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UNIVERSITY OF GOUR BANGA

Established under West Bengal Act XXVI of 2007 & recognized by UGC U/S 2(f) & 12(B)
NAAC accredited University with "B" Grade (2016)
P.O. Mokdumpur, Dist. : Malda, West Bengal, Pin : 732103
URL : www.ugb.ac.in
Phone : (03512) 223668
To, Fax : (03512) 223668
The Controller of Examinations E-mail : controller@ugb.ac.in

Date : 07/05/2019 UG PART-III EXAMINATION APPLICATION FORM - 2019 Serial No. 001757
COLLEGE COPY
Candidate Name : JUBEL SK
Father's/Guardian's Name : RAJU SK
College Name : Malda College
Email : jubeltheboy@gmail.com Contact No. : 8250203031
Roll : 2017MTMH Reg No : 2013160
Number : 0028 Reg. Session : 2016-2017
Subjects :
Subject Code Subject Name

MTMH Mathematics (Hons.)


ENVS Enviroment Study (Compulsory)

Please deposit Rs. 1,200.00/- and the fee fixed by the college within 2 working days to the concerned
college's cash counter after successful submission of this application form.

(Signature of the College Official with Seal & Date) (Signature of the Student with date)

Phone : (03512) 223668 E-mail : controller@ugb.ac.in


UNIVERSITY OF GOUR BANGA
Established under West Bengal Act XXVI of 2007 & recognized by UGC U/S 2(f) & 12(B)
NAAC accredited University with "B" Grade (2016)
P.O. Mokdumpur, Dist. : Malda, West Bengal, Pin : 732103
Date : 07/05/2019 UG PART-III EXAMINATION APPLICATION FORM - 2019 Serial No. 001757
APPLICANT'S COPY
Candidate Name : JUBEL SK
Father's/Guardian's Name : RAJU SK
College Name : Malda College
Email : jubeltheboy@gmail.com Contact No. : 8250203031
Roll : 2017MTMH Reg No : 2013160
Number : 0028 Reg. Session : 2016-2017
Subjects :
Subject Code Subject Name

MTMH Mathematics (Hons.)


ENVS Enviroment Study (Compulsory)

Please deposit Rs. 1,200.00/- and the fee fixed by the college within 2 working days to the concerned
college's cash counter after successful submission of this application form.

(Signature of the College Official with Seal & Date) (Signature of the Student with date)

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