Form No. - ...................................

S . K . A C HA R YA INS T IT UT E OF L AW
KALYANI UNIVERSITY CAMPUS, KALYANI, NADIA DISTRICT, WEST BENGAL 741 235
Phone : 32974371, 25809895, 9432060350, 25022269
E-mail : response@skail.org, web site:www.skail.org

A unit of:
SIKKIM-BENGAL EDUCATIONAL TRUST
Photograph In Association with:
TM
TECHNO INDIA GROUP
Salt Lake City, Kolkata.

1. Name of the student (Use Block Letters)

First Name Middle Name Last Name

2. Father’s Name / Husband’s Name

3. Mother’s Name

4. Permanent Home Address

&
Communication Address, if any

Telephone Nos. Of candidate

E-mail

D D M M Y Y Y Y
5. Date of birth as per Secondary/Higher Secondary Certificate

D D M M Y Y
6. Age of the student (as on 1st June, 2008)

7. Sex : Male Female

8. Nationality

9. Whethers belongs to General/SC/ST/PH category General SC ST PH

10. Blood Group

11. Father’s Office Address

Telephone Nos. (residential & office)

E-mail
Academic qualification

12. Mother’s Office Address

Telephone Nos. (residential & office)

E-mail
Academic qualication
13. Annual Family Income Rs.

14. Higher Secondary or equivalent examination Passed Appeared and waiting for result

15. Higher Secondary or equivalent examination :

Name of the Examination

Name of Board / Council/University
Year
Roll No.
Name of School / College
Total Marks
Marks Secured
Percentage of Marks
Distinction, if any

16. Secondary / Madhyamik / School Final Examination :

Name of the Examination

Name of Board / Council / University
Year
Roll No.
Name of School / College
Total Marks
Marks Secured
Percentage of Marks
Distinction, if any

17. Whether the candidate is pursuing any other course of study : Yes No

18.. If yes, details thereof

19. Whether hostel accomodation is needed Yes No

I hereby declare that the informations given hereinabove by me are true to the best of my knowledge and belief. In case any information
furnished above is found incorrect, my admission shall be liable to be cancelled.

I have read the prospectus carefully and I agree to abide by all the rules and regulations of S. K. ACHARYA INSTITUTE OF LAW and the
UNIVERSITY OF KALYANI as in force from time to time.

Date:

Place:

(Signature of the student)

INSTRUCTIONS:
1. Application form should be filled in by the student legibly in his/her own handwriting.
2. Incomplete Application Forms are liable to be rejected.
3. Attested Photostat copies of the following documents should be enclosed with the application form:-
a. Mark sheet of the Madyamik,Higher Secondary (10+2) or equivalent examination.
Candidates who have appeared at the above examination and who are awaiting their results by June/July 2008 can submit
their Application Form. However, they must state the fact in the prescribed column (column 1 4) in the Application Form.
b. Proof of Age - Birth Certificate or Admit Card/School Certificate mentioning the date of birth.
c. SC/ST/PH Certificate - In case of candidates belonging to SC/ST/PH category.
4. Recent Passport size photographs - 1 pasted on Application Form and 1 extra copy. At the time of admission, 5 stamp
size photographs and 1 passport size photograph to be submitted.
5. Receipt (perforated) along with the form to be given to the candidate.
6. Application Form should be sent by registered post and should be personally delivered to:
The Registrar,
S. K. ACHARYA INSTITUTE OF LAW,
Kalyani University Campus,
Kalyani, Nadia District,
West Bengal 741235.

For Office Use Counter Foil

S . K . A C HA R YA INS T IT UT E OF L AW
K A LYA N I U N I V E R S I T Y C A M P U S
R e c e i v e d w i t h t h a n k s f r o m M r. / M s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d u l y
filled in admission form no................. for 5 year integrated B.A. LL.B. (Hons.)
course for the session 20..... on ....................
Date of phase - .................... Entrance Examination........................

For SKAIL