Personal Details Form No: 617168
Name MOUCHUMI ROY Date of Birth 04-01-2002
Father's Name LATE PRAFULLA ROY Gender Female
Mother's Name RANJU ROY Religion Hinduism
Nationality Indian Category OBCMOBC
Email mouchumiroy4444@gmail.com Mobile Number 8099650942
Samarth Enrolment No:
Address Details
Domicile State Assam Village/Town SONDHA
District NALBARI State ASSAM
Pin Code 781337
Examination Details
Session 2025 (Jan-Jun) Semester/Year 6
Institute Type Affiliated College Registration No. 22026491
Institute Name NALBARI COLLEGE Roll No. UA-221-194-0487
Program BA Education Examination Type Regular
Selected Papers for Examination
SL Paper Code Paper Name
1 EDU-HC-6016 EDUCATION AND DEVELOPMENT
2 EDU-HC-6026 DISSERTATION / PROJECT
3 EDU-HE-6016 MENTAL HEALTH AND HYGIENE
4 EDU-HE-6036 EDUCATIONAL MANAGEMENT
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
Exam Fee 890.00
Practical Fee, Dissertation Fee, etc. may not be included. These 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: 23-04-2025 01:20:01 PM Page 1/1
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