Admission Form: Form No: Personal Information
Admission Form: Form No: Personal Information
Admission Form: Form No: Personal Information
Admission Form
Form no:
Personal Information
First Name Middle Name Surname
Current Address:
Date of Birth:
Gender: MALE FEMALE
Mobile No:
Category: General OBC SC ST
Parents Occupation:
Educational Information
Class X Class XI-XII
Name of School: Name of school:
Address of School: Address of School:
Admission Details
Class XI XII XII(Pass out)
Courses: BOARD
Medical : CBSE-PMT/NEET WBJEE
Engineering: IIT-JEE WBJEE
Kadamtala
Mandirtala Howrah
Bally
Dumdum
Centres: Ballygaung Kolkata
Alipur duar
Coachbihar North Bengal
RESULTS
1. ARNAB BIR 17TH (ENG)
TH
2. ROKTIM MUKHERJEE 20 (MED)
3. RUKSANA BEGUM 21ST (MED)
TH
4. SABRINA FARHEEN 37 (MED)
5. TANOY KR. SARKAR 49TH (MED)
6. SAMIPENDU DAS 51ST (ENG)
7. SOUVIK MONDAL 53RD (ENG)
8. ASIF IQBAL 62ND (ENG)
I hereby certify that the information given above is complete and correct. If any information
in the form is found false/incorrect, my candidature against this admission shall stand
cancelled.
I have read the coaching rules and regulations and assure to obey the same in true sense.