RECEIPT COPY OF ONLINE APPLICATION
UNIVERSITY OF CALCUTTA
UNIVERSITY OF CALCUTTA , 87/1, COLLEGE STREET , KOLKATA , 700073
Application Form
Academic Session: 2023-24
APPLICATION / FORM NO: 230909212991
Course
Application / Form No 230909212991 Name
[Link]/[Link]
210 (GPB), 217 (BIOT), 208 (BMB), 209 (GN), 216
No of Group(s) 2 Group(s)
(BIOC), 224 (NRSC), 218 (EV)
Amount 200 /- Type NON-CU
SELECTED SUBJECT(S) WITH INSTITUTES AND ORDER OF PREFERENCE
1. 210 (GPBCU), 2. 217 (BIOTCU), 3. 208 (BMBCU), 4. 209 (GNCU), 5. 216 (BIOCCU), 6. 210 (BTCU), 7. 210 (BTAS), 8. 224
(NRSCCU), 9. 210 (PLPHCU), 10. 210 (BTSR), 11. 210 (HORTCU), 13. 218 (EVCU), 14. 218 (EVAS)
PERSONAL DETAILS
Applicant Name JOYDEEP MONDAL Date of birth 03-05-2002
Mother's Name ANITA MONDAL Father's Name PINTU KUMAR MONDAL
Mother's Occupation HOME MAKER Father's Occupation BUSINESS/ENTREPRENEURSHIP
Mother's Qualification SECONDARY Father's Qualification HIGHER SECONDARY
Mother's Mobile Father's Mobile
9733015341 6295383809
Number Number
Relation with
Guardian's Name ANITA MONDAL MOTHER
Guardian
Guardian's Mobile No. 9733015341 Guardian's Email ANITAMONDAL057@[Link]
Alternate Mobile
Mobile Number 7872976858
Number
Email Id mandaljaideep003@[Link] Gender MALE
Category SCHEDULE CASTE Nationality INDIAN
Religion HINDUISM Aadhar No. 2243-6183-3178
Marital Status UNMARRIED Empl Status UNEMPLOYED
Locality RURAL PWD NO
Family Income 48000.00 BPL YES
Domicile of WB YES EWS NO
Sports Quota NO Blood Group A+
NEAR DOWN PLATFORM,STATIONPARA, VILL+P.O-ARANGHATA,UTTAR
Permanent Address
ARANGHATA,ARANGHATA,DHANTALA,ARANGHATA,NADIA, INDIA, WEST BENGAL, 741501
NEAR DOWN PLATFORM,STATIONPARA, VILL+P.O-ARANGHATA,UTTAR
Present Address
ARANGHATA,ARANGHATA,DHANTALA,ARANGHATA,NADIA, INDIA, WEST BENGAL, 741501
PREVIOUS ADMISSION DETAILS
Whether Admitted in Last Year or Not? NO
ACADEMIC QUALIFICATIONS
Div./Class Obtained Full Percentage Year of College/School Board/University
Sl Examination Passed Status CGPA
awarded Marks Marks of Marks Passing Name Name
CONVENT OF
1. SECONDARY PASSED FIRST NO 408.00 500.00 81.60 2018 JESUS AND ICSE
MARY,RANAGHAT
CONVENT OF
HIGHER
2. PASSED FIRST NO 405.00 500.00 81.00 2020 JESUS AND CISCE
SECONDARY/INTERMEDIATE
MARY,RANAGHAT
CHAKDAHA
3. B.A/[Link]/[Link] PASSED FIRST YES 8.46 10.00 84.60 2023 KU
COLLEGE
HS(10+2)/INTERMEDIATE MARKS DETAILS
# Subject 1 Subject 2 Subject 3 Subject 4 Subject 5 Subject 6
Name ENGLISH BIOLOGY PHYSICS CHEMISTRY COMPUTER APPLICATION NONE
Theory
80 89 86 76 74 0
Marks
Practical
0
Marks
Full
100 100 100 100 100 0
Marks
RECEIPT COPY OF ONLINE APPLICATION
UNIVERSITY OF CALCUTTA
UNIVERSITY OF CALCUTTA , 87/1, COLLEGE STREET , KOLKATA , 700073
Application Form
Academic Session: 2023-24
APPLICATION / FORM NO: 230909212991
UG MARKS DETAILS(CBCS MARKS DETAILS)
# Hons/Major/Core Paper Marks Gen/Pass/GE Paper Marks
NAME BOTANY CHEMISTRY ZOOLOGY
CC DSE SEC
Aggregate of Grade Points obtained in Sem I – Sem VI 117 33 17 20 16
Credit of each paper 6 6 2 6 6
Total Credit 84 24 4 12 12
Percentage 83.39 100 80
I , JOYDEEP, hereby declare that all the particulars stated by me in this Application Form are true to the best of my knowledge and belief. I have read the relevant Information Brochure &
Admission Schedule pasted on the University website / Printed Hard Copy / Notice Board for admission . I shall abide by the terms and conditions therein. It is entirely my responsibility to prove my
eligibility for admission to the Programme to which I am admitted and also in respect of qualifications and entitlement for admission against reserved category, if claimed, to the satisfaction of the
University . Further , in the event of suppression or distortion of any fact like category , educational qualifications, nationality, etc. made in my Application Form , I understand that my admission, if
granted or degree acquired subsequently , is liable for cancellation. I also understand that the decision of University of Calcutta regarding my admission will be final and I shall abide by the rules and
Regulation of University of Calcutta from time to time.
ENCLOSURES
(i) Copy of Admission Receipt
(ii) Self Attested true copies of marks-sheets of all the examinations passed
( 10th Standard onwards.)
(iii) Proof of Date of Birth Certificate.
(iv) SC/ ST / PWD / OBC-A / OBC-B/ Domicile Certificate, if applicable.
(v) Copy of aadhaar card.
Application Date : 14-09-2023 Signature :
Signature with Date