Application Form for UG Admission in Hooghly Mohsin College

for the Session 2022-23

Application ID: HMC202206239 Date of Registration: 25/07/2022

PERSONAL DETAILS
Name of Applicant Gender

PRITAM KUMAR BISWAS MALE

Father’s Name Mother’s Name

BIBHUTI BISWAS ANJALI BISWAS

Caste Caste Certificate issuing State

SC WEST BENGAL

Category Date of Birth

SC 28-05-2004

Differently Abled (PwD) % of Disability

N/A

Sports Quota
N/A

CONTACT DETAILS
House No & Road/Street Area/Location Village/Town/City Post Office
HALISHAHAR NEW
RAILWAY BOUNDARY ROAD HALISHAHAR NABANAGAR
PURBANCHAL
District State Pin Country
NORTH 24 PARGANAS WEST BENGAL 743136 INDIA
Email ID: Mobile
pritambiswas33801@gmail.com 8013629349

ACADEMIC DETAILS OF 10th LEVEL

Year of Passing Board Full Marks Marks Obtained Percentage
2020 CBSE 500 364 72.8

ACADEMIC DETAILS OF (10+2) LEVEL

Stream Year of Passing Board Roll No. Merit Aggregate
Central Board of
Science 2022 Secondary Education 12690843 69.8
(CBSE)

Full Marks
Subject Type Subject Name Percentage
Marks Obtained
Language English 100 78 78
Elective Physics 100 74 74
Elective Chemistry 100 69 69
Elective Biology / Biological Science 100 65 65
Elective Mathematics 100 53 53
Total 500 339 67.8

DOCUMENTS UPLOADED
Age 10th Mark (10+2) Mark Caste Sports DA
Proof Sheet Sheet Certificate Certificate Certificate
YES YES YES YES N/A N/A
 APPLIED COURSES
Merit Subject(s) Marks in Concerned Merit
Course Name
Aggregate Concern Subject(s) Index
B.Sc. Bio. (General) 69.8 (0) 69.8
B.Sc. Honours in Biology / Biological
69.8 (65) 134.8
Physiology Science

DECLARATION

I, declare that all the above information is correct to the best of my knowledge. My
candidature is liable to be cancelled by the college authority in case of any error input or
manipulation of information committed by me at any stage. I promise that I shall abide by all
the rules of the college to maintain discipline in the college and shall accept penal measure, if
defaulter. I shall have no objection if the college authority struck off my name from college
register for failing to attend at least 75% of total classes held during seven (07) teaching days
from the date of commencement of the class.

Date: 25/07/2022