Personal Details Form No: 352853

Name SAMIRAN SARMA Date of Birth 14-08-2003

Father's Name REBA KUMAR SARMA Gender Male
Mother's Name MINATI GOSWAMI SARMA Religion Hinduism
Nationality Indian Category GEN
Email samiransarmah761@gmail.com Mobile Number 6002491181

Address Details
Domicile State Assam Village/Town Barjharbarchala
District SONITPUR State Assam
Pin Code 784117

Examination Details
Session 2024 (Jan-Jun) Semester/Year 4
Institute Type Affiliated College Registration No. 22009089
Institute Name DARRANG COLLEGE Roll No. US-221-225-0073
Program BSc Chemistry Examination Type Regular

Selected Papers for Examination

SL Paper Code Paper Name
1 CHE-HC-4016 INORGANIC CHEMISTRY-III
2 CHE-HC-4026 ORGANIC CHEMISTRY-III
3 CHE-HC-4036 PHYSICAL CHEMISTRY-IV
4 CHE-SE-4024 GREEN METHODS IN CHEMISTRY
5 PHY-HG-4016 WAVES & OPTICS

I hereby declare that all the above information & data are correct. I have carefully choosen and checked all the paper
options & these are all correct. In case any wrong data/ information/ selection is submitted, I am liable for those and
University shall not have any liability for such wrong/ missing information/data/selection.

Signature of the HoD (GU Dept.)/Principal/ Director with date Signature of the Student with date

Fee Details
Examination Fee 890.00
Practical Fee, Dissertation Fee, etc are not included. Those fee(s) shall be notified and collected by the college/institute wherever applicable.

Take a printout of the form then submit this to HoD/Principal/ Director along with a copy of the Fee Receipt.

Submitted On: 03-04-2024 09:57:02 AM Page 1/1

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