4/11/2019 Acknowledgement Sheet

ST. XAVIER'S COLLEGE

[AUTONOMOUS]
30, MOTHER TERESA SARANI (PARK STREET), KOLKATA - 700 016

ONLINE APPLICATION - 2019-2020

Paste your recent color
ACKNOWLEDGEMENT SHEET AND ADMIT CARD photograph,
duly attested by the
competent authority
of the last Institution
attended.
Do not staple/attach with other documents.

Please carry this Sheet at the time of Admission Test and Admission.

Application Code : MCS00019

Course : M.Sc. Computer Science
Name : SAHELY GHOSHAL
Gender : FEMALE Date of Birth : 06-12-1997 Blood Group : O+
Address : 7 HARADEB BHATTACHARYA LANE, SHIBPUR, HOWRAH,WEST BENGAL,HOWRAH-711102,India

Mobile : 7003309754
Email ID : sahelyghoshal56@gmail.com
Religion : Hindu Community : General Nationality : INDIAN

Father's Name : SAKTI NATH GHOSHAL

Mother's Name : SIPRA GHOSHAL
Guardian's Name : SAKTI NATH GHOSHAL
Guardian Relation : FATHER Guardian's Mobile : 7003617301

Academic Details -
Passing
Marks Full %
Graduation Degree University College/Institution Results Status Month &
Obtained Marks age
Year
B.SC. COMPUTER
UNIVERSITY OF THE BHAWANIPUR EDUCATION
SCIENCE Final Results awaited Jul - 2019 250 400 62.50
CALCUTTA SOCIETY COLLEGE
(HONOURS/MAJOR)

Marks Full
Course Board/Council School Year % age
Obtained Marks
WEST BENGAL COUNCIL OF HIGHER
Class XII SIBPUR BHABANI BALIKA VIDYALAYA 2015 297 400 74.25
SECONDARY EDUCATION
WEST BENGAL BOARD OF SECONDARY
Class X SIBPUR BHABANI BALIKA VIDYALAYA 2013 432 500 86.40
EDUCATION

Please Note:
1. THE APPLICATION FEE MAY BE PAID ONLINE OR TO THE SYNDICATE BANK, ANY BRANCH IN INDIA.

2. In case you have paid the application fee online, do not make payment to the Syndicate Bank.
3. Last date for payment of Application Fee 17/05/2019
4. If the application fee is paid after the last date, the application will not be registered even if the bank accepts the application fee.
6. All original testimonials / documents are to be brought at the time of Admission.
7. Date & Time of Admission Test 25/05/2019, 10:00 a.m. - 12:00 noon
8. Selection List on 24/05/2019 at 4:00 p.m. on the College Website.
9. This sheet and the photograph must be attested by the competent authority of the last Institution attended.
10. Must carry a valid Photo ID issued by a Government authority.

.....................................
Signature of Candidate

___________________________________________________________________________________________________________________________________

For Office Use

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 4/11/2019 Acknowledgement Sheet

Appeared for Admission Test on ............................

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Signature of Invigilator

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 4/11/2019 Acknowledgement Sheet

(Bank Copy)
SYNDICATE BANK

PAYMENT CHALLAN for Application Fee of St. Xavier's College (Autonomous), Kolkata

Instruction for the Bank:

1. Mark the payment after logging in to IN HOUSE APPLICATION > Fees Collections > St. Xavier's College Kolkata.
2. Note down the transaction ID (6 digit number) generated from IN HOUSE APPLICATION in Step 1 on the candidate
copy & bank copy of the clallan.
THEN ONLY
3. Deposit Cash in A/C no 95852010014685 by fast Path 1401 mentioning Application Code (mentioned in the
challan) only in NARRATION field.
4. Last date for payment of Application Fee 17/05/2019

Transaction ID : Branch : Date :

Amount:- Rs. 1000/- (One Thousand Only)

Applicant Code Number : MCS00019

Name of Applicant : SAHELY GHOSHAL

Applicant Mobile No : 7003309754 Applicant Email-ID : sahelyghoshal56@gmail.com

Received Cash

................................................ ........................................
Signature of Applicant / Guardian Bank Seal with Signature

-------------------------------------------------------- Cut here --------------------------------------------------------

(Student Copy)
SYNDICATE BANK

PAYMENT CHALLAN for Application Fee of St. Xavier's College (Autonomous), Kolkata

Please Note:
1. In case you have paid the application fee online, do not make payment to the Syndicate Bank.
2. Last date for payment of Application Fee 17/05/2019
3. If the application fee is paid after the last date, the application will not be registered even if the bank accepts the application
fee.

Transaction ID : Branch : Date :

Amount:- Rs. 1000/- (One Thousand Only)

Applicant Code Number : MCS00019

Name of Applicant : SAHELY GHOSHAL

Applicant Mobile No : 7003309754 Applicant Email-ID : sahelyghoshal56@gmail.com

Received Cash

.......................................... ..................................
Signature of Applicant / Guardian Bank Seal with Signature
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