Maharaja Manindra Chandra College

(Affiliated under University of Calcutta)

20 Ramkanto Bose Street, Kolkata 700003 . West Bengal, India.
Email: manindra.admissions@gmail.com
Application Form for Under Graduate Courses 2020-21

Registration Form Number: 211__________ Application Number: MMCC2006804

Personal details
Name: AYUSH TIWARI Date of Birth : 15/Feb/2002 Gender : Male
Caste : General PWD : None BPL Category : No
Religion : Hinduism Mobile: 9330129109 email:
AYUSHTIWARI0036@GMAIL.COM
For College Use Only:
Roll No: Serial No: Course Admitted:
Documents Pending :

Date: Verified By: Signature of Principal

Applied Courses
Streams-Types Combination Merit Status
Commerce- BCOM (H) 406.00 PAID
Honours AECC1 : Communicative English and Hindi
Parents/Guardian Details
Father’s Name: AJAY KUMAR TIWARI Mother’s Name: SUMAN TIWARI Guardian’s Phone: 9330129109
Guardian’s Name: AJAY KUMAR
TIWARI
Permanent Address Present Address
1/6B COSSIPORE ROAD, KOLKATA, West Bengal, 1/6B COSSIPORE ROAD, KOLKATA, West Bengal,
PIN-700002 PIN-700002
Board details
HS Board: WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION(WBCHSE) Passing Year: 2020
Marks Details
Subjects Name Full Marks Marks Obtained % scored
English 100 43 43.00
Hindi 100 73 73.00
Accountancy 100 71 71.00
Business Studies 100 43 43.00
Economics 100 73 73.00
Computer Application 100 46 46.00
Best 4 % = 65.00 Best 4 Total = 260.00
DECLARATION OF THE APPLICANT
I solemnly declare that all the information furnished and the documents uploaded by me are true, correct, valid and genuine. My candidature will liable to be
cancelled if any discrepancy is found in any stage.

Signature of the Applicant Signature of the Guardian

Printed on 2020-08-12 16:58:01

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