Integrated M.Sc.-Ph.D. Courses
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BOSE INSTITUTE
Kolkata, West Bengal
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UNIVERSITY OF CALCUTTA
Kolkata, West Bengal

ADMISSION FORM 2017
Name of the Student :
Gender Category
Name of the Guardian :
Mailing Address:

email Address of the Applicant
Mobile No of the Applicant
Date of Birth
Upload Your Recent Passport Size Color Photo (JPEG, JPG) :
Undergraduate degree with name of College / University:
JEST Score::
JEST Rank:
JEST Percentile:
Percentage (or percentage equivalent converted from CGPI/CPI) marks in Undergraduate examination:
Name of Bank:
Bank draft No. with date:
Amount:
DECLARATION Kindly Check & agree with the declaration mentioned below before submitting Registration Form.
I agree to abide by the rules and regulations governing this examination and as contained in the prospectus.

UNDERTAKING/DECLARATION: I solemnly affirm that the information furnished above is true and correct in all respects. I have not concealed any information. I realise that if any information furnished herein is found to be incorrect or untrue; I shall be liable to civil/criminal prosecution and also forgo my claim to the seat in the institute. Futher, I affirm that no proceedings in respect of any civil/criminal offence alleged to have been committed by me are pending before any criminal court in India. I agree to abide by the rules and regulations governing this examination and as contained in the prospectus.

Application Fees and Application Hard Copy:

Please send the hard copy of this uploaded form to the following address (An application fee of Rs 1000/- (General) or Rs 500/-(SC/ST/OBC/women) need to be paid as Bank Draft (payable in Kolkata), to be drawn in favor of BOSE INSTITUTE and submitted along with the hard copy):

Prof. Siddhartha Roy
Dean of Studies
Bose Institute
P-1/12 CIT Scheme VIIM
Kolkata 700054, West Bengal

Last Date of application was 18/05/2017 till 17:30 hours