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Maharaja Bir Bikram College | Bir Bikram Memorial College | Ramthakur College | Women’s College | Rabindranath Thakur Mahavidyalaya | SwamiVivekananda Mahavidyalaya | Advaita Malla Barman Smriti Mahavidyalaya | Dasarath Deb Memorial College | Ramkrishna Mahavidyalaya | Ambedkar College |Netaji Subhash Mahavidyalaya | Iswar Chandra Vidyasagar Mahavidyalaya | Michael Madhusudan Datta Mahavidyalaya | GDC Kanchanpur | GDC Longtaraivally| GDC Santirbazar | GDC Dharmanagar | GDC Teliamura | GDC Gandacherra | GDC Kamalpur | GDC Khumulung | GDC Ambassa

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Maharaja Bir Bikram College | Bir Bikram Memorial College | Ramthakur College | Women’s College | Rabindranath Thakur Mahavidyalaya | SwamiVivekananda Mahavidyalaya | Advaita Malla Barman Smriti Mahavidyalaya | Dasarath Deb Memorial College | Ramkrishna Mahavidyalaya | Ambedkar College |Netaji Subhash Mahavidyalaya | Iswar Chandra Vidyasagar Mahavidyalaya | Michael Madhusudan Datta Mahavidyalaya | GDC Kanchanpur | GDC Longtaraivally| GDC Santirbazar | GDC Dharmanagar | GDC Teliamura | GDC Gandacherra | GDC Kamalpur | GDC Khumulung | GDC Ambassa

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3. Gender Male Female

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8. Category

9. Whether PH or not Yes No

10. Whether Ex-serviceman or not Yes No

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Maharaja Bir Bikram College | Bir Bikram Memorial College | Ramthakur College | Women’s College | Rabindranath Thakur Mahavidyalaya | SwamiVivekananda Mahavidyalaya | Advaita Malla Barman Smriti Mahavidyalaya | Dasarath Deb Memorial College | Ramkrishna Mahavidyalaya | Ambedkar College |Netaji Subhash Mahavidyalaya | Iswar Chandra Vidyasagar Mahavidyalaya | Michael Madhusudan Datta Mahavidyalaya | GDC Kanchanpur | GDC Longtaraivally| GDC Santirbazar | GDC Dharmanagar | GDC Teliamura | GDC Gandacherra | GDC Kamalpur | GDC Khumulung | GDC Ambassa

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Maharaja Bir Bikram College | Bir Bikram Memorial College | Ramthakur College | Women’s College | Rabindranath Thakur Mahavidyalaya | SwamiVivekananda Mahavidyalaya | Advaita Malla Barman Smriti Mahavidyalaya | Dasarath Deb Memorial College | Ramkrishna Mahavidyalaya | Ambedkar College |Netaji Subhash Mahavidyalaya | Iswar Chandra Vidyasagar Mahavidyalaya | Michael Madhusudan Datta Mahavidyalaya | GDC Kanchanpur | GDC Longtaraivally| GDC Santirbazar | GDC Dharmanagar | GDC Teliamura | GDC Gandacherra | GDC Kamalpur | GDC Khumulung | GDC Ambassa

Personal Details

1. Father’s Name2. Mother’s Name3. Aadhar Number 4. Guardian if any If enabled then

(i) Guardian Name(ii) Guardian Phone Number

5. Permanent Address C/O-Vill/TownStreet/LanePost OfficeStatePIN Number

Tick if Present Address is same as Permanent Address6. Present Address C/O-

Vill/TownStreet/LanePost Office

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Maharaja Bir Bikram College | Bir Bikram Memorial College | Ramthakur College | Women’s College | Rabindranath Thakur Mahavidyalaya | SwamiVivekananda Mahavidyalaya | Advaita Malla Barman Smriti Mahavidyalaya | Dasarath Deb Memorial College | Ramkrishna Mahavidyalaya | Ambedkar College |Netaji Subhash Mahavidyalaya | Iswar Chandra Vidyasagar Mahavidyalaya | Michael Madhusudan Datta Mahavidyalaya | GDC Kanchanpur | GDC Longtaraivally| GDC Santirbazar | GDC Dharmanagar | GDC Teliamura | GDC Gandacherra | GDC Kamalpur | GDC Khumulung | GDC Ambassa

Qualification Details

Examination Year Board Total Marks Obtained Division

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Course Registration

1. Upload Picture

2. XII Mark sheet

3. PRTC

4. Income Certificate

5. Aadhar Card

6. Madhyamik Admit

7. Category Certificate Captcha

8. Declaration

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