UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 09/01/2024
Application Id. - 2302025127

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 : 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 CC11 PROBABILITY & STATISTICS TH TU -

2 MTMA CC12 GROUP THEORY-II & LINEAR ALGEBRA-II TH TU -

3 MTMA DSE-A1.1 ADVANCED ALGEBRA TH TU -

4 MTMA DSE-B1.2 LINEAR PROGRAMMING & GAME THEORY TH TU -

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. 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.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 - 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)