Uttar Barpeta College, Sonkuchi

Session: 2023-2024

Aplication form of Admission

Admission for :

PAN No:

Course :

Name of Student in Full :

Father's name :

Occupation:

Mother's name :

Occupation:

Gender :

Date of Birth :

10.

Marrital status :

11.

Religion :

12.

Caste :

13.

Nationality :

14.

Mobile No :

15.

Email :

16.

Aadhar No :

17.

Home Address

Village :

Post Office:

Police Station:

District :

State :

Pin :

18.

Guardian's name :

19.

Occupation:

20.

Pin :

21.

Permanent Address :

22.

Educational Qualification : (a) Last Examination Passed :

23.

(Certificate from Head of the institution (b) Council University :

(Where last read should be attached : H. S. School / College)

24.

Class in which Admission is sought :

25.

(a)Subjects for the Study :

26.

Major Subject :

27.

Roll No :

28.

Grand Total :

29.

Division :

30.

Regd No of University and Year :

31.

Name of Office and Address of Service Holder Student's :

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