Registration. No. : MAC20212468
| Student Details | ||
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| Student's Name |  |
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| Gender | ||
| Basic Details Domicile of state: - | |||
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| Class | TDC 1st Semester | Category | Honours |
| Father's Name | - | Mother's Name | - |
| Gurdain's Name | - | Gurdain's Occupation | - |
| Income Index: | - | Date of Birth | 05-02-2001 |
| Hostel Required | - | Disability In | - |
| Category | - | Field of Interest | - |
| Economically Weaker Section (EWS): | NO | ||
| Permanent Address | |||
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| Village/Town | - | Post Office | - |
| District | - | State | - |
| Pin Code | - | ||
| Present Address | |||
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| Village/Town | - | Post Office | - |
| District | - | State | - |
| Pin Code | - | ||
| Education Details | |||
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| Institute Last attend with address: - Passing Year : | |||
| Board of Examination | - | Roll Number | - |
| Registration | 170417 | Year | 2018-19 |
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| - | - | - | - |
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| Total Marks | - | Percentage | - |
| Subject Preferences | |||
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| Honours preference 1: | Political Science | Honours preference 2: | Education |
| AECC Paper: | Assamese Communication | Elective Generic: | Assamese |
| Compulsory Certificate Course : | Spoken English | ||
| Extra-curricular Activities Quata | |||
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| Extra-curricular activities: | No | Join NCC/NSS: | No |
| Bank Account Details | |||
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| Bank Name: | Branch Name: | ||
| Account Holder: | Account Number: | ||
| IFSC Code: | |||
| Uploaded Document | |||
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| Age Proof Certificate: | Domicile Certificate: | ||
| Matriculation Marksheet: | Matriculation Certificate: | ||
| HS Marksheet: | HS Pass Certificate: | ||
| Caste Certificate: | Bank Passbook: | ||
Candidate's Signature