Sr. No.

18001977

KURUKSHETRA UNIVERSITY KURUKSHETRA

(Established by the State Legislature Act XII of 1956)

Admission Application Form : 2018-2019

Important: Candidates should study the instructions given in the Prospectus carefully before filling
this Application Form. No column should left unfilled. Write "N.A." against the
column(s), which do not apply to you. Fill the complete Form in BLOCK Letters in Affix
your own handwriting only. attested
Photograph
Application for Admission to Course: LL.B. ( Professional ) ( M ) Sem/Year
Name of the Department/Institute: Department of Law
K.U. Regn. (if any): 02-ECA-36

Entrance Exam. Fee, if applicable (To be filled by Dept. office)

Bank DD/Receipt Date Amount Application Form No.
No./Online (Rs.) Date of Receipt:
Entrance Test Roll No.
ICICI BANK 18061325364237 13/06/2018 600.00 Signature of the Official

Candidate's Name SANDEEP PURI Date of Birth 15/04/1984

Father's Name Mr. R K PURI Gender Male
Mother's Name Mrs. URMIL PURI Nationality Indian
Phone/Mobile No. 8375031061 Email id: er.sandeeppuri@gmail.com
Your GATE Marks (Only for students applying for M.tech. Course) : N.A.
Bonafide Resident of Haryana: Haryana Category
HOGC
Weightage

Summary of Educational Qualifications:

Examination Passed University/ Year of Subject(s) Roll No. Marks obtained/ %age of Division
Board Passing Total Marks marks
10th C.B.S.E. 1999 EnMathSciSS 2100784 412 / 500 82.40 1st
Class Skt
(Matric).
Plus 2 C.B.S.E. 2001 Non 2200648 321 / 500 64.20 1st
Medical
B.E. KU 2006 Computer 2302016 3691 / 5400 68.35 1st
/ Engg.
B.Tech.
Computer
Science
and
Engineering
MBA KU 2010 Finance 155902 2122 / 3250 65.29 1st
Mktng

(FOR office use only)

Merit for Admission Purpose(MAP)( To be filled by Admission Committee of the Department/Institute)
Haryana Category % age of Marks in 50% of marks Weightage MAP
Domicile marks in Entrance Test (max 10 marks)
Entrance Test Qualifying Exam
Qualifying
Exam.

Yes/No

Signatures of Committee members

1. 2. 3.

4. 5.

Admitted
Chairperson/Director of
Department/Institute
Permanent address: Mailing address:

521-B, Ward 18, Railway Road, 521-B, Ward 18, Railway Road,
Ambala City, Ambala City,
Haryana - 134003 Haryana - 134003
Ambala Ambala
134003 134003

Unique Aadhar No.

Parents Annual Income from all Sources: 6.00

Are you ward of Class-III/Class-IV Employee of Kurukshetra University? : No
Are you employed ?: No
Have you ever been expelled/rusticated/punished on account of misconduct/indiscipline by any Institution ?:
Are you enrolled in any other course in K.U.K. ?: No
Are you seeking admission in any other course in K.U.K. ?: No
Declaration by the Applicant and his/her Father/Guardian
I declare that entries made by me in this Admission Application Form are true in all respects and in any case,
any information is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable
to such action, as the university may deem proper.
I note that my admission to the university and my continuance on its rolls are subject to the provisions/rules of the
university, issued from time to time. I shall abide by the rules of discipline and proper conduct. I am fully aware of the
law regarding ragging as well as the punishment and that if found guilty on this account I am liable to be punished
appropriately.
I undertake that I shall not indulge in any act of ragging

Dated:
Place: Signature of the Father/Guardian Signature of the Applicant
Following documents are attached with Admission Form
• FOR WEIGHTAGES, copies of all DMCs of Univ/Board Exam passed before the Qualifying Exam
• DMC of Plus 2 (10+2) Examination
• Character Certificate from Head of Institution Last attended
• Certificate in support of Date of Birth
• Certificate in support of Bonafide Resident of Haryana, if applicable

Dated:
Place: Signature of the Applicant