HS 1st Year Science Admission – Birjhora Kanya Mahavidyalaya

H.S. 1st Year Science Admission form

Fill Personal Details

Fill in the required Information

Full Name :

Email (Application Id will be sent to your Mail) :

Unique ID :

Date of Birth :

Physically Challenged :

Gender :

Female

Marital Status :

Phone/Mobile no :

Parent's Details

Fill in the required Information

Father's/Husband's Name :

Occupation :

Phone/Mobile no :

Mother's Name :

Occupation

Phone/Mobile no :

Local Guardian Name(Only for Outside Bongaigaon Students):

Local Guardian Address:

Family Status

Fill in the required Information

Family yearly income :

Religion :

APL/BPL :

Category :

Nationality :

Domicile of Assam :

Present Address

Fill in the required Information

House No, Street :

Village/Ward :

Area/City :

District :

State :

Post Office:

PIN :

Educational Information:

Fill in the required Information

Last Exam Passed :

Passing Year :

Mode of Exam :

Name Of Institute :

Name of Exam :

Roll no:

Grade

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

Compulsory:

Elective 1 :

Elective 3 :

MIL :

Elective 2 :

Elective 4 :(Additional/ Fourth Subject)

Photo & Documents Upload :

Upload the required Documents

Passport Size Photo (Maximum size limit is 100kb):

Choose File

Signature (Maximum size limit is 50kb):

Choose File

Income Certificate (Maximum file size limit is 150KB)(Only for BPL Student):

Choose File

Caste Certificate(Maximum file size limit is 200KB)(Only for Non General Student):

Choose File

Bank account Information:

Fill in the required Information

Must enter own account number of student. If own account is not Available, parents account Number may be used, but it must continue for the next three years for availing any financial assistance such as scholarships, book grant etc. fom Govt. off Assam.

Account Holder Name :

Account Number :

Bank Name :

IFSC Code :

Personal Detalis

Parents Details

Bank Account Details

Educational Details

Fill Personal Details

Parent's Details

Family Status

Present Address

Educational Information:

Last Exam Passed :

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

Photo & Documents Upload :

Bank account Information: