Hooghly Mohsin College

Chinsurah, Hooghly 712101, West Bengal, India

033 26802252 | info@hooghlymohsincollege.org |
www.hooghlymohsincollege.org
HMC021169

Course : Physiology Hons. Status : Paid

Personal Details
1. Student Name : Oendril Das 2. Gender : Male

3. Date of Birth : 05 Oct 1999 4. Marital Status : Unmarried

5. Religion : Hinduism 6. Nationality : Indian

7. Caste/Category : General 8. Physically Challenged? : No

9. Annual Family Income : 10. Contact Details : 9007685288

Parental & Address Details

1. Father's Name : BARUN KUMAR DAS 2. Mother's Name : GITALI DAS

3. Father's Occupation : Government services 4. Mother's Occupation : Housewife

5. Father's Contact Number : 8697946686 6. Mother's Contact Number : 9051202567

7. Communication Address : 161,adarshanagar,kanagar,hooghly,po-Naldanga(s), Hooghly 712123, West Bengal, India

8. Permanent Address : 161,adarshanagar,kanagar,hooghly,po-Naldanga(s), Hooghly 712123, West Bengal, India

Additional Details
1. Aadhar Card Number : 420226866465 2. Blood Group : AB+

Academic Qualifications
Class XII or Equivalent Marks Statement

Board : Council for the India School Certificate Examinations Year of Passing : 2018
(CISCE)

Subject Obtained Marks Full Marks Aggregate Percentage

Bengali 80 100 80.00%

Biology 79 100 79.00%

English 72 100 72.00%

Mathematics 75 100 75.00%

Physics 66 100 66.00%

Chemistry 53 100 53.00%

Total (Best of 5) 372 500 74.40%

I hereby declare that all information provided herewith is correct to the best of my knowledge. My application is liable to be canceled, if at any stage of the
admission process, if any of the information provided by us is found to be at variance with original documents. I shall produce all the original documents at the
time of admission. If admitted, I shall abide by all the rules, regulations and disciplines of the Hooghly Mohsin College till the completion of my studies in this
college and shall attend classes regularly and for any long term absence I shall take proper permission from the Principal/HOD concerned. Failure of these
conditions from my part will lead to striking of my name from the Register of the Hooghly Mohsin College.
I declare that I shall not be involved in any sort of ragging incidents. If found involved, I shall be liable to face the disciplinary and legal consequences as per the
guidelines of the UGC.

............................................
Guardian's Signature Signature of the Applicant

Date : ______/______/2018
Place : ...............................
Time of Application : Tue 12th June 2018 @ 08:52:22 PM