Personal Details Form No: 388436

Name MUSTARA BEGUM Date of Birth 05-04-2003

Father's Name MAHAMMAD ALI Gender Female
Mother's Name ALESA KHATUN Religion Islam
Nationality Indian Category GEN
Email inamulhoque87403@gmail.com Mobile Number 9854475278

Address Details
Domicile State Assam Village/Town 12 BARUAJHAR
District DARRANG State ASSAM
Pin Code 784115

Examination Details
Session 2024 (Jan-Jun) Semester/Year 4
Institute Type Affiliated College Registration No. 22059303
Institute Name DALGAON COLLEGE Roll No. UA-221-248-0862
Program BA Regular Examination Type Regular

Selected Papers for Examination

SL Paper Code Paper Name
1 ASM-CC-4016 ADHUNIK ASAMIYA SAHITYA
2 EDU-RC-4016 HISTORY OF EDUCATION IN INDIA
3 EDU-SE-4014 WRITING BIO DATA & FACING AN INTERVIEW
4 POL-RC-4016 INTRODUCTION TO INTERNATIONAL RELATIONS

I hereby declare that all the above information & data are correct. I have carefully choosen and checked all the paper
options & these are all correct. In case any wrong data/ information/ selection is submitted, I am liable for those and
University shall not have any liability for such wrong/ missing information/data/selection.

Signature of the HoD (GU Dept.)/Principal/ Director with date Signature of the Student with date

Fee Details
Examination Fee 890.00
Practical Fee, Dissertation Fee, etc are not included. Those fee(s) shall be notified and collected by the college/institute wherever applicable.

Take a printout of the form then submit this to HoD/Principal/ Director along with a copy of the Fee Receipt.

Submitted On: 19-04-2024 05:55:33 PM Page 1/1

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