8/21/2020 form No.

5757

ACHARYA JAGADISH CHANDRA BOSE COLLEGE

1/1B, A.J.C. BOSE ROAD, KOLKATA - 700020
WWW.AJCBOSECOLLEGE.ORG
APPLICATION FOR ADMISSION FORM (SESSION :2020-21)
if at any stage of admission process, the marks entered in this online system is found incorrect the application will be
rejected and no claims of repayment of application fees will be entertained.

Office Use Only Students' Signature

Roll No. :-----------

Application ID : 5757 Acknowledgement Number AJC209847

Name : P R A J U K T A S E N

Father/Guardian Name : M O U M I T A B H A T T A C H A R J E E

Mother's Name : M O U M I T A B H A T T A C H A R J E E

Aadhaar No.: 349599713769 Gender : M Caste : GEN

Religion : Hindu PH : NO DOB : 22-3-2002

Course Type : Honours Semester : 1st Sem

Subject / Course : English Hons Session : 2020-21

Permanent Address : Present Address :

PLOT NO : 380 WARD NO-05,
Address Address B-3/79 BLOCK-B
KALYANI TALTALA SIMANTA
State WEST BENGAL State WEST BENGAL
District NADIA District KOLKATA
Pin No. 741235 Pin No. 741235

Mobile No. : 9 9 0 3 4 6 7 9 6 7 Email ID : chandanchatterjee1972@gmail.com

Details of H.S. or equivalent (10+2) Exams :

Board/Council (10+2) : WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION
Roll /Index Number : 430521-1391 Passing Year of H.S. : 2020

Details of H.S. or equivalent (10+2) Exams Results (Subject Wise) :

Language Name of other subjects below

Subject BENGALI ENGLISH ECONOMICS GEOGRAPHY NUTRITION BIOLOGY

Th Pr Th Pr Th Pr Th Pr Th Pr Th Pr
Marks
52 20 67 19 67 19 59 21 59 28 37 25

Core Course /
ENGA Marks in Honours Subject 86
Honours Subject

Total Best 4 Marks 339

Generic Elective 1: Bengali Generic Elective 2 : Education

If any entries made above are incorrect then my candidature is liable to be cancelled

Date : Signature of Student

All entries made above are correct.
Verified by Approved By

Principal / Secretary

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