14/08/2020 cccbaonlineadmissionportal.in/appformPrint.aspx?

FormID=CCCBA2001743

City College of Commerce and Business

Administration
13, Surya Sen Street, Kolkata - 700 012, West Bengal.

Application for Provisional Admission to B.Com Honours

(SESSION: 2020-2021) SEMESTER I

Date - 14/08/2020
________________________________________________________
Combination Code: GRP1,GRP2
Application Form No. : CCCBA2001743

1. Name in Full AYUSH TIWARI

2. Date of Birth Gender: MALE

15/02/2002

3. Nationality INDIAN

4. Religion: Hinduism

5. Category: General

6. Physically Handicapped (PH) No

7. Outstanding Sports Person No

8. Year of passing H.S/Equivalent

2020

9. Blood Group

10. Lecture Delivered ENGLISH

11. Extra curricular activities NSS

12. Subject combination : GRP1,GRP2 (GRP1,GRP2)

13. Language group ENGM

14. (a) Father's Name ajay kumar tiwari

     (b) Mother's Name suman tiwari

     (c) Annual Family Income (in Rs.) 200000.00

     (d)Guardian's Name ajay kumar tiwari

15. (a)Permanent Address of the Candidate 1/6 b cossipore road

     (b)State of Domicile West Bengal

     (c)Pin 700002

     (d)Country INDIA

16(a). Present Address of the Candidate 1/6 b cossipore road

     (b)State of Domicile West Bengal

     (c)Pin 700002

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     (d)Country INDIA

17. Nearest Railway Station kolkata railway station

18. Mobile 9330129109

19. Email AYUSHTIWARI0036@GMAIL.COM

20. Aadhar No

21. Minority NO

22.Location. Semi-Urban

23. B.P.L / A.P.L APL

24. Previously University Registered No

25. Mother Tongue HINDI

26. Whether passed (10+2) or Higher level

Examination from Non-Formal education
No
system (Approved by Distance Council of India
or UGC)

RESULT OF QUALIFYING EXAMINATION

Name of the Examination: HIGHER SECONDARY       Roll No: 4107111343        Year: 2020

Institution Name: SHREE MAHESHWARI VIDYALAYA

Board: WBCHSE  

MARK SHEET

Sr. Subject Full Marks Marks Obtained

[Best Four Subjects and Honours Subject
(For Honours Candidate) and Best Four
Theory Practical Theory Practical Subjects (For General/Pass Candidate)]

1 HINDI 80 20 53 20
2 ENGLISH 80 20 24 19
Best Four (%): 65.00, Subject
3 ACCOUNTANCY 80 20 53 18
Concern (%): 73
4 BUSINESS STUDIES 80 20 24 19
5 ECONOMICS 80 20 53 20

DOCUMENTS TO BE PRODUCED AT THE TIME OF ADMISSION

(i) Proof of date of birth: Original & attested copy.
(ii) Marksheet / Admit Card of the qualifying exam (10+2): Original & attested copy.
(iii) SC/ST/BPL/other certificate: Original & attested copy (if applicable).
(iv) Transfer Certificate / Migration certificate (wherever applicable): Original.
(v) Acknowledgement of Application / Admission Fee (Bank Receipt).
(vi) One copies of recent photograph (passport-size) & Three copies of recent photograph

I do hereby declare that (i) All entries made by me in this form are true. If anything found wrong, my candidature shall
be liable to be cancelled. (ii) Application will be cancelled if any mistake repugnant to the cause is detected
irrespective of its origin. (iii) My student ship will be liable to be cancelled if the statement made in the form and/or the
documents submitted are found to be false in any stage. (iv) I undertake to abide by all the rules and regulations of the
college and university now in force or to be in force during the course of my study in this college. (v) If i fail to submit
migration/registration certificate (if required) within the stipulated period, I would not request the authority to condone
any dicision with regard to continuation of studentship in this college. (vi) Failure to attend 75% of classes help or
failure to secure pass marks in each subject in test examination would debar me from sent-up for respective degree
examination. I will never indulge in ragging, if i do then my studentship will be liable to cancelled.

Signature of the Applicant

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