Phone No. : 033-2553 2280
Form No.  

Dantan, Paschim Medinipur West Bengal, PIN 721426


The Principal
Bhatter College, Dantan
Dantan, Paschim Medinipur
West Bengal, PIN 721426

Paste passport
size colour

For Office Use

Roll No. _______

Session: 2018-19



I beg to apply for admission to the Post-Graduate Course in as a regular student for the session 2018-2019.

Yours faithfully,
Signature of the applicant

1 Name 2 Blood Group
3 Father's Name 4 Father's Occupation
5 Mother's Name 6 Mother's Occupation
7 Date of Birth [Format : DD/MM/YYYY] 8 Local Guardian's Name
9 Permanent Address 10 Relationship with Local Guardian
11 Local Address 12 Marital Status
13 Mobile No. 14 Home Phone No.
15 Email ID 16 Gender
17 Category 18 Nationality
19 Religion 20 BPL/APL
21 Physically Handicapped 22 Family Annual Income
23 Aadhar No. 24 NAD ID/Reg No.
25 Apply
for Sports Quota
26 If yes,
International/National/State with supporting documents
27 Whether
willing to appear at Entrance Test (Open Competition)
28 Name of the University (where from you passed Honours course)
29 University Registration No. / Year /      
30 Statement of Marks obtained at different examinations
Name of the Examination Board/Council/ University Subject(s) Year of Passing Total Marks Marks Obtained Percentage of Marks Div/Class
H.S. Or Equivalent
31 Any other information

With supporting documents




1. I do hereby declare that (a) the information provided in this form is true to the best of my knowledge and belief. If proved otherwise, I shall be punished as per rule; (b) I shall be a bonafide student of the College and I shall not be engaged in any employment or any other work or course of study elsewhere during the course for which I am applying. If proved country, my admission shall be liable to be cancelled; (c) if any of the above statements is incorrect or if it is found that I have in any way contravened the provision of the rules and regulations relating to the eligibility for prosecuting Post Graduate study or relating to the eligibility for taking the University Examination after such study, my admission will liable to be cancelled and I shall not be entitled to get refund of fees paid by me; (d) I find myself to abide by the code of conduct and discipline as may be enforced by the authorities from time to time; (e) If I do not attend lectures for 10(ten) consecutive teaching days from the date of commencement of classes without prior information and valid reasons, my admission will be treated as cancelled; (f) I shall attend at least 75% of the total classes held in all Semesters.


2. I do hereby undertake that (a) I will not indulge in any behavior or act that may come under the definition of ragging; (b) I will not participate in or abet or propagate ragging in any form; (c) I will not hurt anyone physically or psychologically or cause any other harm; (d) I hereby agree that if I am found guilty of any aspect of ragging, I may be punished as per the provisions of the UGC Regulations and/or as per the law in force.


Signature of the applicant with date


1. I declare that (a) information given by my ward is correct; (b) In the event of his/her being admitted to the College, I shall pay all his/her College dues, if any, till the completion of the course.

2. I do hereby undertake that (a) my son/daughter/ward will not indulge in any act of ragging; (b) if he/she is found guilty of any aspect of ragging, he/she may be punished as per the provisions of UGC Regulation and/or as per the law in force.


Signature of father /mother/guardian with date

Enter Code


Roll No.  
Signature of H.O.D./ 
Course Coordinator
Bhatter College, Dantan


Following Documents have to be brought by the candidate during counselling :

1.Print out of the online filled up Application Form to be submitted at the time of counselling affixed with a passport size coloured recent photograph.

2.Self attested photo copy of Admit of Madhyamik Examination.

3.Self attested photo copies of all the Marksheets of Examination passed (10th Onward), Unversity Registration Certificate.

4.Self attested photo copy SC/ST/OBC-A/OBC-B/PwD certificate issued by the appropriate authority. (if claimed quota)

5.Self attested photo Copies of the certificate of Games and Sports/Culture Competition (International/National/State in the last two years. (if claimed quota)

6.Self attested photo copy of BPL Certificate of the parents issued by the appropriate authority. (if claimed for concession of tuition fees)

7.Migration Certificate (for other university candidates only) must be submitted within two months from the date of admission.