Assam State Higher Education Admission Portal

Admission Session 2024-2025

Registration Number: 240002558
Form Number: 84108183

Programme : Five Year Integrated Post Graduate Programme (FYIPGP)-Science

College : 33:Zoology: Dibrugarh University campus- Dept of Zoology
University: 33: Dibrugarh University
Application Status : Submitted
Admission Scheme: 1 Major 1 Minor
Course(s) Selected:
Subject I: Life Sciences(Zoology)
Subject II: Life Sciences(Botany)
Personal Details
Full Name of the Applicant : DHURBA GOGOI Gender : Male
Date of Birth: 17 November 2006
Social Category : OBC / MOBC(Undertaking)
Age as on: July 1, 2023: 16 Years 7 Month 15 Days
Blood Group: O+ Religion : Hinduism
Nationality Indian
Do you have domicile of Assam? Yes
Registered Email : dhurbagogoi722@gmail.com Registered Mobile Number: 8011947979
Alternate Email : Not Provided Alternate Mobile : Not Provided
Correspondence Address : Gelakey kolia pani gaon,
Permanent Address: Gelakey kolia pani gaon, Gelakey kolia pani gaon ,
Gelakey kolia pani gaon , SIVASAGAR, Assam -785696,
SIVASAGAR, Assam -785696, India
India
ID Proof : Other Valid Govt Identity with photograph ID Proof No : 590358518984

University Registration details (if applicable)

Have you enrolled in University/Autonomous College before? : No Registration Number: Not Provided
University Name of School/Department/Faculty/College: Not Provided Programme registered in: Not Provided
Family Details
Mother's Name : Biju gogoi Father's Name : Mohendra gogoi
Mother's Qualification : None Father's Qualification : Graduation
Mother's Occupation : Un Employed Father's Occupation : Retired
Mother's Mobile Number : 7635865031 Father Mobile Number : Not Provided
Mother's Office Address : Not Provided Father's Office Address : Not Provided
Guardian's Name : Not Provided
Relation With Guardian's : Not Provided
Guardian's Occupation : Not Provided
Father your Guardian : No
Guardian's Qualification : Not Provided
Guardian's Office Address : Not Provided
Guardian's Mobile No : Not Provided
Emergency Contact Number : 8011323524
Combined Family Income : Up to 2,00,000
Other Category/Quota
Person with Benchmark Disabilities (PwBD) Category : Not Applicable
Are you an Ex-Service man? : No
Are you dependent of Freedom Fighter? : No
Sports Quota No
Do you have any illness which requires continuous or emergency medical attention? No
Do you belong Urban/Rural/Semi-Urban/Metropolitan Area? Rural
Are you Son/Daughter of present employee of university/college ? No
Do you belong to Fringe Village of Assam? No
Do you belong to Moran Community of Assam? No
Do you have Migration Certificate? No
Do you have transfer certificate from your School/College? No
a) Candidates having NCC 'B' 'C' certificate No
b) Have you attended any special camp under the National Service Scheme No
Language Proficiency (Reading/Writing/Speaking)
Hindi Reading Writing Speaking
English Reading Writing
Assamese Reading Writing Speaking
Qualification Details - X or Equivalent
Class X Year of Passing 2022
Class X Percentage (If your mark is in CGPA, please convert to equivalent
7.40
percentage as per your CGPA score and CGPA Scale)
Class X Name of the Institution/School Godapani high school
SECONDARY EDUCATION BOARD of ASSAM
Class X Board/University
(SEBA)
Assamese, English, maths, science, social science,
X Subject Combination
geography
Class X Division First Division
Qualification Details - XII or Equivalent
Class XII Qualification Status Passed
XII Year of Passing Final Examination 2024
Class XII Stream Science
Class XII Percentage 57.17
Class XII Division First Division
Class XII Name of the Institution/School Nazira h.s. and m.p. school
Class XII Board/University ASSAM HIGHER SECONDARY EDUCATION COUNCIL
Class XII Subject Combination Assamese, English, chemistry, physics, biology, maths
Class XII Roll Number 0871 20008
XII Score Card
Name of the Subject Total Marks Obtained Marks
ASSAMESE 100.00 56.00
ENGLISH 100.00 57.00
BIOLOGY 100.00 64.00
PHYSICS 100.00 70.00
MATHEMATICS 100.00 32.00
CHEMISTRY 100.00 64.00

Uploads
Document Upload Status
Photo Uploaded
Signature Uploaded
OBC Category Certificate Undertaking Uploaded
ID Proof Document Uploaded
Proof of permanent residence of Assam (PRC, Voter ID, Aadhar, Caste Certificate, Birth Certificate, School ID, or any
Uploaded
other certificate issue by competent authority of Govt of Assam)
Income Certificate [Certificate issued by the Circle officer(Competent Reveneue Authority) only will be valid.] Uploaded
Class X (Scan your marksheet in a single file and upload)] Uploaded
Class XII (Scan your marksheet in a single file and upload) Uploaded
"I do hereby declare that all the statement made in the application are true, complete and correct to the best of my knowledge and belief. I am duly
aware that in the event of any particulars or information furnished by me is found to be false/incorrect/incomplete or if i am found indulging in some
unlawful act at any time during the course period, my candidature is liable to be summarily rejected/cancelled."Additionally undertaking for students
whose results are awaited: "I, having been permitted to be provisionally admitted to University hereby undertake to produce the proof of having
successfully qualified in the final qualifying examination with requisite percentage of marks if failing, I shall forthwith vacate the seat and shall have no
claim for refund of fees already paid."