FORM Sl. No.

:18580

WEST BENGAL STATE UNIVERSITY

EXAM FORM FOR U.G. CBCS,SEM-VI Examinations 2022

To
The University Engineer,
In-Charge of the Office of the Controller of Examinations,
WEST BENGAL STATE UNIVERSITY
Sir,
I furnish hereunder details in support of my candidature to appear in U.G. CBCS,SEM-VI Examinations 2022.
I shall request you to allow me to appear in the said Examination and issue Admit Card on the basis of
data furnished by me as given below.

Course : B.Sc. (HONOURS) IN GEOGRAPHY

Name : SANJITAVA BISWAS
Gender : Male
Registration No. : 1251911400745
Name of the College : MRINALINI DUTTA MAHAVIDYAPITH ( 125 )

Total Fees : Rs. 550 (Non refundable)

( * INCLUSIVE OF THEORY & PRACTICAL EXAMINATION FEES, COMPUTERISED MARKSHEET FEES, PROCESSING
FEES & HANDLING CHARGES OF THE COLLEGE Rs. 35/- )
Mode of Payment : ONLINE
Transaction No : 1251911400745_6_0621100600T12429

SUBJECTS
Sl Type Th/Prc Paper Code / Subject Name
1 CC13 Th GEOACOR13T - GEOGRAPHY
2 CC14 Th+Prc GEOACOR14T - GEOGRAPHY
3 DSE3 Th GEOADSE04T - GEOGRAPHY
4 DSE4 Th GEOADSE06T - GEOGRAPHY

I Declare that I have fulfilled all the criteria for appearing in Examinations as a REGULAR Candidate. I will follow all
norms of Examinations. I also declare that I have paid up all dues to the college. I attended, in the semester for which I
am filling in the form.

Yours faithfully,

Signature of the candidate

N.B.
1. Examination Fees Rs. 550 *(Non refundable)
2. On completion of online submission take printouts of application form. For any query / dispute arising out in future,
copy of the form duly endrosed by the college Principal/TIC/OIC must be produced.
3. Student shall submit photocopy of the form to their Institution/College personally for endorsement.
4. If the details furnished by the applicant are found incorrect at any stage and if He/She resorts to any malpractice,
His/Her Examination will be cancelled forthwith without showing any reason whatsoever.
Form Printed on : 21-06-2022