Online Admission Form

EDUCATION DEPARTMENT

'Heramba Nath Borah Higher Education One Time Scholarship 2024 & 25'

Online Application Form

For Candidates Enrolled In Govt. Educational Institution in 2024 & 2025

Personal Details

Apply for *

Section *

Applicant's Name(In Block Letters) *

Father Name *

Mother Name *

Gender *

Date Of Birth *

Mobile Number(Without +91 or 0)

Email *

Caste *

Family Name (hos) *

Clan Name (bongsha) *

Address & Education

Address Line 1 *

Address Line 2 *

P.O. *

P.S. *

District *

Pin *

Last Examination Passed *

Year of Passing *

Name of the Course & Institution to which applicant has taken admission *

Year of Admission *

Date of Admission *

Bank Account Details

Bank Account Number

Bank Name

Branch Name

IFSC Code

Upload Documents/Photo(Only Images are allowed in the upload fields - Max Size 2MB)

Applicant's Photo (Max Size:2MB)

Applicant's Caste Certificate (Max Size:2MB)

Pass Certificate In Last Academic Examination

Marksheet In Last Academic Examination (Max Size:2MB)

Admission Receipt (In which applicant has taken admission)(Max Size:2MB)

Bank Passbook (Showing applicant's bank details - Name, address, A/C No., IFSC etc.)

Upload Sonowal Kachari Autonomous Council 2018 Election Voter List(If Applicable)

Declaration:

I, Smt./Shri hereby declare that the above information furnished by me is correct and true to the best of my knowledge. I shall be deemed liable for appropriate legal action in case of any misinformation provided by me in this regard.