UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 05/01/2024
Application Id. - 1220533

Examination - B.COM. SEMESTER - V (GENERAL) Examination (Under CBCS), 2023

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 : ROHAN JAISWAL

Father's/ Guardian's Name : RAKESH JAISWAL

Registration No. : 122-1111-0653-21
Roll No. : 211122-22-0022
Date of Birth : 24/05/2002
Physically Challenged : No
Gender : Male
Mobile : 9331552626
College Code : 122
E-mail : jaiswalrohan387@gmail.com
College Name : CITY COLLEGE OF COMMERCE & BUSINESS ADMN
Communication Address : 30/2a DARPNARAYAN tagore street,700007

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 CC5.1CG Auditing and Assurance -
2 DSE5.1AG Taxation II -
3 DSE5.2AG Corporate Accounting -

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

Total 355.00

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 - 15/01/2024
2. Candidates are required to submit the form to their College only.
3. For any change or correction, please contact your college within - 15/01/2024

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.355.00 from ROHAN JAISWAL having Registration No. 122-1111-0653-21 and Roll
No.211122-22-0022 as examination & other relevant fees for B.COM. SEMESTER - V (GENERAL) Examination (Under CBCS),
2023, 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)