UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 21/12/2021
Application Id. - 19D5130117

Examination - B.COM. SEMESTER - V (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 : BABLA MONDAL

Father's/ Guardian's Name : DIPAK MONDAL

Registration No. : 513-1112-0461-19
Roll No. : 191513-21-0016
Date of Birth : 05/07/2001
Physically Challenged : No
Gender : Male
Mobile : 9749919440
College Code : 513
E-mail : bablamondal2001@gmail.com
College Name : SAMMILANI MAHAVIDYALAYA, BAGHAJATIN
Communication Address : VILL. - RAGHUNANDANPUR, P.O. - NARIDANA, P.S. - BARUIPUR, SOUTH 24 PARGANAS, PIN - 743330

Regulation : 10/18
Subject(s)/Course(s) to appear & Fees to be deposited:
Srl. No. Subject Code Subject Name Subject Appear Type Total Amount

1 CC5.1CH
2 CC5.2CH
3 DSE5.1AH-M1
4 DSE5.1AH-M2
5 DSE5.2AH
Rs.
Auditing and Assurance
Taxation II
Macroeconomics
Advanced Business Mathematics
Corporate Accounting

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

Total

I declare that if any of the statement made in the above is found to be untrue 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 Candidate - 28/12/2021
2. Candidates are required to submit the form to their College only.
3. For any change or correction, please contact your college.

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.0.00 from BABLA MONDAL having Registration No. 513-1112-0461-19 and Roll No.191513-21-0016
as examination & other relevant fees for B.COM. SEMESTER - V (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)