Last Date for receipt of filled in Application without fine : 18-04-2012
Cost of the Application : Rs 250/-
(See instructions overleaf before filling) This sheet is for computer processing. Any deviation in filling is not accepted and such applications may be rejected.
3 Year
Name
ICR Application Form - LAWCET-2012
CONDUCTED BY SRI VENKATESWARA UNIVERSITY, TIRUPATI. UNDER THE AEGIS OF APSCHE, HYDERABAD.
Application Number
1. Name of the applicant in full (IN BLOOK LETTERS as per SSC / X Class Certificate)
Surname 2. Fathers Name
Day
3. Date of Birth as entered in S.S.C
Month
Year
4. S.S.C Hall ticket No.
1 9
5. Month & Year of Passing S.S.C
6. Reservation Category : (Put X mark)
SC ST BC-A BC-B BC-C BC-D BC-E PH SPORTS NCC NSS CAP
7. Test Centre Opted Centre Code Centre Name
8. Qualifying Exam
(Put X mark) 10+2+3year B.A. 10+2+ 3year B.Sc. 10+2+3year B.Com 10+2+other 3 year Degree or equivalent others Appearing Passed % of Marks
If Passed
9. Parents/Guardians Income
(Put X mark in the appropriate box) Less than one Lakh Betwen one and two Lakhs More than two Lakhs
See Back side for list of centres
10. Sex (Put X mark)
Male Female
11. Minority (Put X mark)
Muslim Others Christian
12. Local/ Non Local (Put X mark)
AU Area OU Area SVU Area Others
13. Address for Communication (CAPITAL LETTERS only) Name: Address:
14.Telephone No : STD Code Number
Mobile No :
0
Affix (paste) recent
Pin:
Passport size photo (Black & White) duly attested by the Principal of the College last studied or Gazetted Officer. Fix within the box only. (Do not staple or pin)
15. Identification Marks as in S.S.C.
1. 2. Declaration by the Candidate
I declare that the information given above is true to the best of my knowledge and Belief. I am aware that if all or any part of the information given above is found incorrect, my application is liable for rejection. Admission if any made on such incorect information stands Cancelled and liable for penal action
Signature of the Candidate
INSTRUCTIONS AND EXAMPLES TO FILL IN ICR FORM FOR LAWCET -2012 1. The ICR form should be handled carefully. It should not be mutilated or folded. Mutilated or folded forms will not be accepted. ICR form should be filled properly and legibly by the candidates in his/her own hand writing with ball pen, (blue or black) as shown below. Do not overwrite on the form. Please write CAPITAL letters for SL No 1 and 2 and Bold Numbers in SL No 3,4,5 and 7 and put x for SL No 6,8,9,10,11,12, inside the small boxes wherever needed. If not applicable, do not put any other mark in the box and leave the box blank. Duly attested BLACK AND WHITE PASSPORT SIZE PHOTOGRAPH SHOULD BE PASTED ON THE APPLICATION FORM. Please do not staple or pin the photograph. If Candidate applies for 3 year Law Course on the application form of 5 Year Law Course, or vice versa, the application will be rejected. Code 0 1 0 2 0 3 0 4 0 5 0 6 0 7 0 8 Centre Place
ANANTHAPUR KADAPA GUNTUR HYDERABAD KARIMNAGAR KURNOOL NALGONDA N ELLORE
2.
3.
4.
5.
6. Test Centre Codes: Code 0 9 1 0 1 1 1 2 1 3 1 4 1 5 Centre Place
NIZAMABAD RAJAHMUNDRY SRIKAKULAM TIRUPATI VIJAYAWADA VISAKHAPATNAM WARANGAL
NAME OF THE CANDIDATE Fill the form in CAPITAL letters only. Leave one blank space after each word For Example: SUBBA RAO PAMARTHI
Name: Surname:
S U B B A
R A O
P A M A R T H I
NOTE: Photo Copy/Xerox Copy of the Application will not be Accepted
