ff_Application_form_2020-21_20227013775

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National University

Bangladesh
20227013775
Application For Bachelor Degree Honours Part-1 Examination 2023

Student's Copy
Student's Name : DIPANTO MALLICK
Father's Name : NABA KUMAR MALLICK
Registration No : 20227013775 Session : 2020-21
Registration Type : REGULAR Candidate Type : IMPROVEMENT
College Code & Name : (0315) GOVT. SUNDARBAN ADARSHA COLLEGE
Subject Code & Name : (27) Physics
Course Code : 212703,212705,212807
Fee Title : Amount Fee Title : Amount
Theory Fee (3 Credit Paper) 250 x 2 = 500
Inclusion Fee 300 x 1 = 300
Theory Fee (Full Paper) 250 x 1 = 250
University fee : 1050/=
(** Excluding college, centre & others fee)
িবঃ ঃ — আপনার আেবদন িনি ত করেত েয়াজনীয় িফ জমা িদেয় এই ফমিট অবশ ই আপনার কেলেজর সংি িবভােগ জমা িদেত হেব, অন থায়
আপনার েবশপ দান করা হেব না এবং আপিন পরী ায় অংশ হণ করেত পারেবন না

Date: 11/07/2024 Signature & Seal of Principal

National University
Bangladesh

Application For Bachelor Degree Honours Part-1 Examination 2023

College Copy
Student's Name : DIPANTO MALLICK
Father's Name : NABA KUMAR MALLICK
Registration No : 20227013775 Session : 2020-21
Registration Type : REGULAR Candidate Type : IMPROVEMENT
College Code & Name : (0315) GOVT. SUNDARBAN ADARSHA COLLEGE
Subject Code & Name : (27) Physics
Course Code : 212703,212705,212807
Fee Title : Amount Fee Title : Amount
Theory Fee (3 Credit Paper) 250 x 2 = 500
Inclusion Fee 300 x 1 = 300
Theory Fee (Full Paper) 250 x 1 = 250
University fee : 1050/=
(** Excluding college, centre & others fee)

I seek permission to sit for the Bachelor Degree Honours Part-1 Examination 2023. If any information given above proves false or if
I ever violate the examination regulation, National University Authority will have the right to cancel my examination. I further
promise that if any questin arises about my legality as an examinee, I shall be bound to comply with the action(s) or decision(s)
taken by the Syndicate of National University or the relevant body empowered by the Syndicate of National University.

Date: 11/07/2024
Signature of the Examinee
CERTIFICATE
(College Authority)

This is to certify that the above mentioned examinee got admitted in session 2020-21 in Bachelor Degree Honours Part-1 as a
REGULAR student for Bachelor Degree Honours Part-1. I think he/she is elegible to sit for the examination of final year, considerign
his/her performance during the study period. All the information given above by he examinee are correct. If any information
proves false, then hisher examination will be ancelled.

Signature & Seal of Principal

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