Uttar Barpeta College, Sonkuchi, Barpeta
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Aplication form of Admission
1
Admission for :
2
Name of Student in Full :
3
Father's name :
4
Occupation:
5
Mother's name :
6
Occupation:
7
Home Address
Village :
Post Office:
Police Station:
District :
State :
Pin :
8
Guardian's name :
9
Occupation:
10
Pin :
11
Mobile No :
12
Email :
13
Date of Birth :
14
Permanent Address :
15
Gender :
16
Marrital status :
17
Religion :
18
Nationality :
19
Educational Qualification : (a) Last Examination Passed :
20
(Certificate from Head of the institution (b) Council University :
(Where last read should be attached : H. S. School / College)
21
Class in which Admission is sought :
22
(a)Subjects for the Study :
23
Major Subject :
24
Roll No :
25
Grand Total :
26
Division :
27
Regd No of University and Year :
28
Name of Office and Address of Service Holder Student's :
29
Bank Details :
DECLARATION OF THE CANDIDATE
If any of the statements made as above in the application are found to be not true or if it appears that in the opinion of the college. I have in any way controvended the provisions of the college Rules and Regulations relating to the Degree admission, my admission to the college will be liable to cancelled at any time at the discretion of the college authority before or after the admission
Principal
Uttar Barpeta College
Student Signature
