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The document is a registration form for the Assam State School Education Board for the year 2025, filled out by a student named Ringham Maibangsa. It includes personal details, educational background, and institutions applied to for further studies in the Arts stream. The student has provided necessary information and declared its accuracy, with relevant documents to be submitted during admission.

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35 views3 pages

PDF Registration - HTML

The document is a registration form for the Assam State School Education Board for the year 2025, filled out by a student named Ringham Maibangsa. It includes personal details, educational background, and institutions applied to for further studies in the Arts stream. The student has provided necessary information and declared its accuracy, with relevant documents to be submitted during admission.

Uploaded by

surashthausen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ASSAM STATE SCHOOL EDUCATION BOARD, DIV-II

BAMUNIMAIDAM, GUWAHATI-21

Registration Form - 2025

Personal Details :

Name RINGHAM MAIBANGSA Father's Name NIPEN MAIBANGSA


Mother's Name ANILA MAIBANGSA Guardian Name NIPEN MAIBANGSA
Date of Birth 03-06-2007 Gender MALE
Nationality INDIAN Mobile No 6003877241
Email ringhammaibangsa@gmail.com Religion HINDUISM
Caste ST(H)

Address for Communication :

Address Line 1 SIVNAGAR DHANSIRI Address Line 2 SIVNAGAR DHANSIRI


KARBI ANGLONG ASSAM KARBI ANGLONG ASSAM
State ASSAM District KARBI ANGLONG
Post Office DHANSIRIPAR Pin Code 782470

Education Details :

Board : ASSEB, DIV-I (ERSTWHILE


SEBA)
Class 10th Exam Passing Year 2025
Class 10th Exam Name : HSLC
Have you appeared in SEBA Special Exam 2021? NO
Roll of Class 10th Exam B25-0448
No. of Class 10th Exam 0110
Marks Obtained (Excluding Additional Marks, if any) 286
Total Marks (Excluding Additional Marks, if any) 600
Percentage of 10th Board Exam 47.67 %

Relevant Details :

Whether belongs to Specially Abled Category ? NO


Whether Belongs to Tea-Tribe Community? NO
Whether Belongs to APL/BPL? BPL
Do you have any State/National level extra-curricular certificate in NO
Sports/Cultural/NCC etc?

N.B : Relevant Documents need to be submitted at the time of admission

Hereby, I declare that all information provided above by me is true and correct to the best of my knowledge. Also, I am aware of the fact that my
admission application(s) may be cancelled in later period of time, if the information provided here is found to be wrong/mismatched.
All Applications
1. NAME OF INSTITUTION :DIPHU GOVT COLLEGE (162710)
DISTRICT : KARBI ANGLONG

ARN Date 22-04-2025

220425-162710-1-275913
Stream Arts Subjects Applied : ENGLISH
ALTERNATIVE ENGLISH
EDUCATION
POLITICAL SCIENCE
ECONOMICS
BIHU

2. NAME OF INSTITUTION :DHANSIRI H S SCHOOL (162734)


DISTRICT : KARBI ANGLONG

ARN Date 22-04-2025

220425-162734-1-277501
Stream Arts Subjects Applied : ENGLISH
ALTERNATIVE ENGLISH
EDUCATION
POLITICAL SCIENCE
ECONOMICS
BIHU

3. NAME OF INSTITUTION :DIPHU GOVT BOYS' H S SCHOOL (162715)


DISTRICT : KARBI ANGLONG

ARN Date 22-04-2025

220425-162715-1-274743
Stream Arts Subjects Applied : ENGLISH
ALTERNATIVE ENGLISH
EDUCATION
POLITICAL SCIENCE
ECONOMICS
IT/ITeS

4. NAME OF INSTITUTION :LUMDING COLLEGE (213271)


DISTRICT : HOJAI

ARN Date 22-04-2025

220425-213271-1-663620
Stream Arts Subjects Applied : ENGLISH
ALTERNATIVE ENGLISH
EDUCATION
POLITICAL SCIENCE
ECONOMICS
ADVANCE HINDI

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