Apr 15, 2013 ... Last Name. First Name. Middle Name. . SYBSc. Roll No. UID No. . Mobile.
Email ID : ... (Maths till SYBSc.) e. Computer Science (Physics).
ST. XAVIER’S COLLEGE , AUTONOMOUS Application for the Course Combination (Majors) in TYBSc : 2013 - 2014 (Write in clear BLOCK Letters) Last Name
First Name
Middle Name
Name
SYBSc. Roll No.
UID No.
Mobile
Email ID :
I wish to opt for the following combinations in TYBSc. (Give two choices in order of priority) (i.e. Write 1 next to your first option and 2 next to your second option) a.
Botany / Biochemistry
g.
Mathematics
b.
Botany / Zoology
h.
Microbiology / Biochemistry
c.
Chemistry
i.
Physics
d.
Geology
j.
Statistics
e.
Life Sciences
k.
Zoology / Biochemistry
f.
Life Sciences / Biochemistry
The option furnished by me is correct and final. Attach xerox copy of FYBSc. & SYBSc. Marksheets (Semester I to III)
____________________ Signature of Student
Date : _______________
DETAILS OF ACADEMIC PERFORMANCE IN F.Y.B.Sc. & S.Y.B.Sc.
No.
Subjects offered (continued at SYBSc
FYBSc. Roll No :________ Marks (Including practicals) Sem I
Sem II
SYBSc. Roll No :________ Marks (Including practicals) Sem III
(Out of 300 each)
(Out of 300 each)
(Out of 450 each)
Total Credits awarded
_________
_________
_________
Semester Remarks (Passed / Failed)
----
Sem IV (to be filled by office)
1 2 3
----
APPROVAL & REMARKS OF THE HEADS OF THE RELEVANT DEPARTMENTS Sub 1 : __________________ (3 Units / 6 Units)
________ ______________ Signature of the Head of Dept.
Sub 2 : __________________ (3 Units / 6 Units)
________ ______________ Signature of the Head of Dept.
Subjects (Basic Requirements mention below in Italics)
a. Neuroscience & Drugs & Dyes (Chemistry) (Chemistry till SYBSc.) b. Gemmology (Geology)I (Geology till SYBSc) c. Environmental Science (Life Sciences & Biochemistry) (Biological Subjects in FYBSc. & Chemistry upto SYBSc.) d. Computer Programming (Mathematics) (Maths till SYBSc.) e. Computer Science (Physics) (Maths or Physics till SYBSc.) f. Economic Entomology (Zoology) (Biological Subjects till SYBSc.) I wish to opt for the following Applied Components combinations in TYBSc. (Give three choices in order of priority) My Applied Component Choice of Option in order of preference are. My Choice 1 :
My Choice 2 :
My Choice 3 :
____________________
____________________
____________________
The option furnished by me is correct and final.
Last date for submission of application form is 15th April, 2013
