Application for Admission to One Year

Post Graduate Diploma in Child Rights Law (Distance Mode)

NATIONALLAWSCHOOL OF INDIAUNIVERSITY (NLSIU)

Nagarbhavi, Bangalore - 560 242, Telephone No.23160528 (Direct);E-mail:

Before filling the application form, please read the general instructions.

  1. Name (in Capital Letters as entered in Degree certificate)

____________ Male / Female

  1. Official Address (if employed )______

State________Pin Code:______Telephone No. with (STD/ISD) Code:___________

Mobile: ______E-mail ______

Residential Address _____________

State:________Pin Code:______Telephone No. with (STD/ISD) Code:_________

E-mail (please give valid email ID as information is sent by email also: _____________

Please indicate the address for communication : OFFICIAL / RESIDENTIAL

(Any change in address should be intimated immediately in writing)

3. Academic Qualification/s: (Please furnish clearly the details of the Degree course)

Name of the Degree / Year of Passing / University /
Board / Class
Obtained / % of Marks Secured

Enclose attested (Gazetted Officers) photocopies of the academic qualifications (Basic Degree / Provisional Degree Certificate)

4. Present Position and Employer:

5. Date of Birth
6. Nationality / 7. Whether you belong to SC / ST / 8. Whether you belong to Rural / Urban
  1. FEE PAID DETAILS

Details of the Demand Draft (DD)
Name of the Bank / Application Fee / Rs.
D.D. NO. & DATE / Admission +Tuition Fee (Late fee, if any) / Rs.
Amount / Total Amount / Rs.
  1. I hereby undertake to abide by the Regulations and Rules prescribed by the University from time to time.

Date:

Place: Signature of the Applicant

Checklist before submission of filled-in application form

  1. Enclose attested (Gazetted Officer) copies of the certificates demonstrating academic qualifications (Example: Degree Certificate/Pass Certificate issued by the Competent Authority or Convocation Certificate).
  1. In case of non submission of the supporting documents, please note that you will be admitted provisionally and you are expected to furnish the relevant documents within 3 months from the date of provisional admission.
  1. Demand Draft for Rs. 10,100/- (11,100/- in case of downloaded forms) drawn in favor of the Registrar, NLSIU, Bangalore, payable at Bangalore.
  1. Two Passport size photographs for the purpose of University record and two stamp size photographs for issuance of Identity Card (ID) by the Distance Education Department.
  1. One duly stamped self-addressed envelope.

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. (Those who download the application form, the total fee + application fee has to be sent along with filled in application)
  1. Last date for submitting duly filled-in application is June 30th 2010(without late fee) and August 31st 2010 (with late fee of Rs. 500/-)
  1. Incomplete applications are liable to be rejected.
  1. The fee paid towards the course will not be refundable under any circumstances.
  1. Candidates are strongly advised to keep with them a photocopy of the filled-in application for their reference.
  1. Application must be addressed to:

The Coordinator, Child Rights Course (Distance Mode)

Centre for Child and the Law (CCL), NationalLawSchool of IndiaUniversity (NLSIU)

Nagarbhavi, Bangalore-560 242.

  1. Mark your envelope with the title “Application for the One Year Post-Graduate Diploma in Child Rights Law (PGDCRL)”.
  1. After enrollment you will be provided with an ID Number which shall be quoted in all your future correspondences.
  1. Please give a valid email ID in the given space and useful information is sent through the e group.

©PGDCRL, NationalLawSchool of IndiaUniversity (NLSIU) 2010-2011