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APPLICATION FORM FOR 5 YRS B.A./B.SC LL.B. (HONS.) PROGRAMME VACANT SEATS
Name
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Surname
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PERMANENT ADDRESS
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HOUSE NO. & STREET
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LOCALITY
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CITY
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PIN
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STATE
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PHONE NUMBER
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MOBILE NUMBER
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EMAIL ID
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CLAT 2016 ROLL NO
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CLAT 2016 SCORE
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ALL INDIA CLAT 2016 RANK
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RESERVED CATEGORY
ARE YOU A PERSON WITH DISABILITY
IS YOUR STATE OF DOMICILE, WEST BENGAL
ARE YOU FROM NRI/NRI SPONSORED CATEGORY
Say yes only if you applied for NRI/NRI Sponsored Category in the CLAT Application
TRANSACTION NO/ID
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DATE OF TRANSACTION
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NAME OF THE BANK AND IFSC CODE
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AMOUNT
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