M P R LAW COLLEGE, SRIKAKULAM

(Affiliated to Dr.BR.Ambedkar University, Srikakulam, Etcherla & Approved by B.C.I)

Ring Road, 7 Road Junction, Srikakulam-532 001 (A.P) Recent
Phone Nos. 08942-225747 (O) Cell No.9440193228 ; 9440195978; 7989008154 Passport Size
Photo
PROVISIONAL ADMISSION APPLICATION

For 3Year / 5Year LL.B/ SPOT & MANAGEMENT QUOTA ADMISSION

202 0 - 2021
01. Full Name of the Candidate :……………………………………………………………………………………………………………..
(In Block Letters)

02. Full Name of the Father/Mother

or Guardian :…………………………………………………………………………………………………………….

03. Sex : Male Female

04. Date of Birth :…………………………………………………………………………………………………………….

05. Mother’s Name :…………………………………………………………………………………………………………….

06. Address for Communication :………………………………………………………………................................................

(with email ID or Whatsapp No.)
…………………………………………………………………………………………………………….

07. Aadhar No. : ……………………………………………………………………………………………………………

STD Code: …………………. Phone No. ………………………………………………………
Cell No. …………………………………………………………………………………………………
08. Nationality, Religion, Caste &
Category : Nationality Religion Caste Category

09. Qualifying Examination : ………………………………………………………………………………………………..

10. MARKS OBTAINED BY THE CANDIDATE IN THE QUALIFYING EXAMINATION

PAPER I YEAR II YEAR III YEAR
Paper-I
Paper-II
Paper-III
Paper-IV
Paper-V
Paper-VI
Paper-VII
Paper-VIII
TOTAL

11. Total Marks : I Year + II Year + III Year : Aggregate %:

I hereby affirm that the particulars are true and correct to the best of my knowledge
Signature of the Candidate
_______________________________________________________________________________________________
 Note : The following Certificates should be enclosed:
1) Original Certificates of :(a) S.S.C or Equal lent (b) Intermediate or Equal lent (c) Degree P.C with Mark sheets
(d) Transfer Certificate (e) Caste Certificate(f)Adhar Card Zerox (g) Study Certificates(h)Migration certificate etc.,
2) Two sets of Xerox Copies of above mentioned certificates.
3) 5 Pass port size photographs.
 DECLARATION
I ………………………………………………………………………………………
S/o, D/o ……………………………………………………….. Joining in
3year/5year LL.B course (2020-21), in MPR LAW COLLEGE,
SRIKAKULAM that I am not in any full or part time
employment or service or not engaged in any
business/profession and I have not incurred any
disqualifications contemplated under section 24(A) of
Advocates Act 1961.
The Facts stated above are all true to the best of
knowledge, belief and information. If anything found to be
false, at a later date, I will be liable for punishment as per Law.

Signature of the Candidate

Full Address: