10/06/2018 Edited Application Form

LADY BRABOURNE COLLEGE

P-1/2, Suhrawardy Avenue
Kolkata - 700 017    
Application for Admission to B.A.
Subject History SC N ST N H N
FOR OFFICE USE ONLY
  Checked & Verified Approved

Sd/- Sd/-
For Department Sign. of the Principal

 Date:-   10 June 2018

Application No.: L00504

1. Name in full   ANTARIKA GHOSH

2. Date of Birth 24/10/1999 3. Sex Female 4. Marital Status Unmarried

5. Nationality INDIAN   6. Religion Hinduism 7. Physically Handicapped No

8. Category General  

9. Year of passing H.S/Equivalent 2018  

10. Subject combination for Core Course (Honours) :

I) Generic Elective Subjects II) Ability Enhancement Course III) Self Financing Course
PolSc, Sociology, Womens Studies, Environmental Science (compulsory) and Computer Application - No
Communicative English Spanish - Yes

11. (a) Father's / Guardian's Name  SIDDHARTHA GHOSH

     (b) Father's Occupation SERVICE

     (c) Mother's Name SAMPA GHOSH

     (d) No. of dependent family member on guardian's Income   3

     (e) Annual Family Income (In Rs.)   450000

12. Guardian's Name and Relationship SIDDHARTHA GHOSH (FATHER)

13. Permanent Address   C2M1 312 CMDA NAGAR BARRACKPORE, SEWLI TELINIPARA

     (a) Name of City / Village   BARRACKPORE 

     (b) District   24 PARGANAS NORTH       (c) Pin   700121 

(d) Applicant's Mobile Number (e) Applicant's Email ID (f) Applicant's Aadhaar Number
STD - 91 No. - 8961316638 ANTU.JOURNO@GMAIL.COM 266630365222

14. Local Guardian's Name and Address  

     (a) Contact No.   STD No.

15. Father's/Guardian's Office Address  METAL& STEEL FACTORY, ISHAPORE,WEST BENGAL

     (a) Contact No.   STD 91 No. 9330971257

16. Result declared by your Board  Passed

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10/06/2018 Edited Application Form
17. Blood Group  B+

21. Whether you have been Kanyashree   Yes

RESULT OF QUALIFYING EXAMINATION

Name  ANTARIKA GHOSH Roll No. 6143469 Year 2018

Index No./Registration No. 2187762/021 Year: 2018

Board: I.S.C

Institution Name:     ST. CLARET SCHOOL

Institution Address:  ST. CLARET SCHOOL, DEBPUKUR, BARRACKPORE, 24 PARGANAS NORTH, KOLKATA-700121

Full Marks Pass Marks Marks Obtained Aggregate%

Sr. Subject
Theory Practical Theory Practical Theory Practical (Best Four Subjects)
1.   ENGLISH   100  0   33  0   85  
2.   HINDI   100  0   33  0   88  
3.   HISTORY   80   20   26  7   77   20
  POLITICAL SCIENCE
4.
 
  80   20   26  7   74   20   91%
5.   ECONOMICS     80   20   26  7   61   20
6.   GEOGRAPHY     70   30   23   10   43   30
7.   Environmental Science      0    0    
I hereby declare that all the information given above are true to the best of my knowledge.
I agree to abide by all the rules of the College / College Hostel which are stated in the College Prospectus.

DOCUMENTS TO BE PRODUCED AT THE TIME OF ADMISSION

(i) Original & Attested copy of marksheet of the last examination and Admit card of secondary or equivalent examination (to be attested by
the Head of Institution last attended).
(ii) Original & Attested copy of marksheet of the secondary examination only for "GEOGRAPHY HONOURS" candidates (to be attested
by the Head of Institution last attended).
(iii) Attested copy of SC, ST certificate (For SC/ST candidates only). The original certificate must be produced at the time of admission.
(iv) Three Passport size colour photographs, attested by the head of the institution last attended.
(v) Acknowledgement of the application form.
Candidates appearing for Admission Test/Interview must carry :-
(i) Original Admit Card of the last examination appeared. (ii) Original Marksheet of the last examination appeared. (iii) Applicants copy of
the Challan. (iv) One passport size photograph of the candidate.
Instructions to Candidates :-
(i) Candidate must pay the Application Fee of Rs. 150/- along with the Challans generated after successful online submission of the form at
Indian Bank, otherwise the form will be rejected.
(ii) Retain the Applicant's Copy of the Challan for future production.
(iii) Candidate must retain the Application Form generated after successful online submission of the form and produce the same at the time
of admission.

 
Date Signature of Parent / Guardian Signature of Applicant
 

Sr. No. Application History

1 Submitted on 08/06/2018 13:15:01
2 Edited on 10/06/2018 22:06:52

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