ASSAM UNIVERSITY

10. Permanent Address:11. Mailing Address (Local Address)STD Code & Telephone NumberMobile Number (If Any)e-mail address:D] ACADEMIC AND OTHER PARTICULARS1. Educational Qualification.ExaminationBoard/UniversityYear ofPassingSubject (s)MarksObtained Total Marks %10 th Standard12 th StandardGraduationP.G.Any other Exam2. Employment Status (If Employed, furnish details with No Objection certificate)Position Held Name and Address of Employer Working since Monthly Salary3. Other Particulars:i] Institution Last attended :ii] Is the Institution / College affiliated to Assam University? Yes:iii] If yes, state you A. U. registration Number:No:of Year:iv] If the result of the Qualifying Examination has not been announced, please State:Name of the ExaminationExamination Roll No.of University:v] Have you applied for admission in more than one Department? If so give details :…………………………………………………………………………………………………………………………………………………………………..