Lady Brabourne College 2003

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LADY

BRABOUR

NE

COLLEGEP-1/2,

Suhrawardy

Avenue

Kolkata - 700

017

Application for Admission to M.Sc.

FOR OFFICE USE ONLY

Checked & Verified

Sd/-

For Department

Approved

Sd/-

Sign. of the Principal

Date:- 24 July 2010

Application No.: 794

Admit_______________ Roll No.:_____________

1. Name in full RUPSA BISWAS

2. Date of Birth 28/1/1990 3. Sex Female 4. Married No

5. Nationality INDIAN 6. Religion HINDU 7. Physically Handicapped No

8. Category General

9. Father's / Guardian's Name PRANAB BISWAS

10. Annual Family Income 40000

11. Residence Address C/O ANAL KUMAR BISWAS, BLOCK-CHAPRA A POST- BANGALJHI,

(a) Name of City / Village CHAPRA

(b) District NADIA

(c) Pin 741123

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(d) Contact No. STDNo.

12. Father's/Guardian's Office Address

(a) Contact No. STDNo.

13. Local Guardian's Name and Address

(a) Contact No. STDNo.

14. Blood Group A+

15. Result declared by your University Passed

16. Year of Graduation 2010

RESULT OF QUALIFYING EXAMINATION

Name RUPSA BISWAS

Roll No. 213-0812-0035 Regn No. 006752 Session of Regn 2007-08

Name of college last attended KRISHNAGAR WOMENS' COLLEGE

Name of the University / Institution KOLYANI UNIVERSITY

STATEMENT OF MARKS OBTAINED

HONOURS SUBJECT

1. GEOGRAPHY Full Marks800 Marks Obtained528 Percentage in Honours Subject66 %

GENERAL SUBJECTS

1. ECONOMICS Full Marks300 Marks Obtained216

2. POLITICAL SCIENCE 300 165

COMPULSORY LANGUAGE GROUP (All Languages taken together)

1. ENGLISH + BENGALI Full Marks100 Marks Obtained65

I hereby declare that all entries made by me in this form are true. If anything found not true, I understandthat my candidature stands cancelled.

DOCUMENTS TO BE PRODUCED AT THE TIME OF ADMISSION

(i) Original & Attested copy of Mark Sheets and Admit Card of the last examination (to be attested by the Head of the Institution lastattended or by a Gazetted Officer).

(ii) Original & Attested copy of SC, ST certificate (For SC / ST candidates only) to be attested by the Head of the Institution last

attended or by a Gazetted Officer.

(iii) Two (2) passport size photographs, attested by the Head of the Institution last attended or by a Gazetted Officer.

(iv) Acknowledgement of the Application Form i.e duly paid Applicant's Copy of the Challan.

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Date

Signature of Parent / GuardianSignature of Applicant

Sr. No. Application History

1 Submitted on 24/07/2010 00:06:00

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CHALLAN

LADY

BRAB

OURN

E

COLLEGE

P-1/2,Suhraw

ardyAvenue,Kolkata - 700

017

DATE: 24 July 2010 BANK'S COPY

LADY BRABOURNE COLLEGE A/c. No. 910020024446594

AXIS BANK BRANCH:-

Application No. : 000794 Subject : Geography

Name : RUPSA BISWAS

AMOUNT : Rs. 300/- (Rupees Three Hundred Only)

Received Rs. 300/- as application fees foradmission to the 1st year M.A. / M.Sc. Class at

Lady Brabourne College, Kolkata Signature with seal of Receiving Authority

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LADY BRABOURNE COLLEGEP-1/2,Suhrawardy Avenue,Kolkata - 700 017

DATE: 24 July 2010 APPLICANT'S COPY

LADY BRABOURNE COLLEGE A/c. No. 910020024446594

AXIS BANK BRANCH:-

Application No. : 000794 Subject : Geography

Name : RUPSA BISWAS

AMOUNT : Rs. 300/- (Rupees Three Hundred Only)

Signature of Applicant Signature of Parent / Guardian

Received Rs. 300/- as application fees foradmission to the 1st year M.A. / M.Sc. Class at

Lady Brabourne College, Kolkata Signature with seal of Receiving Authority

Instructions to Candidates :-1. Candidate must pay the Application Fee of Rs. 300/- along with the Challans generated

after successful online submission of the form at Axis Bank from 23/07/2010 to

26/07/2010, otherwise the form will be rejected.

2. Retain the Applicant's Copy of the Challan for future production.

3. Candidate must retain the Application Form generated after successful online submissionof the form and produce the same at the time of admission.

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Documents

Lady Brabourne College 2003