UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 17/12/2022
Application Id. - 2201583388

Examination - B.A. SEMESTER - III (HONOURS) Examination (Under CBCS), 2022

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 : PRERANA SARKAR

Father's/ Guardian's Name : PARTHA PRATIM SARKAR

Registration No. : 017-1211-0479-21
Roll No. : 212017-11-0329
Date of Birth : 21/10/2002
Physically Challenged : No
Gender : Female
Mobile : 9748539484
College Code : 017
E-mail : 0304210348@thebges.edu.in
College Name : BHAWANIPUR EDUCATION SOCIETY COLLEGE
Communication Address : A/79, PATULIA GOVT. QRTS. P.O.- PATULIA DIST.-24 PGS(N) KOLKATA-119,700119

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 ENGA CC5 AMERICAN LITERATURE TH TU -

2 ENGA CC6 POPULAR LITERATURE TH TU -

3 ENGA CC7 BRITISH POETRY AND DRAMA (17TH – 18TH CENTURY) TH TU -

4 ENGA SEC-A2 BUSINESS COMMUNICATION TH -

5 PLSG GE3 GOVERNMENT AND POLITICS IN INDIA TH TU -

Examination & other Fees to be deposited by the candidate to the College 355.00

*TH=Theory,P=Practical,TU=Tutorial Total 355.00

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 - 24/12/2022
2. Candidates are required to submit the form to their College only.
3. For any change or correction, please contact your college within - 28/12/2022

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.355.00 from PRERANA SARKAR having Registration No. 017-1211-0479-21 and Roll
No.212017-11-0329 as examination & other relevant fees for B.A. SEMESTER - III (HONOURS) Examination (Under CBCS), 2022,
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)