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Application No: 0296

Apply Date: 22-06-2023

Print Date: 2023-06-22

NALBARI COMMERCE COLLEGE

Nalbari.Assam
Course Applied For HS 1ST YEAR, COMMERCE (2023-2024)
For Office Use Only

Roll No:.....................

1.Subject:.................................... 2.Subject:.................................... 3.Subject:....................................

4.Subject:.................................... 5.Subject:.................................... 6.Subject:....................................

7.Subject:....................................

Personal Details
Applicant's Name : RITURAJ SARMA Unique ID : 223432
Phone No : 9101706959 Email-Id : debubritu@gmail.com
DOB : 15/04/2007 Gender : Male Nationality : INDIAN
Religion : HINDU Category : GENERAL
Blood Group : B+ Marital Status : Unmarried
Father's Name : BRAJENDRA NATH SARMA Phone : 9101706959 Occupation : GOVT. SERVICE
Mother's Name : NIRUPAMA DEVI Phone : 9678692249 Occupation : GOVT. SERVICE
Guardian's Name : BRAJENDRA NATH SARMA Phone : 9101706959 Darpan ARN Number : ARN: 29-05-2023-223432-3-627343
Present Address : VILL- ADATTARI PO- MUKALMUA DIST. NALBARI ASSAM
Permanent Address : ADATTARI, MUKALMUA, MUKALMUA, 781126, NALBARI

Bank Details
Account No: 5411981660 Bank Name: CENTRAL BANK OF INDIA Branch Name: MUKALMUA IFSC Code: CBIN0282813

Extra Details
Are you an applicant for extra curricular quota : NO
Are you an applicant for Differently Abled quota : NO
Are you an applicant for NCC quota : NO
Where do you propose to reside : HOSTEL
State of Domicile : ASSAM

Educational Details
Institution Last Attended : DREAMLAND ENGLISH SCHOOL NARAYANPUR Board : SEBA Year of passing : 202
Last Exam Roll : B23-0661 No : 0312

Marks obtained in Last Final Examination :

Name of Subjects Total Marks Marks Obtained

ASSAMESE 100 48
ENGLISH 100 96
GENERAL MATCH 100 72
GENERAL SCIENCE 100 80
SOCIAL SCIENCE 100 89
COMPUTER SCIENCE 100 83
Grand Total 600 468
Percentage 78

Group of subjects the applicant wishes to opt. :

1. ENGLISH 2. ALT. ENGLISH 3. ENVIRONMENTAL STUDIES 4. ACCOUNTANCY
5. BUSINESS STUDIES 6. BMST 7. ECONOMICS

Declaration by the candidate : I do hereby declare that information furnished above are true to the best of my knowledge and belief. If any misrepresentation of facts is detected, I shall forfeit my claim to a seat in the college. If admitted, I shall ab
rules and regulations of the college and hostel and uphold its dignity.

Place:
Date: (Full Signature of the