Print Date 07/05/2024 18:58:07 Student Copy

GAUHATI UNIVERSITY

APPLICATION FORM
Token No. : 0000099427 User Registration ID: GRD1182685
Student Name : GITUMONI THAKURIA Father's Name : Niladhar Thakuria
Mother's Name : Kusum Thakuria Student Category : Other Backward Class
Gender : Female Domicile : Assam
category : TRADITIONAL Religion : Hinduism
Date of Birth : 08/03/1997 Registration No. : A-16271
Registration Year : 2016-2017 Nationality : INDIAN
Mobile No. : 8724828788 E-Mail Id : gituthakuria2@gmail.com

ID Proof type : AADHAAR(UID) Id Proof No. : 385451248861

Address : Ghoramara, north guwahati,Assam,KAMRUP RURAL,781030
Passing year : 2019 Roll number : A-162710487

Certificate Applied : BA (Major)

for Degree

Fee Details

Payment Id DC_0001141685 Payment Date 13/10/2023 Payment Status SUCCESS

S No. Head Name Amount

1 Certificate Fee 830.00

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