UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Application Id. - 17D0160336 Date - 02/12/2019

Examination - B.COM SEMESTER-III (HONOURS) EXAMINATION-2019

To
The Controller of Examinations
University of Calcutta
Sir,
I request permission to present myself at the ensuing examination for which I deposite fees and furnish the required
particulars as follows:

Name : SOURAV DUTTA

Father's/Guardian's Name : SOUMITRA DUTTA

Registration Number : 016-1111-0306-17 Roll No. : 171016-21-0345

Date of Birth 14/09/1997 Physically Challenged : No

Mobile : 9593039095
Gender : MALE
E Mail : dutta1577@gmail.com
College Code : 016
College Name : SHYAMAPRASAD COLLEGE
Communication Address : NARAYANPUR, BALURGHAT, BUSTAND PARA, DINAJPUR DAKSHIN ,733101

Subject/s to appear & Fees to be deposited

Subject code Subject name Subject Appear Type Lab Fees(Rs.)

SEC3.1CHG Information Technology & Its Application in Business 100.00
GE3.1CHG Business Mathematics & Statistics
CC3.1CH Financial Accounting II (Honours)
CC3.2CH Indian Financial System (Honours)

Examination and Other fees 355.00

Total Fees to be deposited by the candidate to the College 455.00

I declare that if any of the statement made in the above be found to be not true 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. Last date of subimission of form to the college by the Student - 05/12/2019
2. Student are required to submit the form along with fees to their College only.
3. For any change or correction, please contact your college.

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CHALLAN COPY FOR STUDENT
Received an amount of Rs.455 from SOURAV DUTTA having Registration No. 016-1111-0306-17 and Roll No. 171016-21-0345 as examination and other
fees for B.COM SEMESTER-III (HONOURS) EXAMINATION-2019 after proper verification of all conditions including attendance as on prerequisite of the
candidate(as per extant regulation) to sit for the said examinations.

Date : (Signature of dealing person with college seal)