UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 15/02/2021
Application Id. - 18D1450032

Examination - B.COM. SEMESTER - V (HONOURS) Examination (Under CBCS), 2020

To
The Controller of Examinations
University of Calcutta

Sir / Madam,
I request permission to present myself at the ensuing examination and furnish the required particulars as follows:

Name : DEEPAK KUMAR ROY

Father's/ Guardian's Name : SHIVNATH ROY

Registration No. : 145-1111-0032-18
Roll No. : 181145-21-0076
Date of Birth : 22/08/1999
Physically Challenged : No
Gender : Male
Mobile : 9437054772
College Code : 145
E-mail :
College Name : GOENKA COLLEGE OF COMM. & BUSINESS ADMN
Communication Address : Januganj Remuxa Goli Balasore Odisha-7560019

Regulation : 10/18
Subject(s)/Course(s) to appear & Fees to be deposited:
Srl. No. Subject Code Subject Name Subject Appear Type Total Amount

1 CC5.1CH
2 CC5.2CH
3 DSE5.1AH-M1
4 DSE5.1AH-M2
5 DSE5.2AH
Rs.
Auditing and Assurance
Taxation II
Macroeconomics
Advanced Business Mathematics
Corporate Accounting

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

Total

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 the form to the College by the Student - 20/02/2021
2. Students are required to submit the form to their College only.
3. For any change or correction, please contact your college.

CHALLAN COPY FOR STUDENT

Received an amount of Rs.0.00 from DEEPAK KUMAR ROY having Registration No. 145-1111-0032-18 and Roll
No.181145-21-0076 as examination & other relevant fees for B.COM. SEMESTER - V (HONOURS) Examination (Under CBCS),
2020, after proper verification of all conditions including attendance as prerequisite of the candidate(as per extant regulation) to sit
for the said examination.

Date: (Signature of dealing person with college seal)