7/18/22, 7:04 PM Application Details

APPLICATION FORM FOR 3-YEAR CBCS DEGREE COURSE,

SESSION: 2022-2023

MEMARI COLLEGE
HATPUKUR G.T. ROAD,MEMARI, PURBA BURDWAN , PIN 713146

APPLICATION FORM NO: MC/2022/001134 NAME OF THE APPLICANT: MANDIRA PAIK

YOUR PERSONAL DETAILS:
FATHER'S NAME: BIPANNA PAIK MOTHER'S NAME: SRITI PAIK

GUARDIAN'S NAME: BIPANNA PAIK GUARDIAN'S PHONE: 7908880289

DATE OF BIRTH : 01/01/2005 GENDER: F

RELIGION: HINDUISM     MINORITY: NO CATEGORY: GENERAL     PWD: NO

NATIONALITY: INDIAN STATE: WEST BENGAL

POLICE STATION: PANDUA COUNTRY: INDIA

PERMANENT ADDRESS:

VILL-NUNIADANGA,P.O-BOINCHI,P.S-PANDUA,DIST-HOOGHLY,PIN-
712134, HOOGHLY, NUNIADANGA, WEST BENGAL. PIN - 712134
PRESENT ADDRESS:

VILL-NUNIADANGA,P.O-BOINCHI,P.S-PANDUA,DIST-HOOGHLY,PIN-712134, HOOGHLY,NUNIADANGA, WEST BENGAL. PIN - 712134

PIN CODE: 712134 PHONE: 9091450265
EMAIL : PAIKMANDIRA8@GMAIL.COM OCCUPATION OF GUARDIAN: OTHERS
YOUR QUALIFYING EXAMINATION DETAILS:
NAME OF THE BOARD / COUNCIL (10+2): WBCHSE - WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION
ROLL NO. OF (10+2) LEVEL EXAM: ROLL-215621 N0-1171 YEAR OF PASSING (10+2) EXAM: 2022
REGISTRATION NO.: 2202257316 YEAR OF REGISTRATION : 2021
SECONDARY EXAM OBTAIN MARKS OUT OF 700 : 403
SUBJECT NAME FULL MARKS MARKS OBTAINED TOTAL MARKS % OF TOTAL STATUS
BEST OF 6 OBTAINED MARKS (PASS/FAIL)
THEORY PRACTICAL THEORY PRACTICAL
SUBJECTS
1 ENGLISH 80 20 63 20 83 83.00% PASS
2 BENGALI 80 20 62 20 82 82.00% PASS
3 HISTORY 80 20 76 20 96 96.00% PASS
4 POLITICAL 80 20 72 19 91 91.00% PASS
SCIENCE
5 EDUCATION 80 20 54 20 74 74.00% PASS
6 COMPUTER 70 30 60 30 90 90.00% PASS
APPLICATION
YOURS COURSE DETAILS : ARTS
B.A. (GEN. STREAM) (HISTORY, POLITICAL SCIENCE, [NO SUBJECT REQUIRED]) / AECC1 = ENVS / AECC2 = ENGM / LCC1 = ENGC / LCC2 = ENGL
/ MERIT POINT = 426.4
HISTORY
POLITICAL SCIENCE
COMPUTER APPLICATION
ENGLISH
BENGALI
CLASS 10 MARKS

(60% OF 96) (60% OF 91) (60% OF 90) (60% OF 83) (60% OF 82) (161.20)

DECLARATION BY THE STUDENT:

1. ALL THE INFORMATION FURNISHED BY ME IN THE ONLINE APPLICATION PORTAL ARE TRUE AS PER MY KNOWLEDGE AND BELIEF.
2. ALL THE DOCUMENTS UPLOADED BY ME DURING THE APPLICATION PROCEDURE ARE PROCURED FROM THE ORIGINAL.
3. I UNDERSTAND THAT ANY WRONG INFORMATION AND/OR TESTIMONIALS PROVIDED BY ME MAY LEAD TO THE CANCELLATION OF MY
ADMISSION TO THE UNDERGRADUATE COURSE/S OF MEMARI COLLEGE.
4. ONCE ADMITTED, I PROMISE TO ABIDE BY ALL THE RULES & REGULATIONS OF MEMARI COLLEGE AND THE AFFILIATING UNIVERSITY.

THIS FORM IS SYSTEM GENERATED ON THE BASIS OF STUDENT ENTERED INFORMATION ON THE SERVER AS ON 18/07/2022 07:03 PM

DURING ADMISSION YOU HAVE TO SUBMIT TRANSFER CERTIFICATE WITH DECLARATION OF NOT APPEARING ANY BU EXAM.

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