UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 10/07/2023
Application Id. - 2301910804

Examination - B.Sc. SEMESTER - II (HONOURS) Examination (Under CBCS), 2023

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 : RUDRA DEBNATH

Father's/ Guardian's Name : RABIN DEBNATH

Registration No. : 043-1111-0172-22
Roll No. : 223043-21-0014
Date of Birth : 01/09/2004
Physically Challenged : No
Gender : Male
Mobile : 9831699836
College Code : 043
E-mail : rudradebnath2261@gmail.com
College Name : HERAMBA CHANDRA COLLEGE
Communication Address : 58, PRANTIK PARK BANSDRONI,700070

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 GEOA CC3 HUMAN GEOGRAPHY TH P 110.00

2 GEOA CC4 CARTOGRAMS THEMATIC MAPPING AND SURVEYING TH P 110.00

3 STSG GE2 ELEMENTARY PROBABILITY TH P 60.00

4 ENVS AECC2 ENVIRONMENTAL STUDIES TH - -

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

*TH=Theory,P=Practical,TU=Tutorial Total 635.00

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 - 12/07/2023
2. Candidates are required to submit the form to their College only.
3. For any change or correction, please contact your college within - 15/07/2023

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.635.00 from RUDRA DEBNATH having Registration No. 043-1111-0172-22 and Roll
No.223043-21-0014 as examination & other relevant fees for B.Sc. SEMESTER - II (HONOURS) Examination (Under CBCS), 2023,
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)