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UNIVERSITY OF CALCUTTA

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


Application Form for Under Graduate Examinations

Date - 12/07/2021
Application Id. - 2100867381

Examination - B.A. SEMESTER - IV (HONOURS) Examination (Under CBCS), 2021

To
The Controller of Examinations
University of Calcutta

Sir / Madam,
I request permission to present myself at the ensuing examination and furnish the required particulars as follows:

Name : DEBOLINA BISWAS

Father's/ Guardian's Name : DEBDAS BISWAS


Registration No. : 214-1211-0013-19
Roll No. : 192214-11-0217
Date of Birth : 21/09/2000
Physically Challenged : No
Gender : Female
Mobile : 9007203160
College Code : 214
E-mail : dbolinabiswas@gmail.com
College Name : WOMEN'S COLLEGE CALCUTTA
Communication Address : 17/1, Prabartak Pally. Belghoria. Kolkata-700056

Subject(s)/Course(s) to appear & Fees to be deposited:

Srl. No. Subject Course Course Name COMPONENT Total Amount


Code Code
(TH/P/TU) Rs.
1 JORA CC10 MEDIA MANAGEMENT, PRESS LAWS TH TU 0.00
2 JORA CC8 INTRODUCTION TO TELEVISION TH P 0.00
3 JORA CC9 FILM THEORIES AND PRODUCTION TH TU 0.00
4 JORA SEC-B2 FEATURE PRODUCTION TH ST 0.00
5 ENGG GE4 ACADEMIC WRITING AND COMPOSITION TH TU 0.00

Examination & other Fees to be deposited by the candidate to the College 0.00

*TH=Theory,P=Practical,TU=Tutorial Total 0.00

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 submission of the form to the College by the Student - 22/07/2021
2. Students are required to submit the form to their College only.
3. For any change or correction, please contact your college.

CHALLAN COPY FOR STUDENT

Received an amount of Rs.0.00 from DEBOLINA BISWAS having Registration No. 214-1211-0013-19 and Roll
No.192214-11-0217 as examination & other relevant fees for B.A. SEMESTER - IV (HONOURS) Examination (Under CBCS), 2021,
after proper verification of all conditions including attendance as prerequisite of the candidate(as per extant regulation) to sit for the
said examination.

Date: (Signature of dealing person with college seal)

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