Form No.

: 1350605

1. CU Registration No. (For already Registered Candidate): Students's Photo

2. Name of the College : VIDYASAGAR COLLEGE (135)

3. Course of Study : Bachelor of Science(Hons)
4. Date of Admission : 15/09/2021
Student's Signature
5. Session of Admission : 2021-2022
6. Whether passed (10+2 ) or Higher Examination from Non Formal
905089461785
education system (Approved by Distance Council of India or UGC): NO

Aadhar No. (Optional)

7. Name : ABISHEK SINGH 15. Nationality : INDIAN

16. Whether Differently Abled
8. Father's Name : SURENDRA SINGH :
(a). Disability Code
9. Mother's Name : SUSHMA SINGH (b). Percentage :
10. Guardian's Name : SURENDRA SINGH 17. Contact Mobile Number : 8336845034
11. Date of Birth : 25/05/2002 18. E-mail : abishek7044@gmail.com
12. Gender : MALE 19. Whether belongs to BPL : No
13. Religion : Hinduism 20. Annual Family Income (In Rs) : 500000
14. Caste Category : General 21. Locality Type : Semi-Urban

22(a). Present Address : 22(b). Permanent Address :

180,Criper Road, Konnagar Hooghly 180,Criper Road, Konnagar Hooghly

Pin: 712235 State: West Bengal Country:INDIA Pin: 712235 State:WEST BENGAL Country:INDIA

23.Subject Details [For B.A. / B.Sc. (Honours) & B.A. /B.Sc./ B. Com. (Major)):
Hons/Major 1st Generic Elective 2nd Generic Elective AECC 1 AECC 2
 ELTA CMSG MTMG ENGM ENVS

GE1 GE2 GE3 GE4

CMSG CMSG MTMG MTMG

24(a). Subject Details [For B.A. I B.Sc. (General))

General Subject 3
General Subject 1 General Subject 2 AECC 1 AECC 2
(for B.Sc. only)

ENVS

24(b). For B.A. General only :

Generic Elective LCC 1 LCC 2

ENGC

Form No.: 1350605

25. Migration Status :

(a). Non-Migrating Student (Passed from WBCHSE / WBBME / ICSE / CBSE / NIOS / Rabindra Mukta Vidyalaya) ✓
(b). Migrating Student (Passed from other Board / University)

26. Last Qualifying Examination :

(a).Name of the Examination: COUNCIL FOR THE INDIAN SCHOOL CERTIFICATE
(b).Board: ICSE
EXAMINATIONS
(c).Roll Number: 6422831 (d).Year of Passing: 2019

27. Details of subjects and marks obtained at the (10+2) level Examination / Details of Previous qualifying examination
Board / University :
(a). Subject(s) [Top Four Subjects
(Excluding the Compulsory paper Computer Science English Chemistry Physics Aggregate of top Four Subjects
on Environment Education)l

Full Marks 100 100 100 100 400

Marks Obtained 79 73 70 64 286

% of Marks 79 73 70 64 71.5

(b). Subject(s) [Others Subjects] Hindi Mathematics

Full Marks 100 100

Marks Obtained 62 55

% of Marks 62 55

I do hereby declare that the statements made above are true and correct and the documents furnished along with the form are genuine to the best of my knowledge and belief. ln case any of the documents is
subsequently detected to be fake or false, my registration with the university shall be treated as cancelled.

_________________________ ________________________________________
Date Full Signature of the Student
I certifiy that all the statements made above are verified and found to be true.
_________________________________________________________
_________________________
Signature of Principal / Officer-in-Charge / Teacher-in-Charge /
Date
Vice Principal with Seal