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Name of Candidate (BLOCK LETTER)UNIQUE ID (Generated from DHE website)Email ID (Application Id will be sent to your Mail) Gender FemaleBirth Day (DD/MM/YYYY)Caste– Select Caste-GENOBCMOBCST-PST-HSCReservation Category– Select Reservation Category –EWSPWDExtra CurricularNot ApplicableCategory BPL APLDomicile State– Select State –Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest BengalAddressAddress Line 1Address Line 2Post OfficePin CodeVillage/Town :District :– Select –BaksaBarpetaBongaigaonCacharCharaideoChirangDarrangDhemajiDhubriDibrugarhDima HasaoGoalparaGolaghatHailakandiJorhatKamrup MetropolitanKamrupKarbi AnglongKarimganjKokrajharLakhimpurMajuliMorigaonNagaonNalbariSivasagarSonitpurSouth Salmara-MankacharTinsukiaUdalguriWest Karbi AnglongBiswanathHojaiBajaliTamulpurMobile No.Save & Next

Parent’s Details

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Father’s NameAddressMother’s NameFather’s OccupationMobile No.Mother’s OccupationLocal Guardian Name :Mobile No.Local Guardian Address

Family Status

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Family Yearly Income– Select –Below 1 LakhsBelow 2 LakhsBetween 2 to 5 LakhsAbove 5 LakhsAPL/BPL– Select –APLBPLReligion– Select –HinduismIslamChristianitySikhismBuddhismDomicile– Select State –Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

H.S. 1st Year Examination Info :

Passing Year :– Select –20242023202220212020Mode of Exam– Select –RegularPrivateRoll No.Grade/Division– Select –PromotedMark Obtained (H.S. 1st Year)Maximum Mark (H.S. 1st Year)PercentageName of the Institute :Name of Exam :

Subject For H.S. 2nd Year (Same as 1st Year) :

Compulsory :– Select –EnglishMIL :– Select –AssameseBengaliHindiAlt. EnglishElective 1 :– Select –EconomicsHistoryEducationPolitical ScienceLogic & PhilosophyStatisticsMathematicsAdvance AssameseElective 2 :– Select –EconomicsHistoryEducationPolitical ScienceLogic & PhilosophyStatisticsMathematicsAdvance AssameseElective 3 :– Select –EconomicsHistoryEducationPolitical ScienceLogic & PhilosophyStatisticsMathematicsAdvance AssameseElective 4 : (Additional/Fourth Subject)– Select –EconomicsHistoryEducationPolitical ScienceLogic & PhilosophyStatisticsMathematicsAdvance AssameseSave & Next

Photo and Documents to be uploaded:

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Passport size Photo (Maximum size limit is 50 kb):Choose File Signature (Maximum size limit is 50 kb):Choose File Caste– Select Caste –GENOBC/MOBCST-PST-HSCCaste Certificate (For reservation claim) (Maximum size limit is 100 kb):Choose File Income Certificate– Select –YesNoIncome Certificate (Maximum size limit is 100kb):Choose File Aadhaar NumberAadhaar Card (Maximum size limit is 100kb):Choose File Whether you want to use private vehicle to come to the college ? Bike Car Cycle Not Applicable

Bank Account Details

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Account Holder Name : (IN BLOCK LETTER)Account Number :Bank Name :IFSC Code : I hereby declare that the above entries made by me in the Application Form are complete and true to the best of my knowledge, belief and information.Submit Application Form