Generated On : Nov 22, 2024, 5:49:05 PM

Centralised Admission Portal (UG)

Application Form
Academic Session : 2024-25

Applicant Code : MDH240032125

BARCODE

Basic Info

Name : TAHASINA ZAMAN Gender : F

DOB : 08-10-2005 Catgeory : Unreserved

PwD : NO PwDType : N/A

Religion : ISLAM Identity Proof : Aadhaar Card(745946530609)

Mother Tongue : Bengali (Bangla) Blood Group : N/A

Railway Station : Mobile : 8927135429

Email : [email protected] Domicile : West Bengal

Nationality : Indian Aadhar No : 745946530609

Maritial Status : NO Is Sports Person : NO

Sports level : Sports type : N/A

Pursuing Any Course : NO Pursuing Course Name :

Institute Name : Registration No/Year :

Bank A/C No. : 39920100013285 Bank IFSC Code : BARB0KALIAC

Bank Name : Bank of Baroda Bank A/C Holder Name : TAHASINA ZAMAN

Family Information

Father's Name : MD RAFIQUZZAMAN Father's Qualification : Graduate

Father's Mobile : 9733310850 Father's Occupation : SERVICE

Mother's Name : HASINA BANU Mother's Qualification : Class 10+2 Passed

Mother's Mobile : 9733310850 Mother's Occupation : HOUSEWIFE

Guardian's Name : MD RAFIQUZZAMAN Guardian's Occupation : SERVICE

Guardian's Mobile : 9733310850 Annual Income : 400000

Relationship : Father

Address Information
Permanent-Address

Address : VILL- ALIPUR

Post Office : ALIPUR Police Station : Kaliachak PS District : Maldah

Gram Panchyat/Block/Municipality/Municipal Corporation : KALIACHAK I

City/ Town/ Village : MALDA State : West Bengal PinCode : 732201

 Communication-Address

Address : VILL- ALIPUR

Post Office : ALIPUR Police Station : Kaliachak PS District : Maldah

Gram Panchyat/Block/Municipality/Municipal Corporation : KALIACHAK I

City/ Town/ Village : MALDA State : West Bengal PinCode : 732201

Uploaded Documents

Identity Proof Document

10th Standard Marksheet
10+2 Standard Marksheet
Age Proof Document / Class 10th Admit Card / Class 10th Registration

Academic Information
Result-XII

Board Name : West Bengal Council of Higher Secondary Education Stream : Arts

Registration No : 1222155076 Medium of Instructions : Bengali Year of Passing : 2024

Subject Theory Project / Practical Total Percentage Only

Theory
Full Marks Pass Marks Marks Full Marks Pass Marks Marks Full Marks Pass Marks Marks
Obtained Obtained Obtained

Bengali 80 24 36 20 6 20 100 30 56 56.00 NO

English 80 24 30 20 6 20 100 30 50 50.00 NO

Education 80 24 34 20 6 20 100 30 54 54.00 NO

Geography 70 21 41 30 9 30 100 30 71 71.00 NO

History 80 24 38 20 6 20 100 30 58 58.00 NO

Philosophy 80 24 30 20 6 20 100 30 50 50.00 NO

Result-X
Board Name : West Bengal Board of Secondary Education Stream : N/A

Registration No : 2212-120077 Medium of Instructions : Bengali Year of Passing : 2022

Subject Theory Project / Practical Total Percentage Only

Theory
Full Marks Pass Marks Marks Full Marks Pass Marks Marks Full Marks Pass Marks Marks
Obtained Obtained Obtained

Bengali 90 27 39 10 3 10 100 30 49 49.00 NO

English 90 27 55 10 3 10 100 30 65 65.00 NO

Mathematics 90 27 29 10 3 10 100 30 39 39.00 NO

Physical Sc. 90 27 36 10 3 10 100 30 46 46.00 NO

Life Sc. 90 27 31 10 3 10 100 30 41 41.00 NO

History 90 27 46 10 3 10 100 30 56 56.00 NO

Geography 90 27 46 10 3 10 100 30 56 56.00 NO

Preference List

SL Application University College / HEI Course/Program Preference Merit Index Applied

No. No No On
1 A004520884 Gour Banga Kaliachak College 4 - Year - B.A (H/H.& 1 58.75 08/07/2024
University R.) - GEOGRAPHY

Declaration :

Declaration : I solemnly declare that I have read and understood the rules and regulations of admission to the
undergraduate courses/programmes of all Universities/Colleges/HEIs of West Bengal and that I am applying for admission
to UG course(s)/programmes after fully understanding the rules/regulations/eligibility criteria etc. set forth by the Affiliating
Universities or Higher Education Institutions as the case may be. I further declare that if my application turns out to be
invalid for not understanding any rule/regulation or part thereof on my part, I alone shall be held responsible for such
invalidation, if any.

I do hereby solemnly declare that all the information provided in this application are true, complete and correct to the best
of my knowledge and belief. In the event of any information found to be false, incomplete or incorrect, my candidature is
liable to be cancelled even after admission as per rules now in force.

I do hereby authorize the West Bengal State Council of Higher Education to use and process my 'digital personal data' in
the light of 'Digital Personal Data Protection Act, 2023' for the purpose for which the same have been digitally captured by
the system for lawful purposes and for matters connected therewith or incidental thereto.

Profile Last Updated On : 04/09/2024 14:28:32