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Application Form 2014

This document is an application form for admission to the M.A. program in Economics at the University of Calcutta. It requests personal information from the applicant such as name, address, contact details, educational history, family income, and preferred subjects. The applicant must provide marks scored in previous qualifying examinations, copies of mark sheets, proof of date of birth, and certificates if applying under a reserved category. The applicant declares that all information provided is true and agrees to abide by the rules and regulations of the University.

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Neepur Garg
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10K views2 pages

Application Form 2014

This document is an application form for admission to the M.A. program in Economics at the University of Calcutta. It requests personal information from the applicant such as name, address, contact details, educational history, family income, and preferred subjects. The applicant must provide marks scored in previous qualifying examinations, copies of mark sheets, proof of date of birth, and certificates if applying under a reserved category. The applicant declares that all information provided is true and agrees to abide by the rules and regulations of the University.

Uploaded by

Neepur Garg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FromNo.

MARKSINHONOURS

OUTOFMARKSOBTD.

Category:Gen/SC/ST/OBCA
/OBCB
CU/NonCU
HONS.PASSED:2013/2014
PWDYESNO

UNIVERSITYOFCALCUTTA
UNIVERSITYCOLLEGESOFARTS&COMMERCE
ApplicationFormforAdmissiontoM.A./M.Sc.inEconomics
ApplicantsName:
Honourssubject:
General1
General2
University:
College

Passportsize
photo
pastehereand
sign

3(A)WhetheradmittedlastyearSubject:
(B)Ifyes,courseinwhichadmittedSelectionNo.

4.RegistrationNo.(Mandatoryforall)

Section:

5.StatementofMarksat(10+2)Level
Subject

VernacIar

English

1st Elec

2nd Elec

Marksobtd.

FullMarks

6.StatementofMarksinthelastqualifyingExamination
Examin
Yearof RollNo.
Honourssubject Pass
ation
Passing
(1)
Marks

BA/BSc/
obtd
BCom
Full
Pt.1
Marks

3rd Elec

RollNo.
4th Elec

Total(bestof5
incl2languages)

Pass
(2)

Pass
(3)

Aggregate
Hons. Pass

Marks

obtd
Full
Marks
Marks

BA/BSc/
obtd
BCom
Full
Pt.III
Marks
Totaloutof:Hons:GenPasssubjects:

ChoiceinorderofPreference
Subject(1)

(2)

(3)

(4)
ApplicationFeeRs.100/(Rs.50/forSC/ST/PWD)(DeposittoSBI,CUBr.CurrentA/cNo.33952775663under
theheadCalcuttaUniversityP.G.offlineapplication).PleaseattachCounterpartofCashDepositionreceipt
andwriteonthereverseName,CourseappliedforandMobileNo.ofthecandidate.
PaymentDetails:
NameoftheBranchofSBI
Challan/Scroll/DDNo.
Dt.ofdeposit
ApplicationFee

SignatureoftheApplicant

BA/BSc/
BCom
Pt.II

Receipt

AnapplicationformforM.A.inwiththeHonoursmarksofin
..from(nameofstudent)hasbeenaccepted
bytheofficeforthesession201416.

Signature(Receivedby)

PersonalInformationoftheApplicant

1.NameoftheApplicant:

2.DateofBirth:
3.(A)PresentAddress
(B)TelephoneNo.

MobileNo.
4.(A)PermanentAddress:
(B)TelephoneNo.

5.Email

6.State:
7.Nationality

8.Gender

9.MaritalStatus
10.BloodGroup

11.Religion
12.(A)FathersName

(B)Occupation
(C)MonthlyIncome
13.(A)MothersName:

(B)Occupation
(C)MonthlyIncome
14.(A)SpousesName:

(B)Occupation
(C)MonthlyIncome
15.(A)GuardiansName

(B)Occupation
(C)Relationship
16.Incomeofthefamilypermonth(Rs.)
17.Areyouenjoyinganyscholarshiporstipend
18.ExaminationPassed
Madhyamikor10Level
HigherSecondaryor(10+2)Level
YearofPassing

NameofSchool

NameofBoard

PercentageofMarks

N.B.ForWorkingJournalist:NameoftheJournal(withCertificate)
(incaseofAdmissiononMAinJournalism&MassCommunication)

Declaration/Undertaking

I,______________________herebydeclarethatalltheparticularsstatedbymeinthisApplicationFormare
true to the best of my knowledge and belief. I have read the relevant Information Brochure & Admission
SchedulepastedontheUniversitywebsite/PrintedHardcopy/NoticeBoardforAdmission.Ishallabidebythe
terms and conditions therein. It is entirely my responsibility, to prove my eligibility for admission to the
programme to which I will beadmitted and also,in respect of qualifications and entitlement foradmission
againstreservedcategory.Ifclaimed,tothesatisfactionoftheUniversity.Further,intheeventofsuppression
ordistortionofanyfactlikecategory,educationalqualifications,nationality,etc.madeinApplicationForm.I
understand that my admission if granted or degree acquired subsequently, is liable for cancellation. I also
understandthatthedecisionofUniversityofCalcuttaregardingmyadmissionwillbefinalandIshallabideby
therulesandRegulationofUniversityofCalcuttafromtimetotime.

Place:
Date:

SignatureofGuardian

SignatureofApplicant

Enclosures
1. Counterpartofpaymentreceipt.
2. Selfattestedtruecopiesofmarkssheetsofalltheexaminationspassed(10thstandardonwards)
3. ProofofDateofBirth
4. SC/ST/OBC(A)/OBC(B)/PWDCertificate,ifapplicable
5. FamilyIncomeCertificate

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