AMISSION FORM

Part-
In 3/5 years Law Course Session: 2018-21/23

Imamul Hai Khan Law College

[A MINORITY COLLEGE]
Established by Imamul Hai Khan Education Society
[Affiliated to Vinoba Bhave University & Bar Council of India]
BOKARO STEEL CITY [BOKARO]
Roll.No. Admit/Rejected
Receipt No. & Date Principal/Admission I/c.

To,
The Principal / Prof-in-charge

Sir,
I want to join LL.B, 5years Law course of the College and
request that I may be admitted to the Class. Necessary information are
mentioned below.
Yours faithfully

Signature

Part-I Roll No. Session Only for students

Being admitted in Part-II or Part-III
Part-II/III/IV/V/ Roll No. Session

1. Full Name of the applicant (in Block Letters)

2. Phone .No Addhar No: :
3. Father’s Name Occupation
4. Permanent Address- Muhalla
Village /Town Police Station
Post Office District
5. Date of birth (as recorded in the Matriculation Certificate)
6. Nationality Married or Unmarried
7. I Propose, while at College, to reside:-
a) With Parents / Guardian (strike out that do not apply)
8. Name of the Guardian / Father
a) Guardian / Father Occupation Mobile No.
Local Address
b) Approved Guardian Self Mobile No.
Local Address
9. Whether the applicant is Schedule Tribe / Caste or Other Backward Class
a) Schedule Tribe
b) Scheduled Caste ............... [Strike out that do not apply]
c) Other Backward Class ............. [Whether Annexure I or II]
10. Following details to be furnished:-
 Name of the Matriculation Intermediate/Higher Bachelor Other Exam
Examination Passed or Secondary Secondary/Equivalent Examination
Years of Passing
Division / Class
Name of the Institution
Total Aggregate

a) Registration Number (VBU) Year

b) Whether the applied for Migration (If coming from other University)
Yes / No
11. Whether the applicant is employed ? Yes or No
12. If employed, then employer address
13. Address to which correspondence, if any to be sent (in block letters)
AN – UNDERTAKING
1. I am aware of the University regulation to the effect that I have to attend at least 70% of the
lectures delivered in each subject and undertake to attend the same failing which I shall not be
entitled to appear in the university of law examination
2. I further undertake to pay the Annual fee of the college on notified date otherwise I will have to
pay fine according to the fee regulations mentioned in the prospectus or rules of the college my
name may be struck off from the rolls in default of non payment thereof.

Signature of the Applicant

DECLARATION BY FATHER / GUARDIAN
I declare that the statements furnished by my son / daughter / ward are true and that while at college he /
she shall observe the rules prescribed by the college and University. He / She shall pay fee before the
notified date, of the college that he / she shall while remaining in the college, be subject to discipline and
shall be regular in at attending his class lecture otherwise his name may be struck – off from the roll of
the college.
Place _________________
Date _________________ Signature of Father / Guardian

Note: Attested copies of the following documents are to be furnished with the application, but original
must be shown for verification by the office at the time of admission.
(a) Admit card (from Matric to IA/ISc/ICom onwards)
(b) Mark Sheet (from Matric to IA/ISc/ICom onwards)
(c) College Leaving Certificate (in original)
(d) For Schedule Tribe / caste or backward class candidates Certificate relating to caste / income
Certificate of father or guardian.
(e) 3 Copies recent passport size photographs (Black & White) must be attached.
(f) Migration Certificate (Original)
(g) Affidavit (h) Others