RECEIPT COPY OF ONLINE APPLICATION FOR REGISTRATION

ASSAM UNIVERSITY
SILCHAR , 788011

Application for Registration

Academic Year:2018-19
APPLICATION NO.:201816533

APPLICATION DETAILS

Application
Application No.  201816533 Submission  16-08-2018
Date
HSSLC Roll No. & Passing Class Roll
 0497 20028(2018)  7229
Year No.
  CACHAR COLLEGE, Selected
College  BACHELOR OF SCIENCE
SILCHAR Course
Caste
Category  GENERAL Certificate(If   N/A
not General)
Is Lateral   No
Date of
   03-JUL-2018
Admission

OBTAINED MARKS DETAILS

Examination Name of Year of Total Obtained Mark Passing

SERIAL Division
Passed Board/University Passing Marks Marks Sheet Cert.
1. H.S.L.C SEBA 2016 FIRST 600.00 406.00 UPLOADED UPLOADED
2. HSSLC AHSEC 2018 SECOND 500.00 293.00 UPLOADED UPLOADED

PERSONAL DETAILS

 Name of the  NOZRUL HAQUE

 JABED KAWSOR BARBHUIYA  Father's Name
Applicant BARBHUIYA
  RONGPUR-6, RONGPUR SOUTH,LALA,HAILAKANDI, ASSAM, 788163,
 Permanent Address
7086325832,7002270210
 RONGPUR-6, RONGPUR SOUTH,LALA,HAILAKANDI, ASSAM, 788163,
 Present Address
7086325832,7002270210
 Email Address  jabedbarbhuiya60@gmail.com  Contact Number  7086325832
 Nationality  INDIAN  Gender  MALE
Religion  ISLAM Aadhar No.  200883108942
Date of birth  14-JAN-2000 Birth Certificate    UPLOADED

OTHER DETAILS

 PARENT DETAILS
  Mother's Name   AZIZUN NESSA  Father's Name   NOZRUL HAQUE
BARBHUIYA BARBHUIYA
 Mother's Occupation  HOUSEWIFE  Father's Occupation  TEACHER
 Annual Income  100000.00
NCPC  NO NCPC Certificate   N/A

 LAST INSTITUTE DETAILS

  KARIMGANJ GOVT. H.S.
 Last Institute Name  Reason of Leaving   NO HIGHER CLASSES
SCHOOL
 Roll No  0497 20028  Passing Year  2018

 Application Date : 16-Aug-2018

Applicant should retain this reciept copy for future use.

This is system generated print, require no signature.