Batch No.

Roll No.

THE NATIONAL UNIVERSITY OF ADVANCED LEGAL STUDIES

Application for Degree Certificate

(PLEASE FILL IN THE BLOCK WITH LETTER, FIGURES, CODE NOS. ETC. AS THE CASE MAY BE )

Self attested passport size photograph to be affixed here

PERSONAL DETAILS

1. Applicants Full Name in English (as it appeared in the University Records)

2. Sex:

0 = Male; 1 = Female

3. Address for Correspondence (In CAPITAL letters)

... ... ... ...

Telephone Mobile E-mail

: : :

... ... ...

ACADEMIC AND OTHER DETAILS

4. Examination passed

001 = Five Year Integrated B.A. LL.B. (Hons.)

002 = LL.M.

003 = Ph.D.

5. Month & Year of Examination

6. Register No.

7. Class Obtained
01 First Class with Distinction; 02 = First Class; 03 = Second Class

8. Convocation Status 0 = In Absentia; 1 = In Person

DECLARATION BY CANDIDATE
I have carefully read & noted the Instructions to the candidates before filling in this form. I declare that the information given above is true and correct to the best of my knowledge and belief. I undertake that I shall be responsible for any omission/ errors and wrong/incomplete entries made by me in this form.

Place:

Date: FEE DETAILS

Signature of the Candidate

Fee for B.A. LL.B. (Hons.) Degree Certificate: 165/Convocation Fee: 1,000/Cost of Application Form: 15/Fine: 50/-

Fee for LL.M. Degree Certificate: 265/Convocation Fee: 1,000/Cost of Application Form: 15/Fine: 50/-

Amount of fees remitted ..

Receipt No

Dated

Instructions
1) The application form duly filled in shall be sent to the Registrar, the National University of Advanced Legal Studies, NUALS Campus, H.M.T Colony P.O., Kalamassery, Kochi 683 503, before the last date prescribed in the notification. 2) The fee shall be remitted in the office of NUALS during office hours. Outstation candidates may remit the fee by demand draft drawn in favour of the Registrar, the National University of Advanced Legal Studies, payable at Kochi.