NATIONAL LAW INSTITUTE UNIVERSITY, BHOPAL

Kerwa Dam Road, Bhopal

Bhopal-462044,
462044, M.P. (INDIA)

APPLICATION FORM FOR ADMISSION

TO
MASTER OF CYBER LAW AND INFORMATION SECURITY
PROGRAMME– 2019
Academic Session 2019-20
Demand Draft No. /Receipt
Receipt No.………….……….Dated
No ………………
………….. Paste your Self
Attested Photograph
1. Application No. here
(To be filled by the Office)

2. Name:
(in block letters, as
given in the 10th class
certificate)

3(a). Father’s/ Husband’s

Name:

3(b). Mother’s Name:

4. Permanent Address:

Pin:
Pin

Phone with STD Code:

Current Address:

Pin:

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Phone with STD Code:

Mobile No.:

Email:

5. Sex Male: Female:

(Tick Mark (√) whichever is applicable)

D D M M Y Y Y Y
6. Date of Birth

(Attach copy of 10th class certificate)

7. Category GEN: SC: ST: OBC:

(Tick Mark (√) whichever is applicable and attach copy of certificate)

8. Madhya Pradesh State Domicile YES NO

(Tick Mark (√) whichever is applicable and if yes, attach copy of certificate)

9. Persons with Disability (PWD) Category YES NO

(Tick Mark (√) whichever is applicable and if yes, attach copy of certificate)

10. Details of marks secured in the examinations passed.

Marks/CGPA % of
Examinations Board/Institute/ Year of
Subject Max. Marks Marks/CGPA
Passed University Passing
Marks Obtained (Aggregate)

10th

12th

Under -
Graduate

(Attach copy of all certificates)

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11. Checklist for the Documents Attached (Tick Mark (√) whichever documents are attached)-

i. 10th Class Certificate

ii. 12th Class Certificate

iii. Under Graduate Certificate

iv. Caste Certificate (If applicable)

v. MP Domicile Certificate (If

applicable)

vi. PWD Category Certificate (If applicable)

12. If admitted, I undertake to abide by all the rules, regulations and guidelines of the University, issued
from time to time.

Date: Full Signature of the Candidate

Place: Name:

(Incomplete application form shall be summarily rejected)

FOR OFFICE USE ONLY

Receipt No./DD No……….……………..….Date……………………….Amount…………………………..

Signature of Recipient

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 NATIONAL LAW INSTITUTE UNIVERSITY, BHOPAL
Kerwa Dam Road, Bhopal-462044,
462044, M.P. (INDIA)

ALL INDIA WRITTEN TEST FOR MCLIS

CLIS PROGRAMME-
PROGRAMME 2019
ADMIT CARD

DATE: Paste your recent

REPORTING TIME: 08:30 a.m. Photograph here

PLACE: NLIU, BHOPAL

Candidate’s Name (in Block Letters): ………………………………………………………………………..

……………………………………………………
Father’s / Husband’s
’s Name (in Block Letters): ...………………………………………................................
...………………………………………......
Postal Address: …………………………………………………………………………………………………
……………………………………………………………………………
…………………………………………………………Pin………………………………
……………………………

For Office Use Only

Signature of the Candidate Signature of the Registrar

Roll No. …………………………….
\
_____________________________________________________________________

OFFICE COPY

DATE: Paste your recent

REPORTING TIME: 08:30 a.m. Photograph here
PLACE: NLIU, BHOPAL

Candidate’s Name (in Block Letters): ………………………………………………………………………

……………………………………………………

Father’s / Husband’s
’s Name (in Block Letters): ...……………………………………….............................
...………………………………………......

Postal Address: ……………………………………………………………………………………………….

……………………………………………………………………………

…. ……………………….……………………………………Pin.
Pin ..........................................

For Office Use Only

Roll No. …………………………..

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Signature of the Candidate Signature of the Registrar

INSTRUCTIONS TO CANDIDATES
1. Candidates will be required to report to the University at 08:30 a.m.
2. No candidates shall be permitted to enter the Examination Hall 15 minutes after the commencement of
the test.
3. Candidate shall not be allowed to carry/possess/use any electronic gadgets such as calculators, mobile
phones, watches with Bluetooth facility etc. inside the examination hall. They will be permitted to carry
only the Admit Card and Blue Ball Point Pen.
4. Candidates shall maintain discipline inside the examination hall and follow the instructions given by the
Centre Superintendent/Invigilator. Failure to maintain discipline and comply with the instructions may
result in disqualification from writing the examination.
5. Candidates found using unfair means will be expelled from the examination hall and consequently their
Answer Sheet will be cancelled. Unfair means, among other things, include the possession and/or use of
items prohibited under instruction No. 3. Queries related to this will not be entertained.
6. Rough Work should be done only in the space provided in the Question Booklet. Writing anywhere else
in the Question Booklet may result in rejection of one’s candidature.
7. No candidate shall leave the examination Hall till all the Question Booklets have been collected by the
Invigilator.

Note: Please preserve the admit card carefully as it has to be produced at the time of Examination
as well as Admission. Mere appearance in MCLIS- All India Written Test does not confer any right
of admission to course offered by NLIU, Bhopal.

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