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Application form for XXII Convocation

Application No.: 10929


Applied Date: 14/11/2023
Status: Successfully Submitted

Name of the Candidate (English): RENEE BORUAH

Name of the Candidate (Assamese): ৰিণি বৰ ুৱা


Father's Name:
HEMANGA BORUAH
Registration No of Dibrugarh University:
S1930534
Degree applied for :
BA
Honours/Major/Distinction/General :
NON-HONOURS
Mode :
Regular
Roll & No :
21810145
Class/Division/Grade :
Grade B+
Final Semester/Year examination held in
05/2023
(Month/Year) :
Date of passing :
04/07/2023
College/Department/Institute from
Naharkatiya College
where qualified :
Mobile No :
9678051649
Email :
riniboruah10@gmail.com
Address for Communication:
Village/Town: GETHUPATHER, NAHARKATIA, House No./Street No.:190, P.O: ,
District:DIBRUGARH, State: , Pin:786610
Final Semester/Year Gradesheet
Uploaded
Registration or Migration Card of
Uploaded
Dibrugarh University
Final Semester/Year Admit Card
Uploaded

UNDERTAKING
I hereby declare the following,
I have uploaded the correct documents during the online application and ensured that the
scanned images of such documents are distinctly visible.
I have provided my own mobile No. and email id at the time of online application.

If any of the information provided by me is found to be incorrect/illegible, my application shall


be liable to be cancelled.

PAYMENT INFO
Transaction Date: 2023-11-14
Applied For: Certificate
Transaction No: YSM22143681148
Bank Reference No: 200960
Amount: 800

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