Course Applied for B.A. LL.B (5 Year)LL.B (3 Year) Year Name Date of Birth Nationality Gender MaleFemale Father's Name Mother's Name Father's Occupation Mother's Occupation Household Income(per annum) Permanent Address Address City District State Pin Code Correspondence Address (If different) Address City District State Pin Code Landline No. Mobile No. Email Category GENOBCSCSTOther Physically Handicapped YesNo Source of Information NewspaperInternetWalk-inReferenceHoardingTVEducation FairPast/Study StudentsFriends/RelativesOther Source Name Academic Details Examinations Year of Passing Board/University School/College and City Marks Obtained Xth Standard XIIth Standard Graduation Others Any Gap YesNo No. of Years Reason Details of Entrance Examination CLAT Percentile Other if any. Please specify Distinction/Honour (List your achievements in sports, Cultural and Co-curricular activities) Activity Level Distinction/Honour Does any of your sibling(s) study at any HIMT Group of Institutions? YesNo if yes, Please give details Name Relationship Program Year of Admission Would you requir hostel accommodation? YesNo Transport Facility YesNo Photo*: Signature*
