Declaration regarding Registration & Admission status as per GO No. 915-Edn(CS), dt.01.11.2020

Application number:

First Name:

Last Name:

Bank Transaction No. & Date:

Application Fees [INR]:

Calcutta University Reg. No.

Session:

Board

Roll & No.:

Year of passing

Social Category

Date of Birth

Gender

Father's Name

Mother's Name

Semester wise Generic Elective Subject

Semester-1	Semester-2	Semester-3	Semester-4

Course applied for
Srl No.	Course Name	Subject Combination

Mark Sheet Information
Srl No.	Subject	Total Marks	Obtained Marks	Status	Percentage

Signature of applicant

STUDENT DECLARATION
1. I have withdrawn/surrendered my admission in all other colleges and wish to study in OR I took admission only in in one course and in no other college in no other course/s	Please select [Yes/No] from the list below
2. I wish to get registered with Calcutta University as a student of :YES

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Declaration regarding Registration & Admission status as per GO No. 915-Edn(CS), dt.01.11.2020

Application number:

First Name:

Last Name:

Bank Transaction No. & Date:

Application Fees [INR]:

Calcutta University Reg. No.

Session:

Board

Roll & No.:

Year of passing

Social Category

Date of Birth

Gender

Father's Name

Mother's Name

Semester wise Generic Elective Subject

Course applied for

Srl No.

Course Name

Subject Combination

Mark Sheet Information

Srl No.

Subject

Total Marks

Obtained Marks

Status

Percentage

Signature of applicant

STUDENT DECLARATION