Scribd Logo
Upload

Welcome to Scribd!

  • 4 views

    ENROLMENT_FORM_281-1111-0863-22_02-01-2025_15-11

    Uploaded by

    bonikrakesh6
    Thank you

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    ENROLMENT_FORM_281-1111-0863-22_02-01-2025_15-11

    Uploaded by

    bonikrakesh6
    4 views1 page
    Thank you

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Thank you

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views1 page

    ENROLMENT_FORM_281-1111-0863-22_02-01-2025_15-11

    Uploaded by

    bonikrakesh6
    Thank you

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    UNIVERSITY OF GOUR BANGA

    Established under West Bengal Act XXVI of 2007 & recognized by


    UGC U/S 2(f) & 12(B)
    Application Form for Under Graduate Examinations

    Date - 02/01/2025
    Application Id. - 2400684491

    Examination - B.A. SEMESTER - V (GENERAL) Examination (Under CBCS), 2024


    To
    The Controller of Examinations
    University of Gour Banga
    Sir,
    I request permission to present myself at the ensuing examination for which I deposit fees and furnish the required particulars as follows:

    Name : RAKESH KANGSHA BONIK

    Father's/ Guardian's Name : KALIPADA KANGSHA BONIK


    ABC Id. : 908-217-688-277
    Registration No. & Session : 281-1111-0863-22
    Roll No. : 2822GENA0543
    Date of Birth (DD/MM/YYYY) : 12/12/2004
    Physically Challenged : No
    Gender : MALE
    Mobile : 8388926410
    College Code : 28
    E-mail :
    College Name : Shree Agrasen Mahavidyalaya
    Communication Address : AT- SUBHASHPALLY, PO- DALKHOLA, PS- DALKHOLA, , UTTAR DINAJPUR, 733201

    Subject(s)/Course(s) to appear & Fees to be deposited:


    Srl. No. Subject Course Course Name Component
    Code Code
    (TH/PR/TU)
    1 HISG DSE-1A History of India: 1556 AD – 1760 AD TH TU

    2 PLSG DSE-1A Human Rights in a Comparative Perspective TH TU

    3 BNGG GE1 Bhraman Sahitya O Chhotogalpa TH TU

    4 PLSG SEC-3A Democratic Awareness with Legal Literacy TH TU


    Examination & other Fees to be deposited by the candidate to the College 970.00

    Late Fine 0.00

    *TH=Theory, PR=Practical,TU=Tutorial Total 970.00

    I declare that if any of the statement made in the above be found to be not true or if it appears that, in the opinion of the University, I
    have contravened the provisions of the University Rules and Regulations relating to the examination to which I now seek admission, my
    candidature for the examination shall be liable to be cancelled by the University.
    Date:
    Full Signature of the applicant with Date
    N.B.
    1. Last date of submission of online forms for UG Semester V Examinations 2024 (by the candidates): 24/12/2024 4PM

    2. Examination Fees along with the Application Form must be submitted by 6 pm, 03/01/2025 to your college,
    otherwise your application will be cancelled - By order
    3. For any change or correction, please contact your college.

    CHALLAN COPY FOR STUDENT


    Received an amount of Rs. 970.00 from RAKESH KANGSHA BONIK having Registration No. 281-1111-0863-22 and Roll
    No.2822GENA0543 as examination & other relevant fees for B.A. SEMESTER - V (GENERAL) Examination (Under CBCS), 2024,
    after proper verification of all conditions including attendance as prerequisite of the candidate(as per extant regulation) to sit for the
    said examinations.

    Date: (Signature of dealing person with college seal)

    You might also like