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APPLICATION FORMAT
01/2017 *       Exam Type : *
CLAT Exam Details
Roll No Registration No*
Appearing Year Paper Code*
Registration Number* Paper Code* Enrollment Id*
Basic Information
Name of Candidate in Full:* * *
* * Age as on 31-01-2018
Landline No (Res. with STD Code) Mobile No.* *
Aadhaar Card No:* *
*
*
Domiciled in J&K between 01.01.1980 and 31.12.1989 Ex-service Man
If departmental candidate ?*
If Physically Challenged ? Physically Handicapped Category
Whether you belong to Doob / Partial Doob / Project Affected Area category Select Category*
Address
Permanent Address:
Address:
Present Address: (Same as Permanent Address)
Address:
Academic & Professional Qualifications (Start from Matriculation/Higher Secondary):
Sl.No Qualification College/Institute/School Board/University CGPA
Duration
From: To:
% of marks obtained
1.
Experience details (Backwards from present position) (OPTIONAL)
Sl. No. Name of the organization Name of Post held Period Pay Scale Nature of Duties and Responsibilities Office Phone City State Country
From To
1.
Gross emoluments per month
No. of dependents
Languages Known:
Sl no Language Read Write Speak
1.
Other information (OPTIONAL)

(Details of Project & summer training/ research work/publications)

(Details of Scholarships/Awards /Honours/University Rank)

[Professional Achievements]

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Upload Photograph (Size – 50 kB & format – JPG/ PNG/ PDF)

Upload Signature (Size – 20 kB and format – JPG/PNG/PDF)

Upload Caste Certificate (Size – 125 kB and format – JPG/PNG/PDF)

Xth Mark Sheet (Size – 125 kB and format – JPG/PNG/PDF)

XIIth Mark Sheet (Size – 125 kB and format – JPG/PNG/PDF)

Upload B.Tech Final Year Certificate (Size – 125 kB and format – JPG/PNG/PDF)

Upload Mark Sheet/CGPA conversion Certificate (Size – 125 kB and format – JPG/PNG/PDF)

Age Certificate (Size – 125 kB and format – JPG/PNG/PDF)

PWD Certificate (Size – 125 kB and format – JPG/PNG/PDF)

Gate-18 Admit Card (Size – 125 kB and format – JPG/PNG/PDF)

Declaration:

I do hereby declare that the particulars & information mentioned above are true and correct to the best of my knowledge and nothing is concealed therefrom.I understand that in case any of the above information is found to be incorrect, my candidature is likely to be cancelled.

You Can Edit/Modify the Applicartion Form before Submitting