address: (To be written by Candidate in

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