APPLICATION FORM FOR
WBUT Courses
APPLIED FOR Interested in Other Courses    
1st. CHOICE OF INSTITUTIONs with COURSE 2nd. CHOICE OF INSTITUTIONs with COURSE    
3rd. CHOICE OF INSTITUTIONs with COURSE 4th. CHOICE OF INSTITUTIONs with COURSE    
5th. CHOICE OF INSTITUTIONs with COURSE 6th. CHOICE OF INSTITUTIONs with COURSE    
NAME ( In Block Letter) * GUARDIAN'S NAME    
ADDRESS DATE OF BIRTH (dd-mm-yyyy)    
GUARDIAN'S PROFESSION DESIGNATION    
Name of the organisation & Address EMAIL ID    
CONTACT NO * MOBILE NO    
ACADEMIC QUALIFICATION          
Exam Passed Board / Council / University Year of Passing % of Marks Division / Class
Madhamik
Higher Sec. / 12th
Higher Sec. / 12th Stream Marks of Math or BM/ Biology ( Science or BM of Com.)
           
Declaration : I do hereby promise to obey the rules and regulations of the Institution if I am selected for admission.
 
* Indication Field is Mandatory