B.N.

COLLEGE :: DHUBRI:: ASSAM

ASSAM HIGHER SECONDARY EDUCATION COUNCIL
OFFLINE REGISTRATION FORM FOR THE SESSION 2023-24
HIGHER SECONDARY FIRST YEAR
*(Write your Name, Father’s Name and Mother’s Name in Capital Letters only)
Paste your
recent
1. Name : photograph here
2. Father’s Name: (Do not staple)
3. Mother’s Name:
4. Stream : (Arts/Science)
5. Medium : (Assamese/English)
6. Caste : Religion : Signature of the candidate (within the Box)

7. Gender : (Male/Female/Transgender)
8. Migrated : (Yes/No) Date of Birth :
9. Class Roll No.: Date of Admission : (DD/MM/YYYY)
10. Residential Address :
Town/Village P.O.
Dist. PIN State
11. Subjects (as mentioned on the Admission Receipt) :
i) English (Compulsory) ii) (MIL/Alt. English) iii) EL-I
iv) EL-II v) EL-III vi) EL-IV
12. Mobile No. : E-mail ID :
13. HSLC Registration No. :
14. Particular of Examination Passed (HSLC or Equivalent):

Marks Year of Percentage

Name of Board Examination Roll No. Total Marks Division
Obtained Passing of Marks

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ACKNOWLEDGEMENT
Received Offline Registration Form for H.S. 1st Year under AHSEC
(Session: 2023-24)
1. Name of the Candidate :
2. Stream : (Arts/Science)
3. Class Roll No. :

Date of Receiving: __________ Received By