Generated On : Jul 7, 2024, 1:48:45 PM

Centralised Admission Portal (UG)

Application Form
Academic Session : 2024-25

Applicant Code : PBR240019684

BARCODE

Basic Info

Name : MD KAIF Gender : M

DOB : 17-11-2005 Catgeory : Unreserved

PwD : NO PwDType : N/A

Religion : ISLAM Identity Proof : Aadhaar Card(467003089569)

Mother Tongue : Urdu Blood Group : B+

Railway Station : Mobile : 8649867359

Email : kaif34407@gmail.com Domicile : West Bengal

Nationality : Indian Aadhar No : 467003089569

Maritial Status : NO Is Sports Person : NO

Sports level : Sports type : N/A

Pursuing Any Course : NO Pursuing Course Name :

Institute Name : Registration No/Year :

Bank A/C No. : 0032001700017346 Bank IFSC Code : PUNB0003200

Bank Name : Punjab National Bank Bank A/C Holder Name : MD KAIF

Family Information

Father's Name : MD NAUSHAD Father's Qualification : Class X Passed

Father's Mobile : 8670303909 Father's Occupation : BUSINESS

Mother's Name : TARANUM KHATUN Mother's Qualification : Class X Passed

Mother's Mobile : 8670303909 Mother's Occupation : HOME MAKER

Guardian's Name : MD NAUSHAD Guardian's Occupation : BUSINESS

Guardian's Mobile : 8670303909 Annual Income : 96000

Relationship : Father

Address Information
Permanent-Address

Address : BUDHA ALIMUDDIN LANE, ASANSOL

Post Office : Asansol H.O Police Station : Asansol (South) District : Paschim Barddhaman

Gram Panchyat/Block/Municipality/Municipal Corporation : ASANSOL

City/ Town/ Village : ASANSOL State : West Bengal PinCode : 713301

 Communication-Address

Address : BUDHA ALIMUDDIN LANE, ASANSOL

Post Office : Asansol H.O Police Station : Asansol (South) District : Paschim Barddhaman

Gram Panchyat/Block/Municipality/Municipal Corporation : ASANSOL

City/ Town/ Village : ASANSOL State : West Bengal PinCode : 713301

Uploaded Documents

Identity Proof Document

10th Standard Marksheet
10+2 Standard Marksheet
Age Proof Document / Class 10th Admit Card / Class 10th Registration

Academic Information
Result-XII

Board Name : Bihar School Examination Board Stream : Arts

Registration No : 2221110630165 Medium of Instructions : Hindi Year of Passing : 2024

Subject Theory Project / Practical Total Percentage Only

Theory
Full Marks Pass Marks Marks Full Marks Pass Marks Marks Full Marks Pass Marks Marks
Obtained Obtained Obtained

Hindi 100 30 38 0 0 0 100 30 38 38.00 YES

Urdu 100 30 75 0 0 0 100 30 75 75.00 YES

History 100 30 64 0 0 0 100 30 64 64.00 YES

Geography 100 30 59 0 0 0 100 30 59 59.00 YES

Psychology 100 30 54 0 0 0 100 30 54 54.00 YES

Result-X
Board Name : West Bengal Board of Secondary Education Stream : N/A

Registration No : 4211107499 Medium of Instructions : Urdu Year of Passing : 2022

Subject Theory Project / Practical Total Percentage Only

Theory
Full Marks Pass Marks Marks Full Marks Pass Marks Marks Full Marks Pass Marks Marks
Obtained Obtained Obtained

Urdu 100 30 71 0 0 0 100 30 71 71.00 YES

English 100 30 54 0 0 0 100 30 54 54.00 YES

Mathematics 100 30 42 0 0 0 100 30 42 42.00 YES

Physical Sc. 100 30 62 0 0 0 100 30 62 62.00 YES

Life Sc. 100 30 45 0 0 0 100 30 45 45.00 YES

History 100 30 35 0 0 0 100 30 35 35.00 YES

Geography 100 30 77 0 0 0 100 30 77 77.00 YES

Preference List

SL Application University College / HEI Course/Program Preference Merit Index Applied

No. No No On
1 A003944060 Kazi Nazrul Bidhan Chandra College 4 - Year B.A. (H/H & 1 252 07/07/2024
University R) in HISTORY

2 A003944189 Kazi Nazrul Bidhan Chandra College 4 - Year B.A. (H/H & 2 252 07/07/2024
University R) in POLITICAL
SCIENCE

3 A003944314 Kazi Nazrul Bidhan Chandra College 4 - Year B.A. (H/H & 3 252 07/07/2024
University R) in URDU

4 A003944461 Kazi Nazrul Banwarilal Bhalotia College 4 - Year B.A. (H/H.& 4 252 07/07/2024
University R.) in URDU

5 A003944659 Kazi Nazrul Banwarilal Bhalotia College 4 - Year B.A. (H/H.& 5 252 07/07/2024
University R.) in HISTORY

6 A003944736 Kazi Nazrul Banwarilal Bhalotia College 4 - Year B.A. (H/H.& 6 252 07/07/2024
University R.) in POLITICAL
SCIENCE

Declaration :

Declaration : I solemnly declare that I have read and understood the rules and regulations of admission to the
undergraduate courses/programmes of all Universities/Colleges/HEIs of West Bengal and that I am applying for admission
to UG course(s)/programmes after fully understanding the rules/regulations/eligibility criteria etc. set forth by the Affiliating
Universities or Higher Education Institutions as the case may be. I further declare that if my application turns out to be
invalid for not understanding any rule/regulation or part thereof on my part, I alone shall be held responsible for such
invalidation, if any.

I do hereby solemnly declare that all the information provided in this application are true, complete and correct to the best
of my knowledge and belief. In the event of any information found to be false, incomplete or incorrect, my candidature is
liable to be cancelled even after admission as per rules now in force.

I do hereby authorize the West Bengal State Council of Higher Education to use and process my 'digital personal data' in
the light of 'Digital Personal Data Protection Act, 2023' for the purpose for which the same have been digitally captured by
the system for lawful purposes and for matters connected therewith or incidental thereto.

Profile Last Updated On : 07/07/2024 13:45:03

NB: A candidate may edit the profile and change the preference list by the way of addition / deletion / re-ordering of
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