Assam University Online Admission

APPLICATION FORM FOR ADMISSION

All (*) fields are mandatory

Personal Information
* Name
* Date of birth
* Mother's name
* Father's name Husband's name
* Parent's / Guardian's contact no
* Upload your passport size photo (gif/png/jpg with max size 100 KB is allowed)
* Marital Status	Single Married Widowed Divorced
* Country
* Religion

* Category
* Economically backward class	Yes No
* Please upload your cast certificate
* Are you a Differently-abled Person(PWD) ?	Yes No
* Please upload your PWD certificate

* Sex	Male Female Transgender
* Blood group
* Present address
* Permanent address
* Phone no.(Mobile)
* Email-ID
* Hostel accomodation required	YesNo
* Are you employed ?	Yes No
* Employer's Name and address
* Upload your latest NOC from your present employer (gif/png/jpg with max size 500 KB is allowed)
* Have you applied for admission to courses run by more than one department ?	Yes No
Campus In which you applied
Department in which you applied
Name of the course
Candidate aplying to more than one department must be in the same Campus of the University	Candidates applying for more than one course must have to apply separately for each course.
* Are you registered with Assam University ? (Candidates not registered with Assam University must submit application for registration along with migration certificate in original within two months from the date of provisional admission.)	Yes No

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