JLU Application Form

Name of the Candidate:

Father's Name:

Mother's Name:

Religion:

Adhar No.:

Nationality:

Indian Others

If Others, Specify:

Program Applying for:

Date of Birth:

Passport No.:

Validity:

Require Student Visa:

YES NO

Mobile No:

Landline No:

Email Address:

Correspondence Address:

City / State:

Country:

PreQualifying Test (if applicable):	CAT MAT CLAT CMAT LSAT JEE
Date of Test
Score
Roll No. / ID
Percentile
Others Test (if any)

	Board / University	Subjects	Year	% Marks
Xth
XIIth

	Degree	Duration of Degree	Subject(specialization)	College/University	University Enrollment No.	% Marks
Graduation
Post Graduation

Work Experience:

Yes No

If "Yes" Total Work Experience(yrs):

Last Organisation	Designation	Date From	Date To	Last Salary(per month)	Full Time / Part Time

	Age	Qualification	Profession	Designation	Email ID	Mobile
Father's Details
Mother's Details