Form Fill up For MDC/General Course (3 Years)

  Friday, 13 Jun 2025
PERSONAL INFORMATION
Name
Date of Birth
Nationality  
Religion  
Gender
Stay in Hostel
Caste    
Do you have Banglar Shiksha ID
Banglar Shiksha ID
Do you have Kanyashree ID
Kanyashree ID
Do you have ABC ID
ABC ID
Whether Differently Abled
Disability Type Disability Code % of Disability
Mobile No.
 (Do not change the Mobile No. during your entire course of studies)
WhatsApp No.
Email ID
Aadhar Card No.
Blood Group
Father's Name
Father’s Mobile No
Father’s Profession
Father's Qualification
Mother's Name  
Mother’s Mobile No
Mother’s Profession
Mother's Qualification
Guardian's Name
Guardian's Mobile No
Guardian's Occupation
Relationship with Guardian's
Guardian’s Email ID
Marital Status
Spouse Name
Annual Family Income    
Whether Belongs To Bpl / Apl  
Whether Migrating Student  
PERMANENT ADDRESS
Vill
P.O.
P.S.
Block or Municipality
Locality Type
PIN Code
Dist.
State
PRESENT ADDRESS
Vill
P.O.
P.S.
Block or Municipality
Locality Type
PIN Code
Dist.
State
Marks In Math(M.P)    
ACADEMIC RECORDS
Name of the Examination
H.S/Equivalent Roll & No./Index No.  
Year of Passing
Name of the Council/Board
Name of the School last Attended
Whether Admitted In CU before   CU Reg. No  
 
Statement of marks obtained in the H.S./Equivalent Examination * Do not enter the marks of Environmental Studies
Please Select Subject Marks Obtained Full Marks
EnglishCompulsory
 Compulsory
 
 
 
 
 
                                 Total Marks Obtained                       Best Four Marks
 
APPLICATION PART
Applicant may choose Elective Subject(s) as per his/her choice. But finally the said subject(s) will be offered to him/her on availability or eligibility at the time of admission.
Srl. No.StreamSubject CombinationCC1CC2Minor SubjectIDC-IIDC-IIIDC-IIIMerit Marks
1

AEC, SEC, CVAC are compulsory course for All Students. The Subjects under these courses will be as per University of Calcutta Guidelines.


Attach Your Passport Sizeur Passport Size


Not more than 50Kb
Original Madhyamik Admit Card.Not more than 150kb 


Original H.S. Marksheet  Not more than 150kb  
M.P Marksheet  Size of image should be within 150 KB. & Resolution of the image is 150 DPI  

Upload Student Signature


Not more than 50kb
Aadhar Card Original Scan Copy (Size of image should be within 150 KB. & Resolution of the image is 150 DPI) 


Please confirm Date of Birth then submit your Application Form.
  
Full Address with Pin Code