Shaidj2iksha S283884etu
Shaidj2iksha S283884etu
PHOTO
2. FATHER’S NAME :
3. MOTHER’S NAME :
4. GUARDIAN’S NAME :
5. STUDENT’S AADHAR NO :
6. DATE OF BIRTH :
7. ROLL NO : 8. CLASS :
9. PEN :
10. ADDRESS: -
VILLAGE: P.O.:
P.S.: DIST.: (ASSAM)
PIN CODE: MOBILE NO:
GENDER: MALE / FEMALE BLOOD GROUP: CASTE: _____________
RELIGION: ______________ WEIGHT (K.G): HEIGHT (C.M):
MOTHER TOUNGE OF THE STUDENT: _____________ G.P.: ________________
11. LAC NAME:
12. HPC NAME:
ENCLOSURE: Signature of the Student’s
1. Copy of Student’s Aadhaar Card
2. Copies of the Student’s Father’s and Mother’s Aadhaar Cards
3. Copy of Student’s Bank Account Passbook