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NATIONAL LAW SCHOOL OF INDIA UNIVERSITY

DISTANCE EDUCATION DEPARTMENT Nagarbhavi, Bangalore - 560 242 (Old Pin 560 072) APPLICATION FOR ADMISSION TO TWO YEARS MASTER OF BUSINESS LAWS / (M.B.L) ONE YEAR P.G. DIPLOMA COURSES IN MEDICAL LAW AND ETHICS (MLE) HUMAN RIGHTS LAW (HRL) ENVIRONMENTAL LAW (EL) INTELLECTUAL PROPERTY RIGHTS LAW (IPRL) CHILD RIGHTS LAW (CRL) CONSUMER LAW AND PRACTICE (CLP)

No:

Tel No. +91-80-2316 0524; Tele Fax No.+91-80-2316 0529 / 2316 0534; E-mail: ded@nls.ac.in

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Affix Photograph (Passport size)

2012 - 2013
Before filling the application form, please read general instructions carefully. Name of the Course *

SEX 1. Name (in Capital Letters as entered in Degree Certificate) 2. Date of Birth
DD MM YYYY

Place of Birth

4. Nationality

INDIAN / NRI/ FOREIGN NATIONAL

5. Whether you belong to

SC ST OBC 6. Residential Status 7. Physically Challenged

Rural Urban Yes No

8. Official Address (if employed) (BLOCK LETTERS)

State:----------------------------Telephone No. with (STD) Code: E-mail I.D.:

Pin Code:-----------------------------

* Candidate is permitted to register for more than one course simultaneously, by submitting a separate application.

9. Residential Address (BLOCK LETTERS)

State:----------------------------Telephone No. with (STD) Code: E-mail I.D.:

Pin Code:----------------------------Mobile No.:

Please indicate the address for communication : OFFICIAL (including the E-mail) (Any change in address should be intimated immediately) 10. Academic Qualification/s: (starting from latest degree) Detail(s) of Degree Year of Passing University / Board

RESIDENTIAL

Class Obtained

Percentage of Marks Secured

Please enclose photo copies of the Degree Certificates or Provisional Degree Certificate duly attested by a Gazetted Officer. 11. If presently employed, please furnish the following details: Name of Employer / Profession Designation From To

DETAILS OF THE FEE PAID 12. Details of the Demand Draft Name of the Bank D.D. No. & Date Amount Rs. Application fee Admission Fee Course Fee Total Fee Rs. Rs. Rs. Rs.

I hereby undertake to abide by the Rules and Regulations prescribed by the University from time to time.

Date Place

: : Signature of the Applicant

CHECKLIST FOR SUBMISSION OF FILLED-IN APPLICATION FORMS 1. Attested copies of the certificates attested by any Gazetted Officer demonstrating academic qualifications (Example: Degree Certificate/Pass Certificate issued by the Competent Authority or Convocation Certificate). In case degree certificate is not available or not issued by the university, a provisional passing certificate issued by the University, should be enclosed. If this is not available, attested copies of statement of marks of all the years of graduation should be furnished. In case of non submission of the required supporting documents, please note that you will be admitted provisionally and you are required to furnish the relevant documents within 31st October, 2012 failing which the provisional admission stands cancelled and the course fee will be refunded after deducting 30% of the amount towards processing charges. 2. 3. Demand Draft for Rs. ............. (Please see the Sl. No.10 below) drawn in favour of the Registrar, NLSIU, Bangalore, payable at Bangalore. Four latest passport and four stamp-size photographs for the University record, ID card and for conducting examination by the Distance Education Department.

GENERAL INSTRUCTIONS 1. All payments shall be made only through the Demand Draft drawn in favour of the Registrar, National Law School of India University, Bangalore, payable at Bangalore / Payment can also made through online Last date for submitting duly filled-in application is 30th June (without late fee) and 31st August (with late fee of Rs. 500/-) Incomplete applications are liable to be rejected. a) Candidate will not be permitted to withdraw from the course after admission. b) The fee paid towards the course will not be refunded under any circumstances. 5. 6. Candidates are strongly advised to keep with them a photocopy of the filled-in application for their reference. Application must be addressed to: The Coordinator, Distance Education Department (DED) National Law School of India University, Nagarbhavi, Bangalore-560 242. (Old Pin 560 072) 7. 8. 9.
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The title of the course applied should be clearly marked on the envelope. After enrollment you will be provided with an ID Number which shall be quoted in all your future correspondences with the Distance Education Department, NLSIU. Change of Course is not permitted once the admission formalities are over.
Fee Structure Master of Business Laws (2 Years) Application Fee Admission Fee Course Fee Admission Late Fee (After June 30 - till August 31 )
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Rs. 1,000/Rs. 2,000/- (one time) Rs. 10,150/- PA Rs. 500/-

All Post-Graduate Diploma Courses (1 Year) Application Fee Admission Fee Course Fee Admission Late Fee (After June 30 -till August 31 )
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Rs. 1,000/Rs. 2,000/Rs. 8,100/- PA Rs. 500/-