RECEIPT COPY OF ONLINE APPLICATION
UNIVERSITY OF CALCUTTA
UNIVERSITY OF CALCUTTA , 87/1, COLLEGE STREET , KOLKATA , 700073
Application Form
Academic Session: 2022-23
APPLICATION / FORM NO: 220927187155
220927187155
1
Fee Waived
381/400
Application / Form No
No of Group(s)
Amount
Best of Four(10+2)
Course Name
Group(s)
B. Tech -1st YR
401 (CSE)
SELECTED SUBJECT(S) WITH INSTITUTES AND ORDER OF PREFERENCE
1. 401 (CSECU)
PERSONAL DETAILS
Applicant Name
SHASWATA SAHA
Mother's Name
SHYAMA SAHA
Mother's Occupation HOME MAKER
Date of birth
Father's Name
Father's Occupation
Relation with
Guardian
Alternate Mobile
Number
Gender
Nationality
Aadhar No.
Empl Status
PWD
Blood Group
05-03-2004
SOMENATH SAHA
SERVICE
Guardian Name
SOMENATH SAHA
Mobile Number
9674177512
Email Id
Category
Religion
Marital Status
Locality
Family Income
Sports Quota
shaswata.ssaha@gmail.com
MALE
SCHEDULE CASTE
INDIAN
HINDUISM
6374-9687-4688
UNMARRIED
UNEMPLOYED
URBAN
NO
350000.00
O+
NO
1/3 RISHI BANKIM CHANDRA ROAD (PRITI APARTMENT, FLAT-7), DUMDUM, KOLKATA
700028,DUMDUM,DUMDUM,DUMDUM,SOUTH DUMDUM MUNICIPALITY,NORTH 24 PARGANAS, INDIA,
WEST BENGAL, 700028
1/3 RISHI BANKIM CHANDRA ROAD (PRITI APARTMENT, FLAT-7), DUMDUM, KOLKATA
700028,DUMDUM,DUMDUM,DUMDUM,SOUTH DUMDUM MUNICIPALITY,NORTH 24 PARGANAS, INDIA,
WEST BENGAL, 700028
Permanent Address
Present Address
FATHER
9804706910
ACADEMIC QUALIFICATIONS
Div./Class
Obtained Full Percentage Year of College/School Board/University
CGPA
awarded
Marks Marks of Marks Passing
Name
Name
PRAMILA
1.
SECONDARY
PASSED FIRST
NO
581.00 600.00
96.83
2020
MEMORIAL
CISCE
INSTITUTE
PRAMILA
HIGHER
MEMORIAL
2.
PASSED FIRST
NO
561.00 600.00
93.50
2022
CISCE
SECONDARY/INTERMEDIATE
ADVANCED
SCHOOL
Sl
Examination Passed
Status
HS(10+2)/INTERMEDIATE MARKS DETAILS
#
Name
Theory
Marks
Practical
Marks
Full
Marks
Subject 1
ENGLISH
Subject 2
HINDI
Subject 3
MATHEMATICS
Subject 4
PHYSICS
Subject 5
CHEMISTRY
Subject 6
COMPUTER SCIENCE
91
91
100
90
90
99
0
0
0
0
0
0
100
100
100
100
100
100
RECEIPT COPY OF ONLINE APPLICATION
UNIVERSITY OF CALCUTTA
UNIVERSITY OF CALCUTTA , 87/1, COLLEGE STREET , KOLKATA , 700073
Application Form
Academic Session: 2022-23
APPLICATION / FORM NO: 220927187155
Other Examination(s)
WBJEE Rank(GMR)
Category Rank
Alloted Subject
3138
Payment Advance
153
PWD Rank
COMPUTER SCIENCE & ENGINEERING
5000.00
N/A
I , SHASWATA, 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 : 27-09-2022
Signature with Date
Signature :