CHANAKYA NATIONAL LAW UNIVERSITY

Nyaya Nagar, Mithapur, Patna-800 001

Application fee for Convocation -2012

Name of the Candidate _____________________________________

Fathers Name____________________________________________
MothersName____________________________________________
Roll No._____________Session _____________________________
Course (B.A.,LL.B(Hons.) / LL.M / Ph. D______________________
Fee (Rs. 1000/-) D.D. No.__________Date_____________________
drawn on.of .(Rupees.)
Payable at Patna.
Address for communication :________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
E-mail-_________________________ ________________________
Contact No.______________________________________________
Signature of Candidate