XAVIER UNIVERSITY, ODISHA (Established by Xavier University Act 4 of 2013) Application Form XAVIER LAW SCHOOL Xavier University Bhubaneswar, Registration Paste your recent, Xavier City Campus, Number color, passport size Plot No:12(A), Nijigada, Kurki, (For Office use Only) photograph here Harirajpur-752050, Dist.-Puri, Odisha, --------------------------- No. : 01-XLS2018 *1. Details of Bank payment (Optional, Please check the relevant Advertisement) DD Number Date Amount Name of the Bank DD issuing branch’s name Providing the information sought below with * symbol are compulsory. Failing which the application may get rejected. *2. Name of the post applied for 3. of specialization Applicant’s area Personal Details *4. Name First Name Middle Name Surname (in Capital Letters) *5. Date of birth Day Month Year Age as on date of advertisement 6. Place of birth City / Village/State/Country *7 Email Id *8. name Father’s *9. name Mother’s *10 Nationality *11 Gender Male / Female/Others *12 Community/Category Gen/SC / ST / OBC / Other Categories . (delete the ones not If other category:- Give details applicable) 13. Marital status Married / Unmarried If married, name of spouse *14 If physically disabled, indicate If applicable, Percentage of S.No. of Proof enclosed . the relevant particulars Disability Write ‘yes’ a. Blindness or low vision: b. Hearing impairment c. Locomotor disability or cerebral palsy (includes all cases of orthopaedically handicapped)
XAVIER UNIVERSITY, ODISHA (Established by Xavier University Act 4 of 2013) Application Form XAVIER LAW SCHOOL Xavier University Bhubaneswar, Xavier City Campus, Plot No:12(A), Nijigada, Kurki, Harirajpur-752050, Dist.-Puri, Odisha, No. : 01-XLS2018 Registration Number (For Office use Only) --------------------------- Paste your recent, color, passport size photograph here *1. Details of Bank payment (Optional, Please check the relevant Advertisement) DD Number Date Amount Name of the Bank DD issuing branch’s name Providing the information sought below with * symbol are compulsory. Failing which the application may get rejected. *2. Name of the post applied for 3. Applicant’s area of specialization Personal Details *4. Name (in Capital Letters) First Name Middle Name Surname *5. Date of birth Day Month Year Age as on date of advertisement 6. Place of birth City / Village/State/Country *7 Email Id *8. Father’s name *9. Mother’s name *10 Nationality *11 Gender Male / Female/Others *12 . Community/Category (delete the ones not applicable) Gen/SC / ST / OBC / Other Categories If other category:- Give details 13. Marital status Married / Unmarried If married, name of spouse *14 . If physically disabled, indicate the relevant particulars If applicable, Write ‘yes’ Percentage of Disability S.No. of Proof enclosed a. Blindness or low vision: b. Hearing impairment c. Locomotor disability or cerebral palsy (includes all cases of orthopaedically handicapped)
Faculty-Application-Form-XLS.docx