KEMBAR78
Document Form | PDF
Scribd
Upload
14 views1 page

Document Form

This document is an application form for a B.Ed degree from Gauhati University submitted by Preetom Biswas, a Scheduled Caste male student from Assam. It includes personal details such as his father's and mother's names, date of birth, contact information, and ID proof. The payment for the certificate fee has been successfully processed on 24/06/2025.

Uploaded by

Shibanta Saren
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
14 views1 page

Document Form

This document is an application form for a B.Ed degree from Gauhati University submitted by Preetom Biswas, a Scheduled Caste male student from Assam. It includes personal details such as his father's and mother's names, date of birth, contact information, and ID proof. The payment for the certificate fee has been successfully processed on 24/06/2025.

Uploaded by

Shibanta Saren
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/ 1

Print Date 24/06/2025 12:45:16 Student Copy

GAUHATI UNIVERSITY

APPLICATION FORM
Token No. : 0000142607 User Registration ID: GRD1643853
Student Name : PREETOM BISWAS Father's Name : PRAVAT BISWAS
Mother's Name : SABITA BISWAS Student Category : Scheduled Caste
Gender : Male Domicile : Assam
category : TRADITIONAL Religion : Hinduism
Date of Birth : 31/01/2001 Registration No. : 18016677
Registration Year : 2018-2019 Nationality : INDIAN
Mobile No. : 6001714677 E-Mail Id : pritamb023@gmail.com
ID Proof type : AADHAAR(UID) Id Proof No. : 728773129951
Address : Saotal basti, jugijan, hojai, assam,Assam,Hojai,782429
Passing year : 2023 Roll number : UA-211-151-0111

Certificate Applied : B.Ed


for Degree

Fee Details

Payment Id DC_0001677646 Payment Date 24/06/2025 Payment Status SUCCESS

S No. Head Name Amount


1 Certificate Fee 830.00

Page 1 of 1

You might also like