UNIVERSITY OF CALCUTTA

87/1, College Street, Kolkata-700073, West Bengal, India

Application Form for Under Graduate Examinations

Application Id. - 18D5130659 Date - 27/11/2018

Examination - B.COM SEMESTER-I (HONOURS) EXAMINATION-2018

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

Name : AASHMA JHA

Father's/Guardian's Name : MITHILESH JHA

Registration Number : 513-1211-0493-18 Roll No. : 181513-11-0001

Date of Birth 24/09/1999 Physically Challenged : No

Mobile : 7003874358
Gender : FEMALE
E Mail :
College Code : 513
College Name : SAMMILANI MAHAVIDYALAYA
Communication Address : Natun Diayara,Rabindra Nagar,Nayabad,

Subject/s to appear & Fees to be deposited

Subject code Subject name Subject Appear Type Lab Fees(Rs.)

GE1.1CHG Microeconomics I & Statistics

CC1.1CHG Business Laws

CC1.2CHG Principles of Management

CC1.1CH Financial Accounting I

ENGL English

Examination and Other fees 355.00

Total Fees to be deposited by the candidate to the College 355.00

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 subimission of form to the college by the Student - 30/11/2018
2. Student are required to submit the form along with fees to their College only.
3. For any change or correction, please contact your college.

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CHALLAN COPY FOR STUDENT
Received an amount of Rs.355 from AASHMA JHA having Registration No. 513-1211-0493-18 and Roll No. 181513-11-0001 as examination and other
fees for B.COM SEMESTER-I (HONOURS) EXAMINATION-2018(Under CBCS), after proper verification of all conditions including attendance as on
prerequisite of the candidate(as per extant regulation) to sit for the said examinations.

Date : (Signature of dealing person with college seal)