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Application No: 40357141/BLLB

General
Selected/Chance Memo/
Special Category Rank
ALIGARH MUSLIM UNIVERSITY
ONLINE PAYMENT

Session: 2020 - 2021 Roll No. :


Application Form for admission to
B.A. LL.B.
Faculty of Law

Bank: 1730, CR No./Online Txn No.: 1020870258, Date: 2020-02-10 16:04:13, Amount: 700 Nationality: INDIAN

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Preference for Test Centres:


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1. Aligarh 2. Kolkata
Personal Details:
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ONLINE PAYMENT

Name: MOHD ANAS Father's Name: MOHD ASLAM


Date of Birth: 02-01-2002 Mother's Name: MAQSOODA BEGUM
Gender: MALE
Religion: Islam

Details of Qualifying Examination: Status & Special Categories:


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Examination: INTERMEDIATE Status: External
Enrolment No.:
Roll No.: 210684163520
Hall:
Year of Passing/Appearing: 2019 Special Categories: 1. BC 2. NA 3. NA
Board/Univ.: National Institute of Open Schoolling, Noida, GB Nagar, UP
Marks Obt./Max. Marks: 319/500
Remarks (if any):

Name of the Examination Board/University Year Roll No. % of Marks


Munshi Exam UP Board Of Madrasa Education Lucknow 2016 1602364069 65.1%
ONLINE PAYMENT

Intermediate NIOS 2019210684163520 63.8%

Permanent Address: Address for Correspondence:


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Address: HOUSE NO 100 MOHALLA GODAPURI Address: HOUSE NO 100 MOHALLA GODAPURI
TANDA BADLI TANDA BADLI
RAMPUR - 244925(UP) RAMPUR - 244925(UP)

Phone 1: 9897827679 Phone 2: 7017065706 Email ID: mohdanas107438@gmail.com


Is hostel accommodation required? YES (Hostel accommodation is not guaranteed; it is subject to availability of seats in the hostel)
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DECLARATION: I SOLEMNLY UNDERTAKE to accept and abide by the rules of the Aligarh Muslim University and all the decisions of the Academic
Council & other appropriate University bodies in regard to my admission. I hereby solemnly affirm that I have gone through the Guide to Admissions &
Supplements applicable for this course and solemnly declare on oath that the entries made by me in the above columns are true to the best of my
INE PAYMENT

knowledge and belief and if at any time, the entries are found incorrect, the admission may outrightly be cancelled and disciplinary action may be
initiated against me.
Application No: 40357141/BLLB

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Signature of the Candidate
Left Hand Thumb Impression (for All candidates)

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