DAMODARAM SANJIVAYYA NATIONAL LAW UNIVERSITY

(Estd. under Govt of A.P. Act No. 32 of 2008)

Plot No. 116, Sector-11, MVP Colony, Visakhapatnam-530017

Ph: 0891-2529952, Fax: 2502308

E-mail:academicdsnlu@gmail.com, Website:dsnlu.ac.in

Regd. No
(For Office use only)

Last Date for Receipt of Filled in Form : 06-06-2015

Note 1: All applications/correspondence should be addressed to the Registrar at the above address.
Note 2: Candidates are advised to go through the Regulations, fee structure and other details placed in
the University website carefully.

APPLICATION FORM
ADMISSION INTO 4 YEAR LL.B.,LL.M.(Dual Degree)
Academic Year- 2015-16

1. Name of the Applicant (as per SSC certificate):

Paste Recent
Self Attested
Passport size
Photograph

(in capital letters)

DD

2. Date of Birth
3. Male

MM

YY

Female

4. Address for correspondence: (Please give details of State/phone/cell/email)

(Any change in the address may please be intimated immediately.)
..
..
..

State:..Pin:..
5. Place of Birth:.

6. State:.

7. Nationality:..

8. Religion:

9. Student Cell No:...

10. Email Id:..

11. Reservation Category: (enclose attested copies of latest Certificates)

OBC
SC

ST

DAP

NCC

Sports

CAP

DAP: Differently Abled Person , CAP: Children of Armed Personnel

12. Details of Qualifying Examination (Enclose attested copies of Memoranda of Marks)

Examination

Year of
Passing

Name of
College /
School

Board

Max.
Marks

Marks
Obtained

% of
Marks.

10th Std.

10+2

Under
Graduate
Any Other

13. Local candidate of :

(i)

Andhra University Area

(Enclose proof)

(ii)

Osmania University Area

(III)

Sri Venkateswara University Area

(iv)

Other State

14.

(v) Foreign

Details of Parents:
Name of the Father/Mother/Guardian ..
Occupation & Designation :.
Address :

. ..

Phone : ........Mobile: .. Email:..

Annual Income (enclose proof) : Rs
(in figures & words)
15. Whether required Hostel Accommodation for the Academic Year 2015-16: Yes
16. Particulars of Fee :

No

Amount D.D. No .
Date Bank ..
D.D drawn in favor of
2

DECLARATION BY THE CANDIDATE

I fulfill all the eligibility conditions as laid down in the regulations.

I have not been debarred from taking admission in any educational institution in India.

If admitted I will abide by the disciplinary and other rules and regulations of
Damodaram Sanjivayya National Law University, Visakhapatnam, framed and
enforced from time to time.

I promise not to indulge in ragging or other undesirable activities against University

norms or prejudicial to the interest of the University which will attract disciplinary
action.

The information furnished by me in the application form is true to the best of my

knowledge and belief.

Place

Date

:
Signature of Candidate

___________________________________________________________________
DECLARATION BY THE PARENT

I _______________________________________________ declare that the particulars

furnished by my son/daughter/ward in this application form are correct & true to the best of
my knowledge.
I undertake and bind myself to pay on behalf of my son/daughter/ward such fees, charges
etc., which Damodaram Sanjivayya National Law University may levy from time to time. In
the event of failure on my part and / or on the part of my son/daughter/ward in this regard, the
Registrar, Damodaram Sanjivayya National Law University may take such action against my
son/daughter/ward as he may deem fit and necessary.

I also undertake to ensure his/her good conduct.

Place :
Date :

Signature of the Parent

List of Enclosures: (enclose Xerox copies only).

1. Proof of Age

2. Marks statement of X Standard, Marks statement of XII Standard / Intermediate or

Equivalent / UG from any recognized University.
3. T.C. & C.C. issued by the Head of the Institution last studied.
4. Latest Caste Certificate/Income Certificate/Disability Certificate in case of SC / ST / BC /
Differently Abled Person.
5. Local Candidate Certificate
6. Self addressed envelope.
7. One passport size photograph
8. The filled in application form along with a fee of Rs. 2000/- (Rupees two thousand only)
by Demand Draft drawn on any nationalized bank, in favour of Registrar, Damodaram
Sanjivayya National Law University payable at Visakhapatnam.

*All the above Original Certificates should be produced at the time of Counseling.

Note :
Incomplete application forms shall be rejected and no further correspondence with regard
to rejection of application shall be entertained.
Any concealment of material facts or furnishing wrong information will lead to cancellation
of admission / appropriate legal action at any time.
The University reserves the right to cancel the admission of any candidate who indulges in
any act of ragging / indiscipline / guilty of misconduct during the course of study at
Damodaram Sanjivayya National Law University.
Application form should be only on A4 size paper and printed on one side only.

Any dispute arising out of the programme is subject to the jurisdiction of Courts in Visakhapatnam
only.
Important Dates:
Last Date for Receipt of Filled in Application Form

: 06-06-2015

Date of Screening Test / Group Discussion

: 21-06-2015

Date of Counseling

: 04-07-2015

Commencement of Classes for the academic year 2015-16 : 13-07-2015

DAMODARAM SANJIVAYYA NATIONAL LAW UNIVERSITY

Name of the Applicant

(Estd. under Govt of A.P. Act No. 32 of 2008)

Plot No. 116, Sector-11, MVP Colony, Visakhapatnam-530017
Ph: 0891-2529952, Fax: 2502369
E-mail:academicdsnlu@gmail.com, Website: dsnlu.ac.in
(Candidate Copy)
4 Year LL.B.,LL.M.(Dual Degree) - 2015 HALL TICKET
:

Name of the Father/Guardian

Hall-Ticket No.

Centre

Signature of the Candidate

Paste Recent Passport size

Photograph

REGISTRAR
Note: 1. The Candidates are informed that mere attendance at the Entrance Examination does not give any right to claim a seat subsequently.
2. The University reserves the right to fill or not to fill any of the seats for admission into the programme.

DAMODARAM SANJIVAYYA NATIONAL LAW UNIVERSITY

(Estd. under Govt of A.P. Act No. 32 of 2008)
Plot No. 116, Sector-11, MVP Colony, Visakhapatnam-530017
Ph: 0891-2529952, Fax: 2502369
E-mail:academicdsnlu@gmail.com, Website: dsnlu.ac.in

(Office Copy)
4 Year LL.B.,LL.M.(Dual Degree) - 2015 HALL TICKET
Name of the Applicant

Name of the Father/Guardian

Hall-Ticket No.

Centre

Signature of the Candidate

Paste Recent Passport size

Photograph

REGISTRAR
Note: 1. The Candidates are informed that mere attendance at the Entrance Examination does not give any right to claim a seat subsequently.
2. The University reserves the right to fill or not to fill any of the seats for admission into the programme.

DAMODARAM SANJIVAYYA NATIONAL LAW UNIVERSITY

Name of the Applicant

(Estd. under Govt of A.P. Act No. 32 of 2008)

Plot No. 116, Sector-11, MVP Colony, Visakhapatnam-530017
Ph: 0891-2529952, Fax: 2502369
E-mail:academicdsnlu@gmail.com, Website: dsnlu.ac.in
(Examination Centre Copy)
4 Year LL.B.,LL.M.(Dual Degree) - 2015 HALL TICKET
:

Name of the Father/Guardian

Hall-Ticket No.

Centre

Signature of the Candidate

Paste Recent Passport size

Photograph

REGISTRAR
Note: 1. The Candidates are informed that mere attendance at the Entrance Examination does not give any right to claim a seat subsequently.
2. The University reserves the right to fill or not to fill any of the seats for admission into the programme.