Fakir Chand College (PG Section)
Diamond Harbour
Semester Enrollment form : 2021-22
1a. First Name:
1b. Middle Name:
1c. Last Name:
2a. Guardian Name:
2b. Contact No.:
2c. Vill+Post+PS:
3a. Year of Admission (Sem-I):
--select--
2021
2020
2019
3b. College Roll/Application ID (Sem-I):
3c. *Last Semester Appeared:
--select--
Sem-I
Sem-II
Sem-III
Sem-IV
*Last Semester for which university exam appeared.
4a. University Roll No. (xxx-xxx-xxxxxx):
4b. University Regn. No. (xxx-xxxx-xxxx-xx):
5a. Last Sem Result*:
--select--
All Clear
Supplementary
Fail
Waiting
5b. Fail Subject-1**:
--select--
Not Applicable
Bengali CC
Education CC
Mathematics CC
Bengali GE
Education GE
Mathematics GE
History GE
5c. Fail Subject-2**:
--select--
Not Applicable
Bengali CC
Education CC
Mathematics CC
Bengali GE
Education GE
Mathematics GE
History GE
*Choose "Waiting" if result is not out yet. **Put "Not Applicable" if no fail subject.
6a. Enrolling For (New Semester):
--select--
Sem-I
Sem-II
Sem-III
Sem-IV
6b. Course:
--select--
M.A. in Bengali
M.A. in Education
M.Sc. in Mathematics
M.A. in History
6c. In Prevoius Odd Sem (I/III)*:
--select--
Internal Cleared
Internal Not Cleared
*Check your mark sheet.
7a. Sem-III/IV GE Subject^:
--Choose GE--
Not Applicable
Bengali GE
Eduction GE
Statistics GE
History GE
7b. Your Email ID:
8a. Gender:
--gender--
Male
Female
Other
8b. Caste:
--caste--
General
SC
ST
OBC-A
OBC-B
8c. Physically Challenged:
No
No
Yes
9a. Date of birth:
dd
/
mm
/
yyyy
9b. Scholarship Obtained:
--select--
SVMCM above 50%
SVMCM below 50%
SVMCM Minority
SVMCM SC/ST
Yubashree
Other Govt.
Other Non-Govt.
Not Applicable
9c. Kanyashree Obtained:
--select--
No
Yes
10a. Enrollment Fee Payment Transaction No.: