General

SC

ST

Sports/ Spl. Quota

Minority

JOGAMAYA DEVI COLLEGE

(IN MEMORY OF LADY ASUTOSH MUKHERJEE)

PRELIMINARY APPLICATION FORM

Science Arts/Major Commerce

Seeking admission into _______________________________ Honours/Major Applicants Name: 1. 2. 3. 4. 5.

(Block Letter)

Fathers/Guardians Name: Fathers Profession: Name of Local Guardian Address for Communication

6. 7. 8. 9. 10. 11.

Phone No./Mobile/e-mail Name of the Institution Last Attended Name of the Board/Council to which the Institution is affiliated H.S. Roll No Combination of subjects
the candidate desires to take:

Other Information (If any)

12. True copy of Mark Sheet: Subjects Full Marks Pass Marks Marks obtained 13.

Total

CBI Branch Code ____________________________ Journal ID ______________

Price of the web-based form: Nil. The form will not be entertained without depositing processing fee.
Application fee to be deposited in the Central Bank of India Savings Bank Account No. 3182495899 in favour of The Principal, Jogamaya Devi College.

Date:

Applicants Signature

INSTRUCTIONS RELATED TO FORM DOWNLOAD

PROSPECTUS & APPLICATION FORMS will be available from the College Counter or may be downloaded from the College Website:

www.jogamayadevicollege.org
A candidate may apply for as many HONOURS/ MAJOR subjects as required. Use separate Application Forms for different HONOURS subjects. The On-Line Form Download Option is available ONLY for those applying in HONOURS/MAJOR Courses. Direct Admission for the General Course will start from 05.06.2013 from the Admission Office of the College. ELIGIBILITY CRITERIA FOR ADMISSION TO HONOURS COURSE: As per College Admission Notice. Go through the available Courses, Tentative Subject Combinations and Admission Procedures before filling up application forms. All forms should be duly filled in and supplemented with required documents. Incomplete forms will not be considered. Forms receive beyond the last of application will be rejected. For each application form, applicant has to pay Rs. 200/- as processing fee. Application fee to be deposited in the Central Bank of India Savings Bank Account No. 3182495899 in favour of The Principal, Jogamaya Devi College. Applicants can deposit the prescribed Application Fee/Processing Fee in any branch of Central Bank of India and they are requested to collect Journal/Transaction ID and Branch Code before leaving the teller counter of the Bank. These above are to be furnished in the appropriate field of the application form failing to which the form will be treated as CANCELLED or REJECTED. Each Form should contain separate Journal ID; students are requested to submit Rs. 200/- for each application form in separate challan/transaction slip. The duly filled-in Hard Copy copy of downloaded and printed form should reach the Admission Office of the college by 21st June 2013. 1. Candidates may directly submit their form(s) to the Admission Office of the College. OR 2. Candidate may send the form by Speed Post of the Indian Postal Department or any reputed Courier Company. Write Seeking admission into <SUBJECT NAME> Honours/Major Course on the top of the sealed envelope containing Application Form. The mailing address is: The Principal, Jogamaya Devi College 92, S. P. Mukherjee Road, Kolkata 700 026

The COLLEGE COPY of the Bank Challan is to be attached to the application form. The Journal ID of the Bank along with Branch Code will be treated as Form Reference Number and the candidate should keep the counterfoil (STUDENTS COPY) of the Challan for future reference. In this case, the CBI Branch Code & Journal ID mentioned in the form will be referred to for any future enquiry regarding admission. The mail should reach the college office within 21.06.2013. No form will be considered, in any circumstances, after 21.06.2013. DOCUMENTS TO BE ATTACHED WITH EACH APPLICATION FORM 1. COLLEGE COPY of the Bank Challan. 2. Attested true copies of H. S. or Equivalent Mark Sheets. 3. SC/ ST candidates must submit attested true copies of SC/ ST certificates from the appropriate authority with the application forms. 4. Physically Handicapped candidates must submit attested true copies of the relevant certificate. The college reserves the right of admission. Candidate should print the Form and Bank Challan on A4 paper from the ORIGINAL SOURCE. Any other typed version or TRUE COPY of the Form will not be entertained.

College Copy
JOGAMAYA DEVI COLLEGE Kolkata, West Bengal

Applicants Copy
JOGAMAYA DEVI COLLEGE Kolkata, West Bengal

Banks Copy
JOGAMAYA DEVI COLLEGE Kolkata, West Bengal

CENTRAL BANK OF INDIA

CENTRAL BANK OF INDIA

CENTRAL BANK OF INDIA

CBI Account No: 3182495899

Bhowanipore Branch, Kolkata 700026 (To be filled by the candidate)
HONOURS/MAJOR SUBJECT: APPLICANTS NAME H.S. ROLL NO. CBI BRANCH NAME CBI BRANCH CODE DATE OF DEPOSIT FEE DETAILS (In ) APPLICATION FEE: BANK CHARGES: TOTAL:

CBI Account No: 3182495899

Bhowanipore Branch, Kolkata 700026 (To be filled by the candidate)
HONOURS/MAJOR SUBJECT: APPLICANTS NAME H.S. ROLL NO. CBI BRANCH NAME CBI BRANCH CODE DATE OF DEPOSIT FEE DETAILS (In ) APPLICATION FEE: BANK CHARGES: TOTAL:

CBI Account No: 3182495899

Bhowanipore Branch, Kolkata 700026 (To be filled by the candidate)
HONOURS/MAJOR SUBJECT: APPLICANTS NAME H.S. ROLL NO. CBI BRANCH NAME CBI BRANCH CODE DATE OF DEPOSIT FEE DETAILS (In ) APPLICATION FEE: BANK CHARGES: TOTAL:

200/0/200/

200/0/200/

200/0/200/

TOTAL AMOUNT IN WORDS: Two hundred only

TOTAL AMOUNT IN WORDS: Two hundred only

TOTAL AMOUNT IN WORDS: Two hundred only

SIGNATURE OF THE REMITTER

SIGNATURE OF THE REMITTER

SIGNATURE OF THE REMITTER

TO BE FILLED BY THE BANK JOURNAL NO. (HOST TRACE NO).

TO BE FILLED BY THE BANK JOURNAL NO. (HOST TRACE NO).

TO BE FILLED BY THE BANK JOURNAL NO. (HOST TRACE NO).

DATE: PLACE:

SIGNATURE OF THE AUTHORISED OFFICIAL WITH BANK SEAL

DATE: PLACE:

SIGNATURE OF THE AUTHORISED OFFICIAL WITH BANK SEAL

DATE: PLACE:

SIGNATURE OF THE AUTHORISED OFFICIAL WITH BANK SEAL

IMPORTANT INSTRUCTIONS: 1. Candidates should send JDC copy of this challan along with the printed online application form to JDC & keep applicant copy of this challan form for future reference. 2. Candidate should ensure that the Journal No.(Host Trace No. )is allotted by Bank for this payment. 3. The Bank should not do bench posting or trickle feed. Journal No.(Host Trace No.) should be entered by the Bank.

IMPORTANT INSTRUCTIONS: 4. Candidates should send JDC copy of this challan along with the printed online application form to JDC & keep applicant copy of this challan form for future reference. 5. Candidate should ensure that the Journal No.(Host Trace No. )is allotted by Bank for this payment. 6. The Bank should not do bench posting or trickle feed. Journal No.(Host Trace No.) should be entered by the Bank.

IMPORTANT INSTRUCTIONS: 7. Candidates should send JDC copy of this challan along with the printed online application form to JDC & keep applicant copy of this challan form for future reference. 8. Candidate should ensure that the Journal No.(Host Trace No. )is allotted by Bank for this payment. 9. The Bank should not do bench posting or trickle feed. Journal No.(Host Trace No.) should be entered by the Bank.