JOGAMAYA DEVI COLLEGE  

Paste one recent passport

92, SHYAMA PRASAD MUKHERJEE RD, KOLKATA- 700026 size photo in the form and
provide another copy of
the same passport size
APPLICATION FORM FOR ADMISSION TO 2nd SEM photo for I-Card.

(Session :2019-20)

  Students' Signature  

Form No. : 758

Name : P O U S A L I S H O M E

Mother's Name : S O N A L I C H O W D H U R Y

Father/Guardian Name :

Address for T/39 SUBHASH PALLY, GARIA KOLKATA, P.O-GARIA, P.S-BANSDRONI,

Communication : Address :
City-KOLKATA, Dist-KOLKATA, Pin-700084

District :

State :

Pin Code :

Mobile No. :  

Caste . : GEN    

Aadhaar Card
Date of Birth: 28-12-2000
No:

Annual Family Income:    

Scholarship
Scholarship: No
Details:
Academic Details :
Course Type Honours  

Course : English  

CU Registration No : 014-1211-0041-19

College Roll No :

1st Sem University Roll No

-
:

1st Sem University Result :

Type of Admission : Admission

General Subject : Political Science History

Career Oriented Courses : Yes Foreign Language Training Course (German/ French/ Japanese/ Spanish)

   
Date : Signature of Student