ADMISSION FORM FOR YEAR - 3

SESSION: 2018-2019
BANGABASI COLLEGE
19, RAJKUMAR CHAKRABORTY SARANI, KOLKATA 700009

STUDENT ID: COLLEGE ROLL: NAME OF THE APPLICANT:

STD-014942 RATAN PARAMANICK
CU REG NO: 142-1111-1275-17 CU ROLL:
YOUR PERSONAL DETAILS:
FATHER'S NAME: SUDHANSHU PARAMANICK MOTHER'S NAME: SWAPNA PARAMANICK
GUARDIAN'S NAME: SUDHANSHU STUDENT'S PHONE: 8981583277
PARAMANICK
DATE OF BIRTH : 26/06/1996 GENDER: M
CATEGORY: UNRESERVED RELIGION: HINDUISM
NATIONALITY: INDIAN STATE: WEST BENGAL
POLICE STATION: RAJABAGAN COUNTRY: INDIA
AADHAAR NO: 815122427361 BLOOD GROUP : -
PERMANENT ADDRESS: PRESENT ADDRESS:
Z-53 LENIN ROAD, BADARTALA Z-53 LENIN ROAD, BADARTALA
WEST BENGAL , KOLKATA PIN: 700044 WEST BENGAL , KOLKATA PIN: 700044
PIN CODE: 700044 PHONE: 8981583277
EMAIL : RATAN0099@GMAIL.COM MONTHLY FAMILY INCOME : ABOVE 20000
COURSE/PROGRAM : B.A. PSYCHOLOGY HONS SUBJECTS : PSYCHOLOGY, HISTORY,
POLITICAL SCIENCE

UNIVERSITY MARKS
SEMESTER - 1
SUBJECT THEORY PRACTICAL PROJECT
OBTAINED FULL OBTAINED FULL OBTAINED FULL
PSYA - PSYA 1 58.00 100.00 27.00 50.00 0.00 0.00
PSYA - PSYA 2 34.00 50.00 0.00 0.00 0.00 0.00
HISG - HISG 1 41.00 100.00 0.00 0.00 0.00 0.00
PLSG - PLSG 1 30.00 100.00 0.00 0.00 0.00 0.00
SEMESTER - 2
SUBJECT THEORY PRACTICAL PROJECT
OBTAINED FULL OBTAINED FULL OBTAINED FULL
PSYA - PSYA 3 41.00 100.00 0.00 0.00 0.00 0.00
PSYA - PSYA 4 22.00 50.00 21.00 50.00 0.00 0.00
HISG - HISG 2 30.00 100.00 0.00 0.00 0.00 0.00
HISG - HISG 3 47.00 100.00 0.00 0.00 0.00 0.00
PLSG - PLSG 2 13.00 100.00 0.00 0.00 0.00 0.00
PLSG - PLSG 3 62.00 100.00 0.00 0.00 0.00 0.00
DECLARATION BY THE STUDENT:

1. ALL THE STATEMENTS AND INFORMATION PROVIDED BY ME IN THIS APPLICATION ARE TRUE TO MY KNOWLEDGE AND BELIEF. IF
OTHERWISE OR IF IT APPEARS TO THE COLLEGE AUTHORITY THAT I HAVE, IN ANY WAY, CONTRADICTED THE PROPOSITION OF THE RULES
& REGULATIONS OF THE COLLEGE AND THE AFFILIATING UNIVERSITY, MY ADMISSION IS LIABLE TO BE CANCELLED.
2. IF I FAIL TO REPORT TO THE COLLEGE WITHIN 07(SEVEN) DAYS OF THE DATE OF COMMENCEMENT OF CLASSES WITHOUT SATISFACTORY
REASON & INFORMATION, THE COLLEGE AUTHORITY WILL HAVE EVERY RIGHT TO STRIKE OFF MY NAME FROM THE STUDENTS'
ATTENDANCE REGISTER.
3. I ALSO VOW TO ATTEND A MINIMUM OF 75% OF THE TOTAL CLASSES IN EACH COURSE AS PER THE NORMS OF THE UNIVERSITY OF
CALCUTTA.

DECLARATION BY THE GUARDIAN :

I, IN SUPPORT OF THE ABOVE DECLARATION BY MY WARD, COMMIT THAT I WOULD BE PREPARED TO REMOVE HIM/HER FROM THE COLLEGE
WHENEVER THE AUTHORITY CONSIDERS IT BEFITTING AND NECESSARY IN THE INTEREST OF ACADEMIC DISCIPLINE & GENERAL WELFARE OF
THE INSTITUTION. FURTHERMORE, I ASSURE THAT MY WARD WILL ABIDE BY THE RULES & REGULATIONS FRAMED BY THE COLLEGE AND THE
AFFILIATING UNIVERSITY FROM TIME TO TIME.

SIGNATURE OF THE GUARDIAN WITH DATE SIGNATURE OF THE APPLICANT WITH DATE
FOR OFFICE USE ONLY
SECTION STUDENT ID NO:
ROLL NO:
VERIFICATION BY: ADMISSION DATE :