K.C.
DAS COMMERCE COLLEGE
CHATRIBARI, P.O. REHABARI,
GUWAHATI - 781021
APPLICATION FOR ADMISSION INTO
MASTER OF COMMERCE 1ST SEM
SESSION : 2018-2019
(To be filled by college office) Form No.
š50007kœ College Roll No. 50007
50007
Total Marks/Grade Obtained Out of University Form No.
1225.000 2400.000 Gauhati University 50007
1. Name of the Applicant HIRAK JYOTI KASHYAP
2. Date of Birth 03/11/1997 Nationality Indian Religion Hindu
Blood Group AB+ Sex Male
Category General Place of Birth Mangaldoi
Student's Email hirakkashyap83@[Link] Student's Phone No 8753856277
3. (a) Father's Name Amiya Kashyap (b) Phone No 9954984382
(c) E-Mail (d) Occupation Service
4. (a) Mother's Name Bhadrawati Kashyap (b) Phone No
(c) E-Mail (d) Occupation
5. Home Address
(a) Village / Town Mangaldoi (b) P. O. Mangaldoi
(c) Road / Lane Bhutiachang Road (d) District Darrang
(e) Police Station Mangaldoi (f) PIN 784125
(g) State Assam
6. Present Address
(a) Village / Town Mangaldoi (b) P. O. Mangaldoi
(c) Road / Lane Bhutiachang Road (d) District Darrang
(e) Police Station Mangaldoi (f) PIN 784125
(g) State Assam
7. (a) Academic Details
Examination Board/ Council Year of % of
Passed Institution last Studied Passing Roll No Marks
Gauhati
[Link] KC Das Commerce College 2018 C15020 0143 51.00
University
Registration No 064271 Year 2015-2016
8. Do you belong to Differently Abled Category ? No
Extra Curricular No Physically Handicapped No Freedom Fighter No
9. Specialisation Management and Marketing
DECLARATION BY THE APPLICANT
I do hereby declare that the particulars stated above are true to the best of my knowledge and belief. I agree to abide by
the rules and regulations of the college as mentioned in the Students¶Rule Book. I promise to maintain a minimum of 75%
attendance during the academic session. In case of failure to do so, the college authority will be at liberty to take necessary
action against me.
Date Full Signature of the Applicant
DECLARATION BY THE PARENT
I, parent / guardian of Sri/Miss Hirak Jyoti Kashyap declare that I have gone through the prospectus
thoroughly. If my ward is admitted to the college, I shall be responsible for his/her conduct and regular attendance
of classes.
Date Full Signature of the parent/legal
guardian
ALL ORIGINAL DOCUMENTS TO BE PRODUCED AT THE TIME OF ADMISSION
(i) Marksheet of [Link] (Final) Examination.
(ii) Pass Certificate of [Link] (Final) Examination
(iii) Caste Certificate (Where applicable)
(iv) Gap Certificate (If necessary)
(v) Extra curricular Activities Certificate (For E.C. Students)
(vi) Freedom Fighter quota certificate (Where applicable).
N. B. [Photostat copies of the above mentioned documents are to be enclosed along with the form]
[Migration certificate is to be submitted in original along with Registration Form in the college office
after admission.]
Full Signature of Verifying Officer
Admitted / Not Admitted
Principal
K.C. Das Commerce College
Guwahati - 781008