NETAJI SUBHAS OPEN UNIVERSITY

UNDERGRADUATE DEGREE PROGRAMME (UNDER CBCS) TERM-END EXAMINATION (THEORY) DECEMBER-2022 (SEM-I & III) &
JUNE-2023 (SEM-II & IV) AND TERM-END EXAMINATION (PRACTICAL) DECEMBER-2023 (SEM-I, III & V)

EXAMINATION FORM: CBCS

FORM NO .: N-563995
The Controller of Examinations
NETAJI SUBHAS OPEN UNIVERSITY
134/1, Meghnad Saha Sarani, Kolkata - 700029
Sir/Madam,
I would like to apply for Examination stated below. I satisfy all the conditions for this purpose under the
regulations. I undertake that I shall abide by the decision, rules and regulations of the University. Any wrong
information/non-compliance will render my candidature liable to be cancelled at any stage of the
Examination as will be decided by the University. Details are furnished below for your consideration.
LEARNER SUPPORT CENTRE : [H01] Dhruba Chand Halder College ABC ID: 235391391478
NAME : RITWIK CHAKRABORTY
ENROLMENT NO. : 212071110241 REGISTERED MOBILE NO. : 9679490511
HONOURS PROGRAMME : HHI - HISTORY ALTERNATIVE MOBILE NO. : 9339447656
COURSE FEES
SL. NO. SESSION COURSE CODE COURSE NAME COURSE TYPE TEE. ASGN.
1 1222 CC-HI-05 HISTORY OF INDIA- III (c.750-1206) Theory 75 30 ü
2 1222 CC-HI-06 RISE OF THE MODERN WEST - I Theory 75 30 ü
3 1222 CC-HI-07 HISTORY OF INDIA IV (c.1206-1550) Theory 75 30 ü
4 1222 SE-HI-11 ICT In Education Theory 75 30 ü
5 1222 GE-PS-31 Gandhi and the Contemporary World Theory 75 30 ü
6 0623 CC-HI-08 RISE OF THE MODERN WEST - II Theory 75 30 ü
7 0623 CC-HI-09 HISTORY OF INDIA- V (c.1550-1605) Theory 75 30 ü
8 0623 CC-HI-10 HISTORY OF INDIA- VI (c.1605-1750s) Theory 75 30 ü
9 0623 SE-HI-21 Reading and Reflecting on Text Theory 75 30 ü
10 0623 GE-PS-42 United Nations and Global Conflicts Theory 75 30 ü
Theory Course Fees : 10 Courses : @ Rs. 75 750.00
Assignment Course Fees : 10 Courses : @ Rs. 30 300.00
Exam. Centre Fees (Theory) : Session : 2 @ Rs. 100.00 200.00
Total Exam Fees : 1,250.00

DECLARATION :
I hereby declare that the mobile numbers which I am mentioning on the filled-in Examination Form as ü
Registered Mobile Number and/or Alternative Mobile Number are my OWN MOBILE NUMBERS and since I have been
informed that all important information like OTP, SMS etc. will be sent to any of these Mobile Numbers, hence during
the period of my course of study, without permission of the Department of Controller of Examinations I will not
change these numbers as Registered Mobile Number and Alternative Mobile Number.

N.B. : 1. RN = Renewal Not Done. NS = Not Submitted. Assignment Fees Once Submitted, It will Not be Deducted
(if applicable).
2. Without Submission of Assignment Papers, No Candidate will be Allowed to Appear in Term-End
Examination. Otherwise his/her examination is liable to be cancelled (if applicable).
3. The Candidate is requested to ensure that he/she has already submitted the due renewal fees
before filling-up this examination form. Be it noted that without ensuring renewal, his/her
examination is liable to be cancelled (if applicable).

Submission Date Payment Date Transaction Id Payment Status Payment Amount

25/05/2023 01:14:59 25/05/2023 01:25:29 YUR31904694434 PGS10001-Success 1250