UNIVERSITY OF JAMMU,

JAMMU
Application Id:
JUET1115947393
Payment ID. (NAAC Accredited 'A +' University)
order_IJng09FRDH13vv
THE JAMMU UNIVERSITY ENTRANCE TEST ( JUET-2021)

ADMISSION FORM
1. Applicant Details:
(a). Name: GOPAL SHARMA
(b). Date of Birth: 18/
January /1991
(c). Father's Name: BABLI KUMAR
(d). Mother's Name: BIMLA DEVI
(e). Gender: Male
(f). Category: General/open Category ,
None of The Above
(g). Programme/Task: Common Registration form for all PG
Programme
(h). Disability : No
(i). Nationality: Indian
(j). Excelled in cultural & Literary No (k). Defence/Ex- No
Activities: Servicemen/Children of
Defence/Police Personnel:
(l). Area adjoining the actual line of No (m). Backward Area Other Than No
Control/IB: District Leh & Kargil:
(n). Weak & Under Privileged Classes as No (o). Sports Person: Yes
Notified in S.R.O. by State:
(p). NCC Activities: No (q). NSS & Bharat Scouts & No
Guides Activity:
(r). Single girl child: No (s). Kashmiri migrant: No
(t). Parent a Permanent Employee of the No (u). EWS Category: No
University of Jammu:
(v). Permanent residents of the territorial No (w). Pahari Speaking People No
jurisdiction of the University of Jammu Category (PSP):
(Jammu Province):
(x). Self-Finance Seats: No
(y). Studied Persian in 10th: No (z). Studied Biology or EVS in No
12th:
(aa). Monthly Income: 360000 (ab).Are You Employed: No
(ac). Have you Done PG / Master: No
(ad). Are You NGO/NRI/Industry No (ae). Pattern of Qualifying Exam 10+2+4(Yes)
Sponsored Candidate: (10+2+3 / 10+2+2/ 10+1+3):
(af). Name of the Last Institute Attended:: HPU (ag).Name of the District of the Not Applicable
Last Institute attended:
(ah). Are You seeking admission in (M.Ed/ M.P.Ed/ M.Lib.I.Sc): No
2. Permanent Address:
(a) Street/Area: H No 785/a, Jalebi Morh,
(b) Post Office: Subash Nagar (c) District: Jammu
(d) PIN/ZIP code: 180005 (e) State code: Jammu And Kashmir
(f) Land Phone: India (g) Mobile No: 9149669099

3. Communication Address:
(a) Street/Area: H No 785/a, Jalebi Morh,
(b) Post Office: Subash Nagar (c) District: Jammu
(d) PIN/ZIP code: 180005 (e) State code: Jammu And Kashmir
(f) Land Phone: India (g) Mobile No: 9149669099
4. Mobile No. 9149669099 5. E-mail gopalindians@gmail.com
6. Educational Qualification:
Examination Passed Board/ University Year of Passing Total Marks CGPA Marks
obtained
10th std. Central Board of Secondary Education,
2007 500 337
Delhi
(10+2)th std. Central Board of Secondary Education,
2009 500 281
Delhi
Qualifying Degree/UG Himachal Pradesh University, Himachal
2014 10400 7289
Pradesh
B.P.Ed. (if Applying for M.ped)
B.Ed.(if Applying for M.Ed)
B.Lib.I.Sc.(if Applying for
M.Lib.I.Sc.)
Final Semester/ Year of the Himachal Pradesh University, Himachal 2014 1300 1019
qualifying examination Pradesh
7. Courses applied for:
LL.B. (3 Years)
8. College Preferences:
S.N. College Name/Address
1  Main Campus(LL.B. (3 Years))
2 KC Law College, Jammu(LL.B. (3 Years))
3 Dogra Law College, Jammu(LL.B. (3 Years))
4 Ashoka Law College, Kathua(LL.B. (3 Years))
DECLARATION:

a) It is hereby confirmed that I have carefully read the concerned Information Booklet available in the University Of Jammu before filling up the Application Form.

b)I affirm that the information provided by me in this application is true to the best of my knowledge. I understand that any false or misleading statement may
constitute for denial of admission or later expulsion. My parents/guardian is in consent with the information provided (for dependants)

c) I have carefully read and understood the instruction indicated in the prospectus eligibility criteria, rules & regulations and other information in prospectus. That I
am medically fit to undergo this course.

d) I undertake to abide by the instruction indicated in the prospectus and any regulation formulated by the institute after my joining. Institute is free to initiate
suitable action in case I infringe the rules and regulation laid down by the institute.
Payment Date: 10-11-2021

Printed on : 17-12-2021 01:35 PM

(Signature of the candidate)
University Copy (Receipt for Online Payment) Student Copy (Receipt for Online Payment)

Receipt - Application Form 2021-22 Receipt - Application Form 2021-22

Application No: JUET1115947393 Application No: JUET1115947393
Challan No: order_IJng09FRDH13vv Challan No: order_IJng09FRDH13vv
Order Date: 10-11-2021 11:54 AM Order Date: 10-11-2021 11:54 AM
Name: GOPAL SHARMA Name: GOPAL SHARMA
Email ID: gopalindians@gmail.com Email ID: gopalindians@gmail.com
Course Type: Postgraduate/PG Diploma (Regular Course) Course Type: Postgraduate/PG Diploma (Regular Course)
Course Name: Common Registration form for all PG Programme Course Name: Common Registration form for all PG Programme
Category: GENERAL/Open Category Category: GENERAL/Open Category
 DEPOSIT DETAILS (INR)  DEPOSIT DETAILS (INR)
Sl. No. Particulars Amount (Rs.) Sl. No. Particulars Amount (Rs.)
1 Total Amount Rs.850 1 Total Amount Rs.850
Amount in Words : Rs. Eight Hundred Fifty only Amount in Words : Rs. Eight Hundred Fifty only

Depositor Signature Bank Acknowledgement Depositor Signature Bank Acknowledgement

Non refundable Non refundable