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    Assam State Higher Education Admission Portal Admission Session 2024-2025 Registration Number: 240016233 Form Number: 84005793

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    husnimubarak534

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    © All Rights Reserved
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    Assam State Higher Education Admission Portal Admission Session 2024-2025 Registration Number: 240016233 Form Number: 84005793

    Uploaded by

    husnimubarak534
    3 views2 pages

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    84005793_1729863899

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    3 views2 pages

    Assam State Higher Education Admission Portal Admission Session 2024-2025 Registration Number: 240016233 Form Number: 84005793

    Uploaded by

    husnimubarak534

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Assam State Higher Education Admission Portal

    Admission Session 2024-2025


    Registration Number: 240016233
    Form Number: 84005793

    Programme : Bachelor of Science(Science FoS)


    College : 228: Dhing College
    University: 11: Gauhati University
    Application Status : Submitted
    Admission Scheme: 1 Major 2 Minor
    Course(s) Selected:
    Subject I: Physics
    Subject II: Chemistry
    Subject III: Mathematics (Dual Stream)
    Personal Details
    Full Name of the Applicant : HUSNI MUBARAK Gender : Male
    Date of Birth: 13 July 2004
    Social Category : General
    Age as on: July 1, 2023: 18 Years 11 Month 19 Days
    Blood Group: Not Provided Religion : Islam
    Nationality Indian
    Do you have domicile of Assam? Yes
    Registered Email : husnimubarak534@gmail.com Registered Mobile Number: 7002817202
    Alternate Email : Not Provided Alternate Mobile : Not Provided
    Correspondence Address : Dhaniabheti , Nagaon, NAGAON,
    Permanent Address: Dhaniabheti , Nagaon, NAGAON, Assam -782122, India
    Assam -782122, India
    ID Proof : PAN Card ID Proof No : HWMPM8696H

    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 : Momtaz Begum Father's Name : Abdul Kadir
    Mother's Qualification : Not Provided Father's Qualification : Not Provided
    Mother's Occupation : Not Provided Father's Occupation : Not Provided
    Mother's Mobile Number : Not Provided Father Mobile Number : Not Provided
    Mother's Office Address : Not Provided Father's Office Address : Not Provided
    Father your Guardian : Not Provided
    Emergency Contact Number : 7002817202
    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 : Not Applicable
    Sports Quota [], Level of Participation:
    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 Speaking
    English Reading Writing Speaking
    Assamese Reading Writing Speaking
    Qualification Details - X or Equivalent
    Class X Year of Passing 2021
    Class X Percentage (If your mark is in CGPA, please convert to equivalent
    56.00
    percentage as per your CGPA score and CGPA Scale)
    Class X Name of the Institution/School Nagaon Govt Boys H S School
    Class X Board/University SECONDARY EDUCATION BOARD of ASSAM (SEBA)
    Assamese, English, General Mathematics, General Science,
    X Subject Combination
    Social Science, Computer science
    Class X Division Second Division
    Qualification Details - XII or Equivalent
    Class XII Qualification Status Passed
    XII Year of Passing Final Examination 2023
    Class XII Stream Science
    Class XII Percentage 60.67
    Class XII Division First Division
    Class XII Name of the Institution/School DHING K B H S SCHOOL
    Class XII Board/University ASSAM HIGHER SECONDARY EDUCATION COUNCIL
    Class XII Subject Combination English, MIL Assamese, Biology, Chemistry, Physics, Mathematics
    Class XII Roll Number 0750 20039
    XII Score Card
    Name of the Subject Total Marks Obtained Marks
    ENGLISH CORE 100.00 75.00
    MIL (ASSAMESE) 100.00 66.00
    BIOLOGY 100.00 77.00
    CHEMISTRY 100.00 46.00
    PHYSICS 100.00 61.00
    MATHEMATICS 100.00 39.00

    Uploads
    Document Upload Status
    Photo Uploaded
    Signature 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)
    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."

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