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Exam Form Hs First Year

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Disha Kumari
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28 views

Exam Form Hs First Year

Uploaded by

Disha Kumari
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
You are on page 1/ 2

Page : 1/2

ASSAM HIGHER SECONDARY EDUCATION COUNCIL, GUWAHATI


CANDIDATE INFORMATION SHEET FOR H . S . F I R S T Y E A R E X A M I N A T I O N , 2025
(To be filled using blue/black ball point pen only) (Duly filled form is to be submitted to the Institution by the Candidate)

Recognised Institution :

1 STUDENT INSTITUTION TYPE SECTION :


a) Type of Institution the Student is Registering from: REGULAR / NON-PERMITTED

b) Name of the Institution :

c) Institution's District :

d) Non-Permitted Institution's Code : -


2 PERSONAL DETAILS SECTION :
a) Student's ARN :

b) PEN Number :

c) Name of Student :

d) Date of Birth : -

e) Gender : MALE / FEMALE

f) Caste : / / / /

g) Tea Garden Community : /

h) Religion : HINDUISM / ISLAM / CHRISTIANITY / SIKHISM / BUDDHISM

JAINISM / PARSI / JEWISH / OTHERS

i) Nationality : INDIAN / OTHERS

J) Student Aadhar Number:

k) Mother's Name :

l) Father's Name :

YES / NO
m) your Parents Annual Family Income is Rs 2 Lacs or below:

3 COMMUNICATION DETAILS SECTION :


a) Address (Line 1 ) :

(Line 2 ) :

b) State :

c) PIN :

d) Contact (Mobile) No.:

e) Email ID :

4 SECONDARY EXAMINATION PASSING DETAILS SECTION :


a) Name of Examination :
Page : 2/2
BOARD OF SECONDARY EDUCATION, / KUMAR BHASKAR VARMA SANSKRIT & / STATE MADRASSA EDUCATION BOARD, /
b) Board / Council : ASSAM (SEBA) ANCIENT STUDIES UNIVERSITY ASSAM

STATE COUNCIL FOR TECHNICAL COUNCIL FOR THE INDIAN SCHOOL CENTRAL BOARD OF SECONDARY
EDUCATION, ASSAM
/ CERTIFICATE EXAMINATIONS (CISCE)
/ EDUCATION (CBSE)
/

c) Year of Passing :

d) Roll / Roll Code :

e) Number :

e) Total Marks (Excluding Additional Marks, if any) :

f) Obtained Marks (Excluding Additional Marks, if any) :

g) Marks Percentage :

5 EDUCATIONAL DETAILS SECTION :


a) Details of Admission (H.S. 1st Year) : - -

b) Section :

c) Class Roll No :

d) Medium : ENGLISH / / BENGALI / BODO (Only for Arts)


e) Stream : ARTS / COMMERCE / SCIENCE / VOCATIONAL

f) Core Language I Sub.: ENGLISH

g) Core Language II Sub.:

h) Elective I Sub.:

i) Elective II Sub.:

j) Elective III Sub.:

k) Elective IV Sub.:

6 STUDENT'S PHOTOGRAPH & SIGNATURE DETAILS SECTION :


Space for Student's Photograph Space for Student's Signature

(for Institution use only)


I/We do hereby certify that all information appaering above are true & correct. I/We shall remain responsible if the same is found to be false or misleading. I/We also certify
that the student has not taken admission in any other Institution.

Seal & Signature of Principal of the Recognised Institution

1
Note For column no. 1a, 2d, 2e, 2f, 2g, 2h, 2l, 4b, 5d & 5e you are required to tick the applicable one from among-st the given options.
2 All columns except columns as mentioned below are compulsory.
Column no. 1b, 1c & 1d are compulsory if option "Non_permitted" is selected in column no. 1a.
Column No 2b,2J, 3e, 4d, 5a & 5b are optional.
3 Photograph to be pasted should not be more than 3 months old. Photograph & Signature should not exceed the box area.
4 In para "Code & Name of the Recognised Institution", mention details of the Institution through which the candidate is registering with the COUNCIL.
5 Bodo medium is available only for Arts Stream.

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