Form No.           : /200

Form price incl. Prospectus
Rs. 50.00
Book No. : ........................
Migrating Non Migrating

Application for Admission :
B. A., B. Sc., B. Com., Pt. - I, Pt. II, Pt. III
Under revised regulation
KIDDERPORE COLLEGE
NAAC GRADED - B (72.5%)
2 & 3, PITAMBER SIRCAR lANE
Kolkata - 700 023
For Office Use Only
Date of Issue ........................
Marks obtained .....................
Issued by .............................
Valid upto ..............................
Name ...................................
Verified by Office Clerk
Medium of Instruction : English & Bengali
Issue of admission form is not a guarantee for admission
Students have to answer in all College Examination either in English or Bengali.
•Three photos of candidate and one photo of Father / Mother must be produced

Candidate’s
Photo

Parent’s
Photo
(Either father
or mother)
FOR OFFICE USE ONLY :-
1. Session 20 20
2. Class : ..................................
3. Roll No. : ...............................
4. Date of Admission : .................
Verified by.

................................................................
Verified by office clerk

................................................................
Recommended for Admission

................................................................
Dept. Hd. / Teacher
ADMIT

................................................................
Principal

 

1. Name of the applicant in block letters .................................................................Male / Female................
2. Father’s Name ................................................................................................Occupation ..................
3. Mother’ Name .............................. ..................................................................Occupation ..................
Academic Qualification of Father’s / Mother’s : ...........................................................................................
4. Name of the Local Guardian Certified by Parents .................................................... Relation .....................
5. Monthly income of Father / Mother . parent ...........................................................................................
6. Permanent address in block letters (a) Home address (Do you want Home- going Rly. Concession? - Yes / No)
Village .................. P.O. .................... District ........................... State ..................Railway Station............
(b) Local address in block letters with Telephone No. (must) ........................................................................ ......................................................................................................................................................... ...................................................................................................................... Pin Code ......................
7. Date of birth ............................. Nationality ....................1st Language .................Creed / religion ..........
A) Scheduled Caste / Scheduled Tribe / O. B. C. - Yes / No.
8. Name & address of the Institution from where the applicant in the last examination passed ............................
.........................................................................................................................................................
9. Name of the last examination passed ....................................................................................................
10. Any remarkable performance in Sports, Club / Dist. / State / National (Certificate to be atached).
11. Name of the Board / Council or other recognised authority from where the applicant passed the last examination ........................................................................................................................................
12. Roll ........................... No. ...................... Total Marks ......................Year ................Division............
13. Class to which admission is sought .....................................................................................................
14.a) Subjects in B. A. Degree Course : - i) Honours : Bengali / Urdu / Hindi / Political Science / History /
Education / English / Economics / Philosophy.
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Received the Form No.From .................................... on ...........................
 

 

Signature of Principal / In - Charge / Dept. Hd./ Teacher / Hd / Clerk / Clerk