APPLICATION FOR ADMISSION INTO LONG TERM CLAT COACHING – 2019

Personal Details
1. Surname of the Candidate
2. Name of the Candidate
3. Father’s Name
4. Date of Birth (dd-mm-yyyy)
5. Caste Category
6. Parental Income Sealing Limit  (Upto 2 Lakhs)
7. Contact Number of the Parent
8. Permanent Address With State
9. Aadhaar Number
Intermediate Education Details
10. Hall Ticket Number
11. Year Of Passing
12. Group
13. Marks Secured(Excluding Langues) (Boath Theoretical and Practical Marks)

Mathes : Botany : Zoology : Commerce : Histrory : Economics :

Chemistry: Physics: Civics:

Total:  

14. Name of the Institution studied
15. Passport size Photograph
16. Signature
Enter DD details
17. Name of the Bank
18. DD Number
19. Date you applied (DD-MM-YYYY)
20. DD MICR Number