Application Form _ AS40 _ Antara aziza laskar.pdf

Application/Admit Card Application No 102582 Seeking Admission in Class XI (Eleven) for session 2024-2025 Course applied for NEET Selected Study Centre Ajmal Super 40, Hojai Campus Candidate Name Antara aziza laskar F...

Application/Admit Card Application No 102582 Seeking Admission in Class XI (Eleven) for session 2024-2025 Course applied for NEET Selected Study Centre Ajmal Super 40, Hojai Campus Candidate Name Antara aziza laskar Father Name Akbar Hussain Laskar Mother Name Meher Niger Mazumder Occupation of Father Government service Occupation of Mother House wife Postal Address CITY/VILL: Silchar , P.O.: Kanakpur east , PIN: 788107 , District: Cachar , State: Assam Gender Female Date of Birth 01-August-2008 Mobile Number 7099978893 WhatsApp Number 7099978893 Caste GENERAL Category Non-BPL Current Institutional Details State Assam District Cachar Present Class X Medium English Institute Name Saint Vincents school Obtained Marks Class VIII (Eight) 78 % Class IX (Nine) 76 % Expected Marks Class X(Ten) 80 % Name of Exam Centre Radiant Model HS School, Silchar , District: Cachar DECLARATION I, Miss. Antara aziza laskar , S/O, D/O Akbar Hussain Laskar an inhabitant of CITY/VILL: Silchar , P.O.: Kanakpur east , PIN: 788107 , District: Cachar , State: Assam do accept the offer of studying in AJMAL Super 40, Hojai which is being runby Ajmal Foundation. In this regard, I am bound to obey the rules and regulations of the institution and I am liable to disciplinary actions, if found otherwise. Date : 01-October-2023 Place : Silchar Signature of the candidate Note: This application form will be used as admit card for examination. * Date and Time of Exam: 24-December-2023 11:00 AM to 02:00 PM * Exam Duration: 03 Hours * Exam Centre's Gate will be closed: 10:30 a.m. * This Printed Copy of ‘Application Form’ will be treated as your Admit Card / Hall Ticket * Candidates registered for an Exam Centre are not allowed to attend or sit another Exam Centre. * Candidates must bring any valid ID proof (Example: Aadhaar Card, School Identity Card, Class VII/VIII/IX/X/XII Admit Card, Passport, PAN Card etc) in Exam Centre. * Candidates are to use the Answer Sheet provided and write your details on the OMR sheet which is asked for. * It is the candidate's responsibility to encode and fill in the Application Number and Test Booklet Series A, B, C, or D carefully and without any omission or discrepancy at the appropriate place in the OMR Answer Sheet. Any omission / discrepancy will render the OMR Answer Sheet liable for rejection. * Immediately after the commencement of the Examination, candidate should check that this Test Booklet does not have any unprinted or torn or missing pages or items etc. If so, get it replaced by a complete Test Booklet. * Sheets for rough work will be appended in the Test Booklet at the end. * Candidates are required to mark the correct answer choice by shading the circle completely with only black ball point pen. (Pen of any other colour or pencil is not allowed). * Only one circle, i.e. the correct one should be shaded. Shading more than one circle will render the answer invalid. * An examinee must not bring any loose paper, book, etc. to the Examination Hall. Any examinee found in possession of even loose papers will be EXPELLED. * An examinee must not talk to, disturb or seek help from a fellow examinee during the examination. * Any mechanical or digital calculating device (Smart Watch, Mobile, calculator etc.) shall not be used by the examinee during the examination. * No candidate will be allowed to leave the Examination Hall before completion of 3 hours. * Contravention of any of the instructions mentioned above shall render a candidate liable for disciplinary action as per rule and candidature shall be null and void.