(REGISTRATION FORM)
Programme Enrolled For BBA LL.B. (H)
Academic Session 2025-2030
Admission Category NS
Full Name of the Student SAUJEEN JAWAID
Father's Name JAWAID HAIDER
Father's Mobile No 918582831061
Father's Occupation Business Man/Industrialist
Mother's Name RASHMA PARVEEN
Mother's Mobile No 918582831061
Mother's Occupation
Nationality Indian
Date of Birth 17/06/2006
Gender Female
Category GEN
Emergency Contact No 9831112793
Correspondence Address
Address 29B/H/4, EKBALPORE ROAD KHIDDERPORE
City KOLKATA [CALCUTTA]
State West Bengal
Country Bhutan
Pin 700023
Tel 8582831061
Fax
Mobile 7439281152
Email jawaidsaujeen@[Link]
Permanent Address [Address of Parents]
Address 29B/H/4, EKBALPORE ROAD KHIDDERPORE
City KOLKATA [CALCUTTA]
State West Bengal
Country Bhutan
Pin 700023
Tel. 8582831061
Fax
Local Guardian(s) to be contacted in emergency
Full LG Name Saujeen Non Jawaid
Address Ekbal pura near islamia library
City Kolkata
State West Bengal
Pin 700023
Tel.
Mobile No
Email
Place of stay during this Semester (Non-Hostellers) NA
Address NA
City NA
Pin NA
Telephone NA
Mobile NA
Details of educational Qualification(from high School onwards)
Name of Qualifying Exam Year of Passing School/College Board/University Subjects/Stream Percentage Class/Divis
Xth 2022 [Link]' Girls ' school ICSE Commerce 87.75 87.75
XIIth 2024 ST. THOMAS' GIRLS' SCHOOL ISC Humanities 92.00 92.00
Any type of sickness that you are prone to and the line of treatment
Any particular Doctor to be contacted in case of your sickness
Full Dr Name Saujeen Non Jawaid
Address Ekbal pura near islamia library
City Kolkata
State West Bengal
Pin 700023
Tel. 8582831061
Mobile No 7439281152
Email jawaidsaujeen@[Link]
Your Blood Group B+ve
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UNDERTAKING
I hereby solemnly affirm and declare that the information made and furnished by me in the Registration-cum-Enrollment Form is true and c
I am being admitted to the above stated programme entirely on my request and I agree to abide by all the rules and regulations of the Institu
University which I have read and understood. I was given opportunity to clarify any doubts I had and I shall not hold the Institution / Univer
for any gaps in my understanding about the same. In the event of suppression or distortion of any fact like educational qualification, nationa
in the Registration-cum-Enrollment Form, I understand that my admission is liable to be cancelled.
I have full knowledge of the fact that in case my attendance in any course is below than the required attendance as per University Policy/rele
Regulatory Body, whichever is higher, I will be debarred from appearing in examination of the course(s). I shall abide by the attendance rule
University/relevant Statutory Body, whichever are higher, and have understood that ONLY physical presence/online active presence in the cl
considered as attendance. I have also understood the importance of marks associated with attendance.
I have uploaded/submitted all requisite documents which are to be verified by the Institution. I have gone through the rules of provisional re
fully understand that in the event of my failure to submit to the Institution / University, appropriate documentary proof of my meeting the el
requirement as specified for my programme of study, my admission to Amity University Kolkata will be cancelled
Verified that the contents of this undertaking are true to the best of my knowledge and nothing which has been stated is false and nothin
concealed or misstated therein. I understand and agree to the above
Date : 20/08/2025
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