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Balurghat College
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* Indicates required question
1. Name of the Student:
*
Your answer
2. College Roll No:
*
Your answer
3. Course
*
i) B.A. General (Morning)
ii) B.A. General (Day)
iii) B.A. (Honours)
iv) B.Sc. (General)
v) B.Sc. (Honours)
vi) B.Com. (General)
vii) B.Com. (Honours)
viii) M.A. in Bengali
ix) M.A. in History
x) M.A. in Sanskrit
4. Pursuing Semester
*
1st
3rd
5th
5. Date of birth
*
MM
/
DD
/
YYYY
6. Gender
*
Male
Female
Other
7. Blood Group
*
A+
A-
B+
B-
AB+
AB-
O+
O-
8. Category
*
UR
SC
ST
OBC-A
OBC-B
9. Religion
*
Hinduism
Islam
Christanity
Sarana Dharma
Other
10. Whether Student is Specially Abled (PWD)
*
Yes
No
11. If PWD, please mention disability Type
Your answer
12. Whether BPL
*
Yes
No
13. Mobile No.
*
Your answer
13A. Email ID
*
Your answer
13B. Aadhar No.
*
Your answer
14. Father's Name:
*
Your answer
15. Father's Mobile No.
*
Your answer
16. Father's Profession
*
Your answer
17. Father's Educational Qualification
*
Below Secondary
Secondary
Higher Secondary
Graduate
Post Graduate
Ph. D.
18. Mother's Name
*
Your answer
19. Mother's Mobile No
*
Your answer
20. Mother's Profession
*
Your answer
21. Mother's Qualification
*
Below Secondary
Secondary
Higher Secondary
Graduate
Post Graduate
Ph. D.
22. Guardian's Name
*
Your answer
23. Student's relation with Guardian
*
Your answer
24. Guardian's Mobile No
*
Your answer
25. Guardian's Email ID
*
Your answer
26. Annual Family Income of the student
*
Your answer
27. Permanent Address
*
Your answer
28. PIN (Postal Index Number)
*
Your answer
29.Present Address with PIN
*
Your answer
Scholarship Details
( SVMCMS, K2, K3, OASIS & Aikyashree )
30.
Whether applied for SVMCMS (Swami Vivekananda Merit-cum-Means Scholarship) for the present course
*
Yes
No
31. Date of application (
SVMCMS)
MM
/
DD
/
YYYY
32. SVMCMS ID
Your answer
33. SVMCM Application Type
Fresh
Renewal
Clear selection
34. Date of recommending the application (SVMCM)
MM
/
DD
/
YYYY
35.
Whether applied for
K2
or
K3
for the present course
*
Applied K2
Applied K3
None applied
36. Date of application (K2 or K3)
MM
/
DD
/
YYYY
37. K2 or K3 ID
Your answer
38. Application Type of K2 or K3
Fresh
Renewal
Clear selection
39. Date of recommending the application (K2 or K3)
MM
/
DD
/
YYYY
40.
Whether applied for OASIS for the present course
*
Yes
No
41. Date of application (OASIS)
MM
/
DD
/
YYYY
42. OASIS ID
Your answer
43. Application Type of OASIS
Fresh
Renewal
Clear selection
44. Date of recommending the application (OASIS)
MM
/
DD
/
YYYY
45.
Whether applied for Aikyashree for the present course
*
Yes
No
46. Date of application ( Aikyashree )
MM
/
DD
/
YYYY
47. Aikyashree ID
Your answer
48. Application Type of Aikyashree
Rresh
Renewal
Clear selection
49. Date of recommending the application ( Aikyashree )
MM
/
DD
/
YYYY
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