UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 05/01/2024
Application Id. - 2301986707

Examination - B.Sc. SEMESTER - V (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 : ROHIT ADHIKARY

Father's/ Guardian's Name : SONJIT ADHIKARY

Registration No. : 135-1111-0444-21
Roll No. : 213135-21-0055
Date of Birth : 17/03/2003
Physically Challenged : No
Gender : Male
Mobile : 9382977262
College Code : 135
E-mail : adhikaryrohit182@gmail.com
College Name : VIDYASAGAR COLLEGE
Communication Address : 10, RAJ BALLAV SAHA 2ND BYE LANE,711101

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 ELTA CC11 ELECTRONIC INSTRUMENTATION TH P 173.00

2 ELTA CC12 MICROPROCESSORS AND MICROCONTROLLERS TH P 173.00

3 ELTA DSE-A2 CONTROL SYSTEMS TH P 173.00

4 ELTA DSE-B2 POWER ELECTRONICS TH P 173.00

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

*TH=Theory,P=Practical,TU=Tutorial Total 1,047.00

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 - 15/01/2024
2. Candidates are required to submit the form to their College only.
3. For any change or correction, please contact your college within - 15/01/2024

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.1,047.00 from ROHIT ADHIKARY having Registration No. 135-1111-0444-21 and Roll
No.213135-21-0055 as examination & other relevant fees for B.Sc. SEMESTER - V (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)