UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 20/12/2022
Application Id. - 0340818

Examination - B.COM. SEMESTER - III (HONOURS) Examination (Under CBCS), 2022

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 : SIMRAN JAISWAL

Father's/ Guardian's Name : RAM PALTAN JAISWAL

Registration No. : 034-1211-1153-21
Roll No. : 211034-11-0774
Date of Birth : 12/11/2002
Physically Challenged : No
Gender : Female
Mobile : 8961704373
College Code : 034
E-mail :
College Name : SHRI SHIKSHAYATAN COLLEGE
Communication Address : 20,ROUND TANK LANE MULLICK FATAK SHANTIKUNJ BLOCK-G FLAT NO.-104,711101

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

Rs.
1 SEC3.1CHG-M1 Information Technology and Its Application in Business -
(Theory)
2 SEC3.1CHG-M2 Information Technology and Its Application in Business 100.00
(Practical)
3 GE3.1CHG Business Mathematics And Statistics -
4 CC3.1CH Financial Accounting II (Honours) -
5 CC3.2CH Indian Financial System (Honours) -

Examination & other Fees to be deposited by the candidate to the College 355.00

Total 455.00

I declare that if any of the statement made in the above is found to be untrue 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 Candidate - 24/12/2022
2. Candidates are required to submit the form to their College only.
3. For any change or correction, please contact your college within - 28/12/2022

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.455.00 from SIMRAN JAISWAL having Registration No. 034-1211-1153-21 and Roll
No.211034-11-0774 as examination & other relevant fees for B.COM. SEMESTER - III (HONOURS) Examination (Under CBCS),
2022, 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)