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564246

The document is a personal examination form for Mofidul Ali, a male student born on August 10, 2000, from Assam, India. He is enrolled in the BSc Regular program at Goalpara College for the January-June 2025 session, with selected papers including Industrial Chemicals and Environment, Fuel Chemistry, Numerical Analysis, and Communication Electronics. The form includes personal details, examination details, and a declaration of correctness, along with fee information and submission instructions.

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16 views

564246

The document is a personal examination form for Mofidul Ali, a male student born on August 10, 2000, from Assam, India. He is enrolled in the BSc Regular program at Goalpara College for the January-June 2025 session, with selected papers including Industrial Chemicals and Environment, Fuel Chemistry, Numerical Analysis, and Communication Electronics. The form includes personal details, examination details, and a declaration of correctness, along with fee information and submission instructions.

Uploaded by

ferdousali09
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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Personal Details Form No: 564246

Name MOFIDUL ALI Date of Birth 10-08-2000


Father's Name MOBARAK ALI Gender Male
Mother's Name MAMUDA BEGUM Religion Islam
Nationality Indian Category GEN
Email [email protected] Mobile Number 6000245241
Samarth Enrolment No:

Address Details
Domicile State Assam Village/Town AZAD NAGAR GOALPARA TOWN
WARD NO19
District GOALPARA State ASSAM
Pin Code 783121

Examination Details
Session 2025 (Jan-Jun) Semester/Year 6
Institute Type Affiliated College Registration No. 22010849
Institute Name GOALPARA COLLEGE Roll No. US-221-099-0153
Program BSc Regular Examination Type Regular

Selected Papers for Examination


SL Paper Code Paper Name
1 CHE-RE-6026 INDUSTRIAL CHEMICALS AND ENVIRONMENT
2 CHE-SE-6034 FUEL CHEMISTRY
3 MAT-RE-6016 NUMERICAL ANALYSIS
4 PHY-RE-6016 COMMUNICATION ELECTRONICS

I hereby declare that all the above information & data are correct. I have carefully choosen and checked all the paper
options & these are all correct. In case any wrong data/ information/ selection is submitted, I am liable for those and
University shall not have any liability for such wrong/ missing information/data/selection.

Signature of the HoD (GU Dept.)/Principal/ Director with date Signature of the Student with date

Fee Details
Exam Fee 890.00
Practical Fee, Dissertation Fee, etc are not included. Those fee(s) shall be notified and collected by the college/institute wherever applicable.

Take a printout of the form then submit this to HoD/Principal/ Director along with a copy of the Fee Receipt.

Submitted On: 11-04-2025 05:13:58 PM Page 1/1

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