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ASSAM UNIVERSITY

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<strong>ASSAM</strong> <strong>UNIVERSITY</strong>: SILCHAR(A Central University)PROVISIONAL IDENTITY CARDName:Department:Course: Session: 2011-13Date of Birth:Blood GroupAffixstamp sizephotoStudent’s SignatureSignature of HODThis card is to be filled in by the student at the time of submission ofapplication form. If the candidate is selected for admission this card willbe issued by concerned HOD.

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