UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 27/01/2024
Application Id. - 1250033

Examination - B.COM. SEMESTER - III (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 : MANISHA YADAV

Father's/ Guardian's Name : AJAY YADAV

Registration No. : 125-1211-0136-21
Roll No. : 211125-11-0028
Date of Birth : 26/08/2003
Physically Challenged : No
Gender : Female
Mobile : 9191237936
College Code : 125
E-mail : MANISHAYADAV7774@GMAIL.COM
College Name : SETH SOORAJ MULL JALAN GIRLS' COLLEGE
Communication Address : 25/26 A-2 ROSE MERRY LANE,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 T -
(Theory)

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. Candidates are required to submit the form to their College only.

2. For any change or correction, please contact your college within - 05/02/2024

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.355.00 from MANISHA YADAV having Registration No. 125-1211-0136-21 and Roll
No.211125-11-0028 as examination & other relevant fees for B.COM. SEMESTER - III (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)