UNIVERSITY OF CALCUTTA

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

Application Form for Under Graduate Examinations

Date - 19/02/2021
Application Id. - 18D1170113

Examination - B.COM. SEMESTER - V (HONOURS) Examination (Under CBCS), 2020

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 : RAFAT NIGAR

Father's/ Guardian's Name : MD MUSA ANSARI

Registration No. : 117-1211-0102-18
Roll No. : 181117-11-0104
Date of Birth : 10/11/2001
Physically Challenged : No
Gender : Female
Mobile : 9836794901
College Code : 117
E-mail : rafatnigar2412@gmail.com
College Name : SURENDRANATH EVENING COLLEGE
Communication Address : 62 Pilkhana 1St Bye Lane Howrah

Regulation : 10/18
Subject(s)/Course(s) to appear & Fees to be deposited:
Srl. No. Subject Code Subject Name Subject Appear Type Total Amount

1 CC5.1CH
2 CC5.2CH
3 DSE5.1AH-M1
4 DSE5.1AH-M2
5 DSE5.2AH
Rs.
Auditing and Assurance
Taxation II
Macroeconomics
Advanced Business Mathematics
Corporate Accounting

Examination & other Fees to be deposited by the candidate to the College

Total

I declare that if any of the statement made in the above be found to be not true 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 Student - 20/02/2021
2. Students are required to submit the form to their College only.
3. For any change or correction, please contact your college.

CHALLAN COPY FOR STUDENT

Received an amount of Rs.0.00 from RAFAT NIGAR having Registration No. 117-1211-0102-18 and Roll No.181117-11-0104 as
examination & other relevant fees for B.COM. SEMESTER - V (HONOURS) Examination (Under CBCS), 2020, 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)