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Published by souvik5000
Personal, WBUT, JISCE, CSE
Personal, WBUT, JISCE, CSE

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Categories:Types, School Work
Published by: souvik5000 on Dec 19, 2012
Copyright:Attribution Non-commercial


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West Bengal University of TechnologyApplication form for Registration
(B. Tech.-B. Pharm.-B. Arch.)
(Application ID)
Affix recent passport sizephotograph
The Registrar,West Bengal University of TechnologyBF-142, Saltlake, Sector-1Kolkata-700064, West Bengal
Sir,I hereby apply for registration as a student of West Bengal University ofTechnology. A sum of Rs. 400/- is remitted herewith as Registration Fee forthe academic session 2012-2013. Necessary particulars relating to myself, givenbelow, are true to the best of my knowledge.Place:_______________ Signature of ApplicantDate: _______________ (Please Sign within the box)Registration applied for :
General Entry to 1st Semester
Roll No. (if Re-Admission / Branch Change):Registration No. (if Re-Admission / Branch Change):Session Year : 2012-2013 Degree :
B. Tech.
Registration Against : WBJEEE Enrollment No: 1850060166
 Name :
Sandip Paul
Rank & Category : (WBJEEE),
23989 (GEN)
College Name :
JIS College of Engineering
Course :
B.Tech. in Civil Engineering
Applying for concession :
Sex: MALE Category: GEN Physically Challenged: N Date of Birth: 24-7-1994Nationality : Indian Religion : HinduFather's Name : Rabindra Kr. PaulMother's Name : Chaitali PaulAddress :C/O RABINDRA KR PAUL KUTUBPUR LALBAGH P.O. MURSHIDABAD DIST.MURSHIDABADPIN-742149 Phone: 9126758347 Email:Guardian's Name : Rabindra Kr. PaulAddress1 : VILL-KUTUBPUR,LALBAGH P.O-MURSHIDABAD, P.S-MURSHIDAddress2 :PIN-742149Name of School/College or University of which he/she was a student prior to this admission:-NAWAB BAHADUR S INSTITUTION
Particulars of 10+2 examinations passed.
(Attested copies of all documents should be attached)
ExaminationYearBoard/CouncilMarksAggr(%)Class/DivnHigher Secondary Examination2012W.B.C.H.S.EPhysics: 46.0Chemistry: 70.0Mathematics: 64.0English: 54.061.001STSubmission Date: 2012-11-01 14:49:16 Photo Uploaded: YPage-1/2

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