Statement of the Applicant
Trade:
Name of the Applicant (in Block Letters):-
Father's Name:
Mother's Name:
Present Address:
Permanent Address:
Contact No.Home:
Contact No.Personal:
D.O.B:
Religion:
Mother Tongue:
Nationality:
Are you a permanent Resident of Assam:
Category:
Education Qualification:
Percentage of Marks Secured in H.S.L.C/H.S.S.L.C. Exam:
Fee Payment mode:
Applicant Photo:
HSLC Admit Card:
HSLC Mark sheet:
certificate of last Examination Passed:
Caste Certificate:
Any Other Qualification: