Escolar Documentos
Profissional Documentos
Cultura Documentos
250/-
No. -----------------
: -----------------------------------------------------------
2.
: -----------------------------------------------------------
: -----------------------------------------------------------
3.
Address
(a) Permanent
4.
: ---------------------------------------------------------------------------------------------------------------------
5.
: -----------------------------------------------------------
6.
Reservation claimed as
7.
Date of birth
DD
8.
(a) Nationality
(b) Sex
9.
10.
11.
SC
ST
PH
SP
MM
Yes
Others
YYYY
Married Unmarried
No
Date of commencement
Place
2nd choice
3rd choice
4th choice
5th choice
[2]
13. Examinations passed
A. Madhyamik or its equivalent examination
Name of the Board/Council -----------------------------------------------------------------------------------------Roll No ---------------------------------------------------- Year of passing ----------------------------------------Details of marks obtained in different subjects
SUBJECTS
OFFERED
TOTAL
Percentage
of marks (in
aggregate)
Division as
per
marksheet. If
any
F. M.
Marks
obtained
TOTAL
Percentage
of marks (in
aggregate)
Division as
per
marksheet. If
any
F. M.
Marks
obtained
Subjects offered
Percentage
of marks
F. M.
Marks
obtained
DECLARATION OF CANDIDATE
I do hereby solemnly declare and affirm that the entries made herein are true and that if any of the information
furnished proves to be materially false or incorrect, either wholly or partly, the University may cancel my admission or
take such other action as may be deemed fit. I am in a position to defray the necessary expenses for my stay & studies.
-----------------------------------------------------------
------------------------------------------------------
N.B. Details regarding the filling up of the form may be had from the Information Sheet to be provided alongwith the form
JA/SA/JS/SS
HALL TICKET
Name of the candidate .
.
***************************************************************
HALL TICKET*
Name of the candidate .
TEST SCHEDULE
: 07.12.2014 [Sunday]
Time of Test
Reporting Time
: 10-30 a.m.
Venue
: University Auditorium
Golapbag Campus, B.U.