UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 16/12/2022
Application Id. - 19D1441773

Examination - B.COM. SEMESTER - V (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 : SIDHARTH AGARWAL

Father's/ Guardian's Name : UTTAM KUMAR AGARWAL

Registration No. : 144-1111-0884-19
Roll No. : 191144-21-0231
Date of Birth : 15/04/2001
Physically Challenged : No
Gender : Male
Mobile : 9523781710
College Code : 144
E-mail : sidharthagarwal555@gmail.com
College Name : BANGABASI MORNING COLLEGE
Communication Address : 3, Justice Chandra Madhav Road, Kolkata

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 - 09/01/2022
2. Candidates are required to submit the form to their College only.
3. For any change or correction, please contact your college.

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.355.00 from SIDHARTH AGARWAL having Registration No. 144-1111-0884-19 and Roll
No.191144-21-0231 as examination & other relevant fees for B.COM. SEMESTER - V (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)