05/07/2022 06:56 PM

GAUHATI UNIVERSITY, ASSAM

APPLICATION FORM PREVIEW FOR ADMISSION IN PG PROGRAMME
(PAYMENT NOT DONE)
Session : 2022 - 2023

Application No. : 2105116 Application Date : 05/07/2022

Type of Course : PG
Unique ID :

Name of the Applicant :

SHUBHANKI KARMAKAR

Father's Name :

MR. BHUPENDRA NATH KARMAKAR

Mother's Name :

MRS. SHEFALI KARMAKAR

Date of Birth : 25/07/2001 Gender : FEMALE

Religion : HINDUISM Religion Name : NA
Nationality : INDIAN Domicile : ASSAM
Category : OTHER BACKWARD Caste : EX TEA GARDEN TRIBES
CLASS
Aadhar No. : NA
Mobile No. : 9678820310 EMail Id. : shubhankikarmakar@gmail.com
Parent Mobile No. : NA Parent's EMail Id. : NA
Local Guardian Name : NA Relationship with : NA
Guardian
Guardian's Mobile No. : NA Guardian's EMail Id. : NA
Are you Differently : NO Percentage of : NA
Abled? Disability
Exam Center : Dhubri EWS Category : No

Address :

Permanent Address : BISONDAI,BISONDAI,GOLAKGANJ,BISONDAI PT II,DHUBRI,Assam

Country :India
Pincode :783334
Correspondence Address : BISONDAI,BISONDAI,GOLAKGANJ,BISONDAI PT II,DHUBRI,Assam
Country :India
Pincode :783334

Other Category : NO

Are you Son/Daughter of Ex-Employee of Gauhati University? : NO

Are you Son/Daughter of Present Employee of Gauhati University? : NO

Are you Son/Daughter of Ex-Employee of Defence Personnel? : NO

Are you permanent Resident of Fringe Village as notified by Gauhati : NO

University?
Do you want to apply under Extracurricular Quota? : NO

Do you want to apply under NCC Quota? : NO

Unique Identity :
 Class XII th or Equivalent : 0321 10138 Marksheet Serial No. of Class : m086518
Roll No. X th or Equivalent.

Class X th or Equivalent : b17 180 0716 Passing Year of Class X th or : 2017

Roll No. Equivalent

Bank Details :

Account Name : SHUBHANKI KARMAKAR Account Number : 36242175491

Bank Name : STATE BANK OF INDIA Branch Name : GOLAKGANJ

IFSC Code : SBIN0002063 MICR Code : 783002511

Mobile No. : 9678820310 Email Id : shubhankikarmakar@g

mail.com

Are you pursuing any other regular course in GU or Other University? : NO

Degree Name : NA

Have you pursued or pursuing/ Completed any Masters Programme at GU ? : NO

Degree Name : NA Subject : NA Passing Year : NA

Do you have Registration No. of Gauhati University? : YES

Registration No. : 19034441 Registration Year : 2019-2020

Do you have valid GATE Score ? : No

Previous Qualification Details :

Do you have Mathematics in 10+2? : No Are you PGDCA Topper? : NO

S.No. Roll No. Examination Year Max Obt. CGPA Prev Other Board/University
Passed Marks Marks. Degree Degree/Stream

1 0321 10138 Intermediate 2019 500.00 307.00 NA Arts/Humanit NA AHSEC

ies
2 b17 180 Matriculation 2017 600.00 445.00 NA NA NA SEBA
0716
3 UA-191-164 Graduation 2022 0.00 0.00 NA BA(Major) NA Gauhati University
-0321

Graduation Marks :
Maximum Marks in Major Subject : 0.00 Marks Obtained in Major Subject : 0.00

Maximum Marks in General Subject : 0.00 Marks Obtained in General Subject : 0.00

List of Subjects in Graduation :

Course Applied For :

S.No. Department Degree Subject

1 GU DEPT. OF SANSKRIT(830) M.A. SANSKRIT

.................................................................................................................................................
 Print Date & Time : 05/07/2022 06:56 PM

Dear Student,
You have Applied to the following Subjects

Application No : 2105116 Application Date : 05/07/2022

Name of the Candidate : SHUBHANKI KARMAKAR

Course Applied For :

S.No. Department Degree Subject

1 GU DEPT. OF SANSKRIT(830) M.A. SANSKRIT

Keep this Application Form with you until the Application Process is over. You need not submit it anywhere in the
University.

However if you are applying against any other quota seats, please submit the other quota forms in the office of the
Secretary, University Classes, GU (Room No -14) on or before 02/09/2021