Application Form
Serial No. CAT /MAT/JEMAT Registration
No.
Price: Rs.1500/- CAT Centre Code
UNIVERSITY COLLEGE OF BUSINESS STUDIES
UNIVERSITY OF CALCUTTA
Sl. No………..
Session………
Affix here one
passport size
Photograph
Form sold
(duly attested)
by……… Alipore Campus. 1, Reformatory Street
Calcutta-700027
Form of Application for Admission to MHROM Course, 20
Selection No.--------------------------- Roll No.-----------------
A. 1. (a) Full Name………………………………………… (b) M/F………………….
(in block letters) (Surname) (First name)
(c) Nationality…………………………. (d) SC/ST……………………………..
(e) Date of Birth……………………….. (f) Married/Single…………………….
2. (a) Father’s/Guardian’s Name…………………………………………………….
(b) Occupation…………………………(c) Gross Income (per month) Rs……..
(d) Office Address……………………………………………………………….
(e) PIN…………………. (f) Tel. No./Fax…………………………………..
3. Mailing Address……………………………………………………………..
………………………... PIN…………………….. Tel. No…………………
4. Permanent Address…………………………………………………………..
…………………………PIN……………………. Tel. No…………………
B. (a) University Registration No………………………….…of ……………………
(if already a student of Calcutta University)
(b) Requirement of Hostel Accommodation (if admitted) : Yes/No……………….
C. 1. (a) Specify Honours subject ( or its equivalent ) at the Graduation level:
(b) Specify percentage of marks obtained in Honours (or its equivalent) subject:
2. Academic Qualification:
Sl. Year Degree Institution Board/University Major Subjects (Aggregate
No. (in Combination Marks*
descending obtd.)
chronology) (Total
Marks)
*Indicate Marks in respect of Honours Subject.
3. Name of Bank……………………………….. DD No. ………………… dt………
Amount Rs…………………………
…………………………
Attested (with seal)
D. Declaration :
1. By Applicant:
If any of the above statements are found to be incorrect, or if it is found that I have in any
way contravened the provisions of the rules and regulations relating to eligibility for prosecuting
studies at the Post-Graduate Class or relating to eligibility for taking the University Examination
after such studies, my admission will be liable to be cancelled and I shall not be entitled to refund
of fees paid by me. Also, I bind myself to abide by the code of conduct and discipline as may be
enforced by the authorities from time to time.
Signature(in full)……………………………… Date…………………………..
2.By Father/Guardian ;
I certify that the above statements are true.
Signature(in Full)………………………………. Date…………………………
N. B.-*Photocopies of relevant supporting documents (duly attested) are to be submitted along with the
Application Form and the originals of the documents are to be produced at the time of submission.
