UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 06/01/2024
Application Id. - 0171275

Examination - B.COM. SEMESTER - V (HONOURS) 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 : MD HASSAN ALAM

Father's/ Guardian's Name : MD SHAHZAD ALAM

Registration No. : 017-1111-1621-21
Roll No. : 211017-21-0577
Date of Birth : 27/11/2003
Physically Challenged : No
Gender : Male
Mobile : 9674840149
College Code : 017
E-mail : hassanalam900@gmail.com
College Name : BHAWANIPUR EDUCATION SOCIETY COLLEGE
Communication Address : 46 RABINDRA SARANI,700073

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 CC5.1CH Auditing and Assurance -
2 CC5.2CH Taxation II -
3 DSE5.1AH-M1 Macroeconomics -
4 DSE5.1AH-M2 Advanced Business Mathematics -
5 DSE5.2AH 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 MD HASSAN ALAM having Registration No. 017-1111-1621-21 and Roll
No.211017-21-0577 as examination & other relevant fees for B.COM. SEMESTER - V (HONOURS) 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)