Paste recent Passport size photograph duly signed by the candidate

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					Form No. ………………..                                                                                                                  Session…….………………...




                                                                                  olleg r Dsign
                                                                                 C eofAt & e



                                                  College of Art & Design                                                                               Paste a
                                                                                                                                                        recent
                                                  (Affiliated to the University of Burdwan)                                                           Passport size
                                                                                                                                                      Photograph
                                                                                                                                                      duly signed
                                                                                                                                                        by the
                                                                      ADMISSION FORM                                                                   candidate

                                                                                                  (Last date of submission…………………………)
Course applied for –

                                                            Master of Fine Art (MFA) [2 Years]                                                          
                                                            Bachelor of Fine Art (BFA) [4 Years]                                                        
                                                            Diploma in Visual Art (Craft & Design) [2 Years]                                            
To
The Principal / Teacher-in-Charge
College of Art & Design
‘SRIJANI’ Art Complex, Krishnasayer Eco-Garden
Mahatab Road, Burdwan -713104 , West Bengal

Contact No.(Phone + FAX): +91 342 2656722
E-mail: contactus@collegeofartanddesign.co.in
Website: www.collegeofartanddesign.co.in

Sir,
I beg to present myself for admission to the College of Art & Design , Burdwan. I undertake that I shall
abide by all the rules and regulations of the College and shall be responsible for the good conduct,
attendance, punctual payment of College fees etc.
I further vouch for the correctness of the following details regarding myself:

A.      Name of the Candidate (in capital letters) ....................................................................................................

B.      Father’s /Mother’s Name : ................................................................................................................................

C. Name of the Guardian …………………………………………………………………………………………………

D. i) Permanent Address ........................................................................................................................................

             .......................................................................................................... Phone No:…………………...………….

        ii) Address for correspondence ……………………………………………….......................................................

            ……………………………………………………………………………...Phone No:…………………...………….

E.      Annual income of the Guardian / Parents alongwith signature ……………………………………………….

F.      Date of birth ................................................... Age on 01-05-201….                          ……………........................................

G. Sex ......................................................................... Marital Status......................................................................

H.      Nationality............................................................................................................................................................

I.      Whether SC/ST/OBC/Physically Handicapped...............................................................................................
.......................................................................................................................................................

Form No.…………………... Roll No. …………..…… MFA  BFA DVA 


                                                            College of Art & Design                                                                  Paste a recent
                                                             (Affiliated to the University of Burdwan)                                                Passport size
                                                                                                                                                      Photograph
                                                                                                                                                      duly signed
                                                                             ADMIT CARD
     C eofAt & e
      olleg r Dsign
                                                                    (To be filled up by the candidate)
                                                                                                                                                         by the
                                                                                                                                                       candidate

Name (In Capital letters) .........................................................................................................................................

Address .......................................................................................................................................................................

Admission test on .............................................at................................

...............................................
Signature of Candidate                                                                                                 Principal / Teacher-in-charge
                                                                                                                           College of Art & Design
       K.     Educational qualification :

                                                                                                                                           Division
      Examination                                                              Year of            Board/Council/
                                                            Subject                                                                       obtained
        passed                                                                 passing              University




Attested Xerox copies of mark sheets, age verification, and SC/ST/OBC/Handicapped Certificate, if
any, must be enclosed with the application form.

N.B. : Students will be admitted in the Honours/Specialization course in BFA - Part II according
      to their performance in the BFA – Part I (Foundation) Examinations.

          (Applicable only for the candidate of 4yr. BFA course programme )

M. Local address of the candidate…………………………………………………………..……………………………

N. Name & Address of the local guardian :…………….…………………………..……………………………………


..........................................................................               ..................................................................
     Countersignature of the Guardian                                                                 Signature of Candidate


                                                             DECLARATION OF THE CANDIDATE

I do hereby agree (if admitted) to abide by the rules and regulations of the College as are in force and
undertake that so long I shall remain a student of this College, I will do nothing either inside or outside
the College that will interfere its orderliness and discipline. Any infringement of the aforesaid conditions
by me will entail to accept any punishment prescribed by the authority.


Date..........................201……                                                                .......................................................
                                                                                                      Signature of Candidate in full

				
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posted:10/21/2011
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