University of North Bengal

Application No. :
Name of the student :
Programme name :
Guardian Name :
Student's Adress :
Distance of residence :		kilometers
Under Hill Region :
Annual Family Income :		Rs. / Year
Distance to be considered (in kilometer) :
Family income to be considered (in Rs per Year) :
Want to Reject? :

Application No. :
Name of the student :
Programme name :
Student's Adress (Old) :
Uploaded Income Certificate :		view