UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 03/06/2024
Application Id. - 19D4340290

Examination - B.COM. SEMESTER - VI (HONOURS) Examination (Under CBCS), 2024

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 : MADHAV SHIVA REDDY

Father's/ Guardian's Name : KRITIBAHADUR ROUTH

Registration No. : 434-1111-0397-19
Roll No. : 191434-21-0052
Date of Birth : 19/04/2001
Physically Challenged : No
Gender : Male
Mobile : 9123683363
College Code : 434
E-mail : routhmadhav@gmail.com
College Name : SHREE AGRASAIN COLLEGE
Communication Address : S/O KIRTI BAHADUR ROUTH, 36/1 W ROAD, DASNAGAR, HOWRAH, WEST BENGAL - 711105

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 DSE6.1AH Financial Reporting and Financial Statement Analysis F -

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 along with fees to their College only.
2. For any change or correction, please contact your college within - 12/06/2024

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.355.00 from MADHAV ROUTH having Registration No. 434-1111-0397-19 and Roll
No.191434-21-0052 as examination & other relevant fees for B.COM. SEMESTER - VI (HONOURS) Examination (Under CBCS),
2024, 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)