UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 26/01/2024
Application Id. - 2302074253

Examination - B.Sc. SEMESTER - III (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 : AYANTAN ROY

Father's/ Guardian's Name : LATE ASESH ROY

Registration No. : 052-1111-0421-21
Roll No. : 213052-21-0056
Date of Birth : 22/05/2002
Physically Challenged : No
Gender : Male
Mobile : 9641777283
College Code : 052
E-mail : royayantan3@gmail.com
College Name : DINABANDHU ANDREWS COLLEGE, GARIA
Communication Address : VILL KALABARU PO CHHAYANI PS BARUIPURDIST SOUTH 24 PARGANAS,743376

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 MTMA CC5 THEORY OF REAL FUNCTIONS TH - -

2 MTMA CC6 RING THEORY & LINEAR ALGEBRA-I TH - -

3 MTMA CC7 ODE & MULTIVARIATE CALCULUS-I TH - -

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. Candidates are required to submit the form to their College only.
2. For any change or correction, please contact your college within - 05/02/2024

CHALLAN COPY FOR CANDIDATE

Received an amount of Rs.355.00 from AYANTAN ROY having Registration No. 052-1111-0421-21 and Roll No.213052-21-0056
as examination & other relevant fees for B.Sc. SEMESTER - III (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)