confirmation slip
Post on 30-Oct-2015
33 Views
Preview:
TRANSCRIPT
-
03/06/2013 Confirmation Slip
www.victoriacollegeadmissions.com/UG2013/ApplyUG2013/day/printForm.php 1/4
SC N ST N PH N
Victoria Institution (College)"Accredited at the 'B' Level by NAAC"
78-B ACHARYA PRAFULLA CHANDRA ROAD, KOLKATA-700009
Phone No. : 033 2350 1959.
Shift : Day
Application No. : VIC13000191Application for Admission to
BENGALI Honours (2013-14)Date : 03 June 2013
FOR OFFICE USE ONLY
Roll No.: ________________
Combination : BNGA-HISG-JORG-ENGC-BNGM
Checked & Verified
Sd/-
For Department
Approved
Sd/-
Sign. of the Principal
1. Name in full : SOHINI DAS
2. Date of Birth : 5/6/1996
3. Gender : Female 4. Marital Status : Unmarried
5. Nationality : INDIAN 6. Religion : HINDUISM
7. Category (General/SC/ST/OBC) : GENERAL 8. State of Domicile : WEST BENGAL
9. Physically Challenged : No 10. Blood Group : A+
11. Year of passing H.S/Equivalent : 2013
Elective Subjects according to preference : History & Journalism
Language group English (compulsory) and : Bengali
12. Father's Name : KISHORE DAS
13. Mother's Name : SANKARI DAS
14. (a) Guardian's Name : KISHORE DAS
(b) Relationship : FATHER
15. Occupation of Father / Guardian : BUSINESS
16. Nearest Railway Station : SODEPUR
17. Monthly Family Income : 10000
18. Address :
(i) Permanent Address
Address : 2NO. DESHBANDHU NAGAR, SODEPUR, 24 PGS (N) ,KOL-700110
P.O. : SODEPUR
P.S : KHARDAH
City/Village : SODEPUR
District : NORTH 24 PARGANAS
PIN Code : 700110
Contact No. : STD Code 91 Phone No 9330912029
(ii) Communication Address
Address : 2NO. DESHBANDHU NAGAR, SODEPUR, 24 PGS (N) ,KOL-700110
P.O. : SODEPUR
P.S. : KHARDAH
City/Village : SODEPUR
District : NORTH 24 PARGANAS
PIN Code : 700110
Contact No. : STD Code 91 Phone No 9330912029
-
03/06/2013 Confirmation Slip
www.victoriacollegeadmissions.com/UG2013/ApplyUG2013/day/printForm.php 2/4
-
03/06/2013 Confirmation Slip
www.victoriacollegeadmissions.com/UG2013/ApplyUG2013/day/printForm.php 3/4
Application No. : VIC13000191Application for Admission to
BENGALI Honours (2013-14)Date : 03 June 2013
RESULT OF QUALIFYING EXAMINATION
Name : SOHINI DAS
Result declared by your Board : PASSED
Roll : 461521 No. : 0536 Year : 2013
Board : W.B.C.H.S.E
Institution Name : SODEPUR CHANDRACHUR VIDYAPITH FOR GIRLS
Institution Address : 1 NO. DESHBANDHU NAGAR, SODEPUR, KOL-700110
MARK SHEET
Sl. No. SubjectFull Marks Pass Marks Marks Obtained
Theory Practical Theory Practical Theory Practical
1. ENGLISH 100 0 30 0 50 0
2. BENGALI 100 0 30 0 50 0
3. EDUCATION 100 0 30 0 78 0
4. PHILOSOPHY 100 0 30 0 60 0
5. POLITICAL SCIENCE 100 0 30 0 46 0
6. HISTORY 100 0 30 0 46 0
7. ENVS / EED / ES 40 60 10 20 26 51
Aggregate (of Top Four Subjects) : 59.50% Effective Aggregate : 238.00
I hereby declare that all entries made by me in this form are true.
If anything found not true, I understand that my candidature stands cancelled.
I shall abide by the college rules regarding admission, class attendance, promotion criteria and stipulated qualifications for
being sent up for final examination.
Full Signature of the Candidate with Date
(Required at the time of admission)
Signature of the Parents / Guardian with Date
(Required at the time of admission)
Documents to be Produced at the Time of Admission
1. Application Form Printout. (Only Original)
2. 10+2 Level Mark Sheet and Admit Card. (Original & One self-signed Photocopy)
3. 10th Level Mark Sheet and Admit Card. (Original & One self-signed Photocopy)
4. SC/ST/Physically Challenged Certificate (if any). (Original & One self-signed Photocopy)
5. School Leaving Certificate (Only Original)
6. 2 copies of stamp sized colour photo.
7. Monthly Income Certificate. (Relevant document from competent authority)
8. Residential Certificate. (Original & One self-signed Photocopy)
9. Duly paid Applicant's Copy of the Pay in Slip.
Sr. No. Application History
1 Submitted on 03-06-2013 at 7:49 pm
-
03/06/2013 Confirmation Slip
www.victoriacollegeadmissions.com/UG2013/ApplyUG2013/day/printForm.php 4/4
PAY IN SLIP
Victoria Institution (College)78-B ACHARYA PRAFULLA CHANDRA ROAD, KOLKATA-700009
Phone : 033 2350 1959.
DATE: 03 June 2013 COLLEGE COPY
Application No. : VIC13000191 Honours: Bengali
Name : SOHINI DAS
AMOUNT : Rs. 100/- (Rupees One Hundred Only)
Received Rs. 100/- (Rupees One Hundred Only) as
application fees for admission to the 1st year B.A./B.Sc. Day
Class at Victoria Institution (College), Kolkata. Signature with seal of Receiving Authority
Victoria Institution (College)78-B ACHARYA PRAFULLA CHANDRA ROAD, KOLKATA-700009
Phone : 033 2350 1959.
DATE: 03 June 2013 APPLICANT'S COPY
To be retained by the Applicant and to be produced at the time of admission.
Application No. : VIC13000191 Honours: Bengali
Name : SOHINI DAS
AMOUNT : Rs. 100/- (Rupees One Hundred Only)
Received Rs. 100/- (Rupees One Hundred Only) as
application fees for admission to the 1st year B.A./B.Sc. Day
Class at Victoria Institution (College), Kolkata. Signature with seal of Receiving Authority
NOTE: The Application Fee must be paid at the COLLEGE COUNTERfrom 11:00 AM TO 2:00 PM on any one of these dates -
06/06/2013, 07/06/2013, 10/06/2013, 11/06/2013, 12/06/2013,13/06/2013 and 14/06/2013.
top related