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8/5/2021 Application Details

APPLICATION FORM FOR 3-YEAR CBCS DEGREE COURSE,

SESSION: 2021-2022

SIR GURUDAS MAHAVIDYALAYA


33/6/1, BIPLABI BARIN GHOSH SARANI, MURARI PUKUR, ULTADANGA, KOLKATA, WEST BENGAL 700067

APPLICATION FORM NO: SGM/2021/002211 NAME OF THE APPLICANT: RIMA BISWAS


YOUR PERSONAL DETAILS:
FATHER'S NAME: BISWANATH BISWAS MOTHER'S NAME: TULU BISWAS

GUARDIAN'S NAME: BISWANATH BISWAS GUARDIAN'S PHONE: 9836038227

DATE OF BIRTH : 06/03/2002 GENDER: F

RELIGION: HINDUISM     MINORITY: NO CATEGORY: GENERAL     PWD: NO

NATIONALITY: INDIAN STATE: WEST BENGAL

POLICE STATION: RAJARHAT COUNTRY: INDIA

PERMANENT ADDRESS:

BHATENDA, KALIBARI ROAD, RAJARHAT, NORTH 24 PARGANAS,


BHATENDA, WEST BENGAL. PIN - 700135
PRESENT ADDRESS:

BHATENDA, KALIBARI ROAD, RAJARHAT, NORTH 24 PARGANAS,BHATENDA, WEST BENGAL. PIN - 700135
PIN CODE: 700135 PHONE: 8617767954
EMAIL : RIMA63119@GMAIL.COM OCCUPATION OF GUARDIAN: BUSINESS ANNUAL FAMILY INCOME : 84000
YOUR QUALIFYING EXAMINATION DETAILS:
NAME OF THE BOARD / COUNCIL (10+2): WBCHSE - WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION
ROLL NO. OF (10+2) LEVEL EXAM: 4636211119 YEAR OF PASSING (10+2) EXAM: 2021
REGISTRATION NO.: 4192359191 YEAR OF REGISTRATION : 2020
SUBJECT NAME FULL MARKS MARKS OBTAINED TOTAL MARKS % OF TOTAL STATUS
BEST OF 6 OBTAINED MARKS (PASS/FAIL)
THEORY PRACTICAL THEORY PRACTICAL
SUBJECTS
1 ENGLISH B 80 20 45 20 65 65.00% PASS
2 BENGALI A 80 20 44 20 64 64.00% PASS
3 COMPUTER 70 30 35 30 65 65.00% PASS
APPLICATION
4 EDUCATION 80 20 45 20 65 65.00% PASS
5 HISTORY 80 20 40 20 60 60.00% PASS
6 PHILOSOPHY 80 20 43 20 63 63.00% PASS
BEST OF 4 SUBJECT TOTAL : 259 BEST OF 4 SUBJECTS 64.75%
YOURS COURSE DETAILS : ARTS
B.A. GENERAL (ENGLISH, HISTORY, POLITICAL SCIENCE) / AECC1 = ENGM / AECC2 = ENVS / LCC1 = ENGC / LCC2 = BNGL / MERIT POINT = 259
ENGLISH B
COMPUTER APPLICATION
EDUCATION
BENGALI A

(65) (65) (65) (64)

DECLARATION BY THE STUDENT:


1. ALL THE INFORMATION FURNISHED BY ME IN THE ONLINE APPLICATION PORTAL ARE TRUE AS PER MY KNOWLEDGE AND BELIEF.
2. ALL THE DOCUMENTS UPLOADED BY ME DURING THE APPLICATION PROCEDURE ARE PROCURED FROM THE ORIGINAL.
3. I UNDERSTAND THAT ANY WRONG INFORMATION AND/OR TESTIMONIALS PROVIDED BY ME MAY LEAD TO THE CANCELLATION OF MY
ADMISSION TO THE UNDERGRADUATE COURSE/S OF SIR GURUDAS MAHAVIDYALAYA.
4. ONCE ADMITTED, I PROMISE TO ABIDE BY ALL THE RULES & REGULATIONS OF SIR GURUDAS MAHAVIDYALAYA AND THE AFFILIATING
UNIVERSITY.

THIS FORM IS SYSTEM GENERATED ON THE BASIS OF STUDENT ENTERED INFORMATION ON THE SERVER AS ON 05/08/2021 09:50 PM
FOR ANY QUERY: 7059908119 || 8927390620 || 7059474383 || 94335 60404 (10AM TO 6PM)
EMAIL - ADMISSION@SIRGURUDASMAHAVIDYALAYA.AC.IN |

https://admission.sirgurudasmahavidyalaya.ac.in/ocms/application_details.php?mk=d71486e51aa37e895037934660c83a96 1/1

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