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Admission Application Form 2021-22
Application No: RNG03579
Course applied for Bachelor of Commerce HONOURS Resident of Assam YES

HS Mark
Last Exam Passed 300 Percentage 60.00
AHSEC Obtained

Hostel Registration No./Roll

NO Quota None 30072
Accomodation No.

Subject Applied OFFICE USE

Business Communication Subject Selected Subjects: 3.
1. English Communications 1. English
Communications 4.
Subjects
1. Financial Accounting (Honours Core Subject 1) 2. 5.
2. Business Law (Honours Core Subject 2)
3. Micro Economics (Generic Elective Subject 1)
Roll No.:
Verified By:

Email :
Name : rohan chetry Phone : 8011184201 Date of Birth : 2002-12-14
parthapratim8473@gmail.com

Gender : MALE Caste : OBC Religion : HINDUISM Blood Group : B +ve

Maratial Status : UNMARRIED Nationality : INDIAN Person with disability : NO Extra Curricular Activity : SPORTS

Father Name : LT. SURAJ CHETRY Father Phone : 8011184201 Father Occupation : BUSSINESS

Mother Name : CHANDA CHETRY Mother Occupation : HOUSEWIFE

Present Address Permanent Address Last Examination Passing Marks

KHAIRANI HIGH SCHOOL ROAD,KHAIRANI KHAIRANI HIGH SCHOOL ROAD,KHAIRANI Details
RICE MILL RICE MILL Subject Total Obtained
City/Village: KHAIRANI, City/Village: KHAIRANI,
ALTERNATIVE
District: Baksa(Assam) District: Baksa(Assam) 100 51
ENGLISH
P.O: KUMARIKATA, Pin: 781360, P.O: KUMARIKATA, Pin: 781360,
P.S: TAMULPUR P.S: TAMULPUR Accountancy 100 62
Business
100 63
Studies
Banking 100 63
ECONOMICS 100 61
Last Examination Passing Details
Course Board School Year Percentage Division
12th AHSEC Tamulpur commerce college 2021 60.00 I
Bank Details
A/C ROAHN A/C STATE BANK OF INDIA, Bank
35613714206 Bank SBIN0009147
Holder CHETRY No DARANGAMELA IFSC
Declaration: I hereby declare that I shall abide by the rules and regulations of the College and I shall readily accept any punishment which
the authority deems fit for me if there is any violation of the rules. I also declare that the statements made above are true.

Date:
Signature of the applicant