Goreswar College, PO/PS: Goreswar, Baksa(BTC), Assam-781366
Preview of online application form for B.Sc. 1st Sem under CBCS
Submit print copy of application at Goreswar College on or before 17-06-2017 12.00PM

Name of the Applicant :

Father's Name :

Father's Occupation :

Mother's Name :

Mother's Occupation :

Guardin's Name :

Relation :

Communication Address :

Permanent Address :

Date of Birth :

Gender :

Religion :

Merital Status :

Nationality :

Category :

Mobile No. :

E-Mail Address :



Affix Passport Size Candidate's Photo
Educational Information:

Name of Examination :

Name of Board/ University :

Passing Year :

Roll No :
Division :

Subjects :

Total Marks :

Marks Obtain :

Percentage :
Subjects Combinations:
1. AECC :
2. DSC (Optional-1) :
3. DSC (Optional-2) :
4. DSC (Optional-3) :
Desired Major Combinations:
1. Major :
2. AECC-2 :
3. Generic Paper :
I certify that the above statements are true. I undertake:  a) The information given above is true and complete to the best of my knowledge and belief, and if any of it is to be incorrect at any stage, my admission shall be liable to be cancelled. b) To abide by the provisions of the Act, Statutes, Ordinances, Rules & Regulations of the college failing which the college may take appropriate action against me.
Date : Candidate's Signature :

Guardian's Signature :