Phone No. : 03229-253238/253945

Form No.  

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BHATTER COLLEGE, DANTAN

P.O. Dantan, Dist. Paschim Medinipur, West Bengal. PIN 721426.

 

 

APPLICATION FORM FOR ADMISSION TO M.A./M.Sc.

 

                                                     

To

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

 

Paste passport
size colour
 photograph

 

 

 

 

 

For Office Use

 

Roll No. _______

Session: 2018-19

 

 

Signature

Sir,

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

                                                                                               

                                                                                                            Yours faithfully,

 

 

Date..........................                                                                           Signature of the applicant

 

1

Name

2

Father´s Name

3

Mother´s Name

4

Date of Birth

[Format : DD/MM/YYYY]

5

Permanent Address

6

Local Address

7

Mobile No.

8

Home Phone No.

9

Email ID

10

Gender

11 Category

12

Nationality

13 Religion

14

BPL/APL

15 Physically Handicapped

16

Family Annual Income

17

Aadhar No.

18 NAD ID/ Reg No.

19

Apply for Sports Quota

If yes, International/National/State with supporting documents :

20

Whether willing to appear at Entrance Test (Open Competition)

 

21

Name of the University (where from you passed Honours course)

22

University Registration No. / Year

/

 

23

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

Madhyamik or Equivalent

 

 

H.S. or Equivalent

 

 

 

 

 

B.A./B.Sc. Hons

 

 

 

24

Any other information

With supporting documents

 

PHOTO UPLOAD

 

DECLARATION BY THE STUDENT

 

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

 

DECLARATION BY THE PARENT/GUARDIAN

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.

Date:

 

Compared

 

 

 

 

 

Signature of H.O.D./                                                                  Principal

              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.