UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Application Id. - 17D0160117 Date - 10/12/2019

Examination - B.COM SEMESTER-I (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 : SOUMALLYA PRAMANICK

Father's/Guardian's Name : MALAY PRAMANICK

Registration Number : 016-1111-0101-17 Roll No. : 171016-21-0340

Date of Birth 22/10/1999 Physically Challenged : No

Mobile : 8617779573
Gender : MALE
E Mail : soumallya7@gmail.com
College Code : 016
College Name : SHYAMAPRASAD COLLEGE
Communication Address : Vill-Hawapota Po- Sankrail Dist- Howrah Pin-711313

Subject/s to appear & Fees to be deposited

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

CC1.1CH Financial Accounting I

Examination and Other fees 355.00

Total Fees to be deposited by the candidate to the College 355.00

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 - 12/12/2019
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.

----------------------------------------------------------------------------------------------------------------------------------------------------------------------
CHALLAN COPY FOR STUDENT
Received an amount of Rs.355 from SOUMALLYA PRAMANICK having Registration No. 016-1111-0101-17 and Roll No. 171016-21-0340 as examination
and other fees for B.COM SEMESTER-I (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)