Assam State Higher Education Admission Portal

Admission Session 2024-2025

Registration Number: 240063591
Form Number: 84334637
Application Re-Submitted through Correction Window on 05 Jun 2024 13:05:05 pm

Programme : Bachelor of Computer Applications(Computer Application)

College : 183: Dispur College
University: 11: Gauhati University
Application Status : Submitted
Personal Details
Full Name of the Applicant : SHAKLAIN HUSSAIN Gender : Male
Date of Birth: 29 January 2006
Social Category : General
Age as on: July 1, 2023: 17 Years 5 Month 3 Days
Blood Group: O+ Religion : Islam
Nationality Indian
Do you have domicile of Assam? Yes
Registered Email : shaklainhussain045@gmail.com Registered Mobile Number: 9706771924
Alternate Email : Not Provided Alternate Mobile : 9101436090
Permanent Address: Japorigog,alokpur path, House no.14, KAMRUP METRO, Assam Correspondence Address : Japorigog,alokpur path,
-781005, India House no.14, KAMRUP METRO, Assam -781005, India
ID Proof : Other Valid Govt Identity with photograph ID Proof No : 275616018881

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 : Salima Ahmed Father's Name : Not Provided
Mother's Qualification : Non Graduate Father's Qualification : Not Provided
Mother's Occupation : Home Maker Father's Occupation : Not Provided
Mother's Mobile Number : 9101436090 Father Mobile Number : Not Provided
Mother's Office Address : N/A Father's Office Address : Not Provided
Father your Guardian : Not Provided
Emergency Contact Number : 8486676316
Combined Family Income : Up to 4,00,000
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
Extra Curricular Activity :
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? Metropolitan
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 Speaking
English Reading Writing Speaking
Assamese Speaking
Qualification Details - X or Equivalent
Class X Year of Passing 2022
Class X Percentage (If your mark is in CGPA, please convert to
51.40
equivalent percentage as per your CGPA score and CGPA Scale)
Class X Name of the Institution/School noonmati public school
Class X Board/University CENTRAL BOARD OF SECONDARY EDUCATION(CBSE)
ENGLINSH, HINDI, MATHEMATICS,SCIENCE, SOCIAL
X Subject Combination
SCIENCE
Class X Division Second Division
Qualification Details - XII or Equivalent
Class XII Qualification Status Passed
XII Year of Passing Final Examination 2024
Class XII Stream Commerce
Class XII Percentage 68.20
Class XII Division First Division
Class XII Name of the Institution/School MODERN PUBLIC ACADEMY
Class XII Board/University CENTRAL BOARD OF SECONDARY EDUCATION(CBSE)
ENGLISH, PHYSCIAL EDUCATION, BUSSINESS STUDIES, ENTREPRENEURSHIP,
Class XII Subject Combination
ACCOUNTANCY, ECONOMICS
Class XII Roll Number 16621672
XII Score Card
Name of the Subject Total Marks Obtained Marks
ENGLISH CORE 100.00 73.00
PHYSICAL EDUCATION 100.00 91.00
BUSINESS STUDIES 100.00 61.00
ENTREPRENEURSHIP 100.00 66.00
ECONOMICS 100.00 50.00

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"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."