Académique Documents
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-150/-
SIDHO-KANHO-BIRSHA UNIVERSITY
PURULIA
2.
BU
OU
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.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
3.
.............................................................................................................................
4.
.............................................................................................................................
5.
Reservation claimed as
S.C.
6.
Date of birth
DD
7.
(a) Nationality
8.
9.
(b) Sex
S.T.
P.H.
MM
(c)
Sports
Others
YYYY
Marital Status
Married
Unmarried
.............................................................................................................................
Yes
No
Date of commencement
Place
[2]
11. Examinations passed :
A.
Total marks
obtained
Full marks
Percentage of marks
in aggregate
C.
Marks obtained
Percentage of marks
Grade Point :
Mode of calculation of Grade Point may be had from the Prospectus to be provided alongwith the form)
Amount ................................................................................................................................................
(Attach attested copies of marksheets & certificates for entries made in Sl. No. - 5,6,9,11A & 11B.)
DECLARATION OF CANDIDATE
I do hereby solemnly affirm that the entries made herein are true and that if any of the informanation furnished proves to be materially
false or incorrect, either wholly of partly, the University may cancel my admission or take such other action as may be deemed fit. I am in
a position to defray the necessary expenses for my stay & studies.
.........................................................................................
Countersignature of the Guardian with date
......................................................................................
Full Signature of the Candidate with date
.............................................................
Category
..............................................................
..............................................................
.........................................................................................
(Department of .........................................................)
SIDHO-KANHO-BIRSHA UNIVERSITY
PURULIA
2.
BU
OU
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
3.
.............................................................................................................................
4.
.............................................................................................................................
5.
Reservation claimed as
S.C.
6.
Date of birth
DD
7.
(a) Nationality
8.
9.
(b) Sex
S.T.
P.H.
MM
(c)
Sports
Others
YYYY
Marital Status
Married
Unmarried
.............................................................................................................................
Yes
No
Date of commencement
Place
[2]
11. Examinations passed :
A.
Total marks
obtained
Full marks
Percentage of marks
in aggregate
C.
Marks obtained
Percentage of marks
Grade Point :
Mode of calculation of Grade Point may be had from the Prospectus to be provided alongwith the form)
Amount ................................................................................................................................................
(Attach attested copies of marksheets & certificates for entries made in Sl. No. - 5,6,9,11A & 11B.)
DECLARATION OF CANDIDATE
I do hereby solemnly affirm that the entries made herein are true and that if any of the informanation furnished proves to be materially
false or incorrect, either wholly of partly, the University may cancel my admission or take such other action as may be deemed fit. I am in
a position to defray the necessary expenses for my stay & studies.
.........................................................................................
Countersignature of the Guardian with date
......................................................................................
Full Signature of the Candidate with date
.............................................................
Category
..............................................................
..............................................................
.........................................................................................
(Department of .........................................................)
SIDHO-KANHO-BIRSHA UNIVERSITY
PURULIA
2.
BU
OU
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
3.
.............................................................................................................................
4.
.............................................................................................................................
5.
Reservation claimed as
S.C.
6.
Date of birth
DD
7.
(a) Nationality
8.
9.
(b) Sex
S.T.
P.H.
MM
(c)
Sports
Others
YYYY
Marital Status
Married
Unmarried
.............................................................................................................................
Yes
No
Date of commencement
Place
[2]
11. Examinations passed :
A.
Total marks
obtained
Full marks
Percentage of marks
in aggregate
C.
Marks obtained
Percentage of marks
Grade Point :
Mode of calculation of Grade Point may be had from the Prospectus to be provided alongwith the form)
Amount ................................................................................................................................................
(Attach attested copies of marksheets & certificates for entries made in Sl. No. - 5,6,9,11A & 11B.)
DECLARATION OF CANDIDATE
I do hereby solemnly affirm that the entries made herein are true and that if any of the informanation furnished proves to be materially
false or incorrect, either wholly of partly, the University may cancel my admission or take such other action as may be deemed fit. I am in
a position to defray the necessary expenses for my stay & studies.
.........................................................................................
Countersignature of the Guardian with date
......................................................................................
Full Signature of the Candidate with date
.............................................................
Category
..............................................................
..............................................................
.........................................................................................
(Department of .........................................................)
SIDHO-KANHO-BIRSHA UNIVERSITY
PURULIA
2.
BU
OU
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
3.
.............................................................................................................................
4.
.............................................................................................................................
5.
Reservation claimed as
S.C.
6.
Date of birth
DD
7.
(a) Nationality
8.
9.
(b) Sex
S.T.
P.H.
MM
(c)
Sports
Others
YYYY
Marital Status
Married
Unmarried
.............................................................................................................................
Yes
No
Date of commencement
Place
[2]
11. Examinations passed :
A.
Total marks
obtained
Full marks
Percentage of marks
in aggregate
C.
Marks obtained
Percentage of marks
Grade Point :
Mode of calculation of Grade Point may be had from the Prospectus to be provided alongwith the form)
Amount ................................................................................................................................................
(Attach attested copies of marksheets & certificates for entries made in Sl. No. - 5,6,9,11A & 11B.)
DECLARATION OF CANDIDATE
I do hereby solemnly affirm that the entries made herein are true and that if any of the informanation furnished proves to be materially
false or incorrect, either wholly of partly, the University may cancel my admission or take such other action as may be deemed fit. I am in
a position to defray the necessary expenses for my stay & studies.
.........................................................................................
Countersignature of the Guardian with date
......................................................................................
Full Signature of the Candidate with date
.............................................................
Category
..............................................................
..............................................................
.........................................................................................
(Department of .........................................................)