Durgapur Institute of Legal Studies

Student Enquiry Form

Name of the Candidate

Father's / Husband's Name

Mother's Name

Address (Permanent)

Address (Mailing)

Name and Address of Local Guardian

Email ID

Contact No.

Date of Birth

Nationality

Sex

Marital Status

Caste

Religion

Blood Group

Academic/Employment Details

Name of the Institution / Board / University last attended

Registration No. with year of the Institution / Board / University last attended

Present Engagement elsewhere (if any)

For Academic Course of Study: Nature of Course

Date of Commencement

For Employment: Nature of Job

Place

Examination Passed

Madhyamik or its equivalent examination

Name of the Board / Council

Name of the School

District

Registration No.

Roll No.

Year of Passing

Full Marks

Marks Obtained

Higher Secondary or its equivalent examination