Application Form

* Indicate a Mandatory Field

Application Information

Select Course *

Name of The Applicant *

Mother's Name *

Father's Name *

Aadhaar No. of Applicant *

Aadhaar Image *

Whatsapp No. *

Govt. Employee *

Emailid

Telephone/Mobile No. *

DateofBirth *

Gender * Male Female

Maritial Status * Married Unmarried

Nationality *

Religion *

Category *

Mother Tongue *

Physically Handicapped * Yes No

Father Name / Guardian Name *

Father / Guardian Phone No. *

Present Address

Present address *

State *

Pin *

Same as Present Address

Permanent Address

Permanent address *

State *

Pin *

Details Of Academic Qualifications

Examination/Degree	Name of Board/University	Name of the School/College	Year of Passing	Maxium Marks	Total Marks Secured	% of Marks	Supporting Documents (Upload both Certificates / marksheets)
Post Graduation
BA.LLB/LLB
* BA/BSc/BCom or Equivalent
* +2 Arts/ Sc. / Comm or Equivalent
* H.S.C or Equivalent

Uploads (Upload file size maxium 500kb. Only PDF & PNG File Allow)

Upload Image * (Passport Size Photo-Maximum Size 100kb)

Upload Employeement Certificate (If employeed)

Upload Caste Certificate (For SC/ST/OBC/SEBC only)

CLC

Migration Certificate (If available)

Declaration

I do here by declare that all the information and particulars furnished by me in this application are true and correct to the best of my knowledge and i shall abide by all rules and regulations framed by college from time to time and i am not a Govt. employee.I shall forfeit my candidature in case of fraud or misrepresentation of facts on my part.

I do hereby undertake to maintain discipline and behave properly during my study as a student in Bhadrak Law College, failing which the college authorities shall have the right to take such action against me as may be deemed proper.

Signature Of the Candidate(upload image) *

Verification Code