Sl No.

Name of the student In *Date of Sex Caste Father's Name (in Mother's Name (in First Language In Lieu Elective Subject Full signature of the student (Short Full signature of Father/Mother/Gurdian
block letters (in alphabetical Birth block letters) block letters) Language signature will not be accepted) (Short signature will not be accepted)
order) Male &
Female(Separately)

15-05- COMPUTER
1 ABDUL SAHIL M GN ABDUL KASHIM SIMA BEGUM ASSAMESE(A+B) NA
2005 SCIENCE (E)

16-08- CHANDAMITA ADVANCED

2 ABINASH BARMAN M GN DIPU BARMAN ASSAMESE(A+B) NA
2005 KALITA BARMAN MATHEMATICS (E)

16-12- JALILUDDIN
3 ASHIF KAMAL JILANI M GN KARIMA BEGAM ASSAMESE(A+B) NA GEOGRAPHY (E)
2004 AHMED

BIDYUT BIKASH 09-09- LOHIT COMPUTER

4 M GN SEWALI TALUKDAR ASSAMESE(A+B) NA
TALUKDAR 2004 TALUKDAR SCIENCE (E)
Sl No. Name of the student In *Date of Sex Caste Father's Name (in Mother's Name (in First Language In Lieu Elective Subject Full signature of the student (Short Full signature of Father/Mother/Gurdian
block letters (in alphabetical Birth block letters) block letters) Language signature will not be accepted) (Short signature will not be accepted)
order) Male &
Female(Separately)

22-02- COMPUTER
5 CHINMOY DEKA M GN NRIPEN DEKA DIPIKA DEKA ASSAMESE(A+B) NA
2006 SCIENCE (E)

PRAKASH
30-09- ADVANCED
6 DEEPJYOTI BAISHYA M SC CHANDRA MRINALI BAISHYA ASSAMESE(A+B) NA
2004 MATHEMATICS (E)
BAISHYA

05-03- DINABANDHU ADVANCED

7 DHURUPAD NATH M OBC DIPTI NATH ASSAMESE(A+B) NA
2005 NATH MATHEMATICS (E)

10-11- RAFIKUL ISLAM HALIMA ADVANCED

8 HASIBUL ISLAM M GN ASSAMESE(A+B) NA
2004 CHOUDHURY MATHEMATICS (E)

12-08- ALIM UDDIN ADVANCED

9 IFTIKAR AHMED M GN FATIMA AHMED ASSAMESE(A+B) NA
2004 AHMED MATHEMATICS (E)

07-11- MANTU COMPUTER

10 IKRABIN HUSSAIN M GN RINA BEGUM ASSAMESE(A+B) NA
2004 HAZARIKA SCIENCE (E)

05-02- ABDUL KHALEK COMPUTER

11 JUAL RANA M GN KULSUM BEGUM ASSAMESE(A+B) NA
2003 MASUD SCIENCE (E)

02-05- MAINUL HAQUE MONOWARA COMPUTER

12 MAFIDUL HAQUE M GN ASSAMESE(A+B) NA
2005 BEGUM SCIENCE (E)

RABEN
29-01- COMPUTER
13 MANOJ KUMAR NATH M OBC CHANDRA RANU NATH ASSAMESE(A+B) NA
2005 SCIENCE (E)
NATH
Sl No. Name of the student In *Date of Sex Caste Father's Name (in Mother's Name (in First Language In Lieu Elective Subject Full signature of the student (Short Full signature of Father/Mother/Gurdian
block letters (in alphabetical Birth block letters) block letters) Language signature will not be accepted) (Short signature will not be accepted)
order) Male &
Female(Separately)

25-02- ADVANCED
14 MRINMAY DAS M GN RAJESWAR DAS DEBAJANI DAS ASSAMESE(A+B) NA
2005 MATHEMATICS (E)

06-01- MRITYUNJOY NAYANMONI ADVANCED

15 NEEL KAMAL PATHAK M OBC ASSAMESE(A+B) NA
2005 PATHAK PATHAK MATHEMATICS (E)

01-09- ADVANCED
16 PAPUL HUSSAIN M GN PAINUR ALI PADUMI BEGUM ASSAMESE(A+B) NA
2005 MATHEMATICS (E)

29-06- ARMAN ADVANCED

17 RAHUL AMIN M GN RUKIYA BEGUM ASSAMESE(A+B) NA
2004 HUSSAIN MATHEMATICS (E)

01-03- RAHIM ALI COMPUTER

18 RAKIB ALI M GN SURIA BEGUM ASSAMESE(A+B) NA
2004 AHMED SCIENCE (E)

18-02- FAIZUDDIN ADVANCED

19 REZAK AHMED M GN RINA BEGUM ASSAMESE(A+B) NA
2006 AHMED MATHEMATICS (E)

22-10- SONAFULLY ADVANCED

20 RINTU ALI M GN RAMJAN ALI ASSAMESE(A+B) NA
2004 BEGUM MATHEMATICS (E)

CHAND
03-01-
21 SELIM MALIK M GN MUHAMMAD NURJAHAN BEGUM ASSAMESE(A+B) NA GEOGRAPHY (E)
2004 ALI

06-04- ADVANCED
22 SHAH NAWAZ MOMIN M GN SIRAZUL HAQUE RUCHIYA BEGUM ASSAMESE(A+B) NA
2004 MATHEMATICS (E)
Sl No. Name of the student In *Date of Sex Caste Father's Name (in Mother's Name (in First Language In Lieu Elective Subject Full signature of the student (Short Full signature of Father/Mother/Gurdian
block letters (in alphabetical Birth block letters) block letters) Language signature will not be accepted) (Short signature will not be accepted)
order) Male &
Female(Separately)

25-09- BASHIR UDDIN UMMEY KARGUJ COMPUTER

23 SHAMIM AHMED M GN ASSAMESE(A+B) NA
2004 AHMED SAMSUN NEHAR SCIENCE (E)

08-06- PULEN KANIKA COMPUTER

24 SIMANTA THAKURIA M GN ASSAMESE(A+B) NA
2004 THAKURIA THAKURIA SCIENCE (E)

26-08- RAMESWAR
25 ANURADHA TALUKDAR F GN NISHI TALUKDAR ASSAMESE(A+B) NA GEOGRAPHY (E)
2004 TALUKDRA

26-11-
26 BARASHA DEKA F GN RAJEN DEKA JEUTI DEKA ASSAMESE(A+B) NA GEOGRAPHY (E)
2004

28-09-
27 DIKSHITA DEKA F GN DILIP DEKA BHANU BARMAN ASSAMESE(A+B) NA GEOGRAPHY (E)
2005

27-10- NARAYAN
28 GAYATRI MEDHI F GN NILIMA MEDHI ASSAMESE(A+B) NA GEOGRAPHY (E)
2004 MEDHI

21-06- KANCHAN NEHAR ADVANCED

29 HABIBA TASNIM F GN TAZUL ISLAM ASSAMESE(A+B) NA
2005 BEGUM MATHEMATICS (E)
Sl No. Name of the student In *Date of Sex Caste Father's Name (in Mother's Name (in First Language In Lieu Elective Subject Full signature of the student (Short Full signature of Father/Mother/Gurdian
block letters (in alphabetical Birth block letters) block letters) Language signature will not be accepted) (Short signature will not be accepted)
order) Male &
Female(Separately)

22-02- ROUSANWARA
30 JENIFAR HUSSAIN F GN NUR ISLAM ALI ASSAMESE(A+B) NA GEOGRAPHY (E)
2005 BEGUM

29-11- SADANANDA
31 KASTURI PATHAK F GN NAMITA PATHAK ASSAMESE(A+B) NA GEOGRAPHY (E)
2004 PATHAK

12-02- MAKBUL
32 MAMONI AKHTAR F GN MARIYAM KHATUN ASSAMESE(A+B) NA GEOGRAPHY (E)
2006 HUSSAIN

07-01- RAHIZUDDIN
33 MARINA AHMED F GN JABEDA KHATUN ASSAMESE(A+B) NA GEOGRAPHY (E)
2003 AHMED

26-06-
34 SHABNAM PARBIN F GN MIRAN HUSSAIN RAMENA KHATUN ASSAMESE(A+B) NA GEOGRAPHY (E)
2004

25-01- BANI KANTA ADVANCED

35 UPASANA SARMA F GN KABITA SARMA ASSAMESE(A+B) NA
2005 SARMA MATHEMATICS (E)

N.B. Certified that the above Particulars have been verified with
the relevant documents of the institution and found correct and
genuine
Signature of the concerned office-in-charge (with
seal)
.............. HSLC EXAM Centre
MOST IMPORTANT Certified that I have personally verified the statement and particulars of all students are covered in the
i. Particulars/Infromation once recorded will not be changed statement as per school record and students are found genuine. For any wrong information I shall be fully
ii. Statement for all categories of schools must come through respective centre in responsible under the appropriate rules.
charges.
iii. The school authority is requested to enter male students first then leaving two
row blank enter the female students.
iv. Statements for Regisgtration will be accepted only in a single lot. No statement
wil be accepted for the second time.
v. *Date of Birth will not be altered if once recorded. Signature of the Head of the Institution (with seal)
Sl No. Name of the student In *Date of Sex Caste Father's Name (in Mother's Name First Language In Lieu
block letters (in alphabetical Birth block letters) (in block letters) Language
order) Male &
Female(Separately)

26-11-
5 BARASHA DEKA 2004 F GN RAJEN DEKA JEUTI DEKA ASSAMESE(A+B) NA

BIDYUT BIKASH 09-09- LOHIT SEWALI

6 TALUKDAR 2004 M GN TALUKDAR TALUKDAR ASSAMESE(A+B) NA

22-02- DIPIKA DEKA

7 CHINMOY DEKA 2006 M GN NRIPEN DEKA ASSAMESE(A+B) NA

30-09- PRAKASH MRINALI

2004 CHANDRA BAISHYA
8 DEEPJYOTI BAISHYA M SC BAISHYA ASSAMESE(A+B) NA

05-03- DINABANDHU
2005 NATH
9 DHURUPAD NATH M OBC DIPTI NATH ASSAMESE(A+B) NA

28-09- BHANU
10 DIKSHITA DEKA 2005 F GN DILIP DEKA BARMAN ASSAMESE(A+B) NA

27-10- NARAYAN MEDHI NILIMA MEDHI

11 GAYATRI MEDHI 2004 F GN ASSAMESE(A+B) NA

21-06- KANCHAN
2005 NEHAR BEGUM
12 HABIBA TASNIM F GN TAZUL ISLAM ASSAMESE(A+B) NA

10-11- RAFIKUL ISLAM HALIMA

2004 CHOUDHURY
13 HASIBUL ISLAM M GN ASSAMESE(A+B) NA

12-08- ALIM UDDIN FATIMA AHMED

2004 AHMED
14 IFTIKAR AHMED M GN ASSAMESE(A+B) NA

07-11- MANTU
15 IKRABIN HUSSAIN 2004 M GN HAZARIKA RINA BEGUM ASSAMESE(A+B) NA

22-02- NUR ISLAM ALI ROUSANWARA

16 JENIFAR HUSSAIN 2005 F GN BEGUM ASSAMESE(A+B) NA

05-02- ABDUL KHALEK KULSUM

2003 MASUD BEGUM
17 JUAL RANA M GN ASSAMESE(A+B) NA

29-11- SADANANDA NAMITA

18 KASTURI PATHAK 2004 F GN PATHAK PATHAK ASSAMESE(A+B) NA

02-05- MAINUL HAQUE MONOWARA

19 MAFIDUL HAQUE 2005 M GN BEGUM ASSAMESE(A+B) NA

12-02- MAKBUL MARIYAM

20 MAMONI AKHTAR 2006 F GN HUSSAIN KHATUN ASSAMESE(A+B) NA

MANOJ KUMAR NATH 29-01- RABEN

2005 CHANDRA NATH
21 M OBC RANU NATH ASSAMESE(A+B) NA

07-01- RAHIZUDDIN JABEDA

22 MARINA AHMED 2003 F GN AHMED KHATUN ASSAMESE(A+B) NA

25-02- RAJESWAR DAS DEBAJANI DAS

2005
23 MRINMAY DAS M GN ASSAMESE(A+B) NA

NEEL KAMAL PATHAK 06-01- MRITYUNJOY NAYANMONI

2005 PATHAK PATHAK
24 M OBC ASSAMESE(A+B) NA
 01-09- PADUMI BEGUM
2005
25 PAPUL HUSSAIN M GN PAINUR ALI ASSAMESE(A+B) NA

29-06- ARMAN HUSSAIN RUKIYA BEGUM

2004
26 RAHUL AMIN M GN ASSAMESE(A+B) NA

01-03- RAHIM ALI SURIA BEGUM

27 RAKIB ALI 2004 M GN AHMED ASSAMESE(A+B) NA

18-02- FAIZUDDIN RINA BEGUM

2006 AHMED
28 REZAK AHMED M GN ASSAMESE(A+B) NA

22-10- SONAFULLY
2004 BEGUM
29 RINTU ALI M GN RAMJAN ALI ASSAMESE(A+B) NA

03-01- CHAND NURJAHAN

2004 MUHAMMAD ALI BEGUM
30 SELIM MALIK M GN ASSAMESE(A+B) NA

26-06- MIRAN HUSSAIN RAMENA

31 SHABNAM PARBIN 2004 F GN KHATUN ASSAMESE(A+B) NA

SHAH NAWAZ MOMIN 06-04- SIRAZUL HAQUE RUCHIYA

2004 BEGUM
32 M GN ASSAMESE(A+B) NA

33 SHAMIM AHMED M GN BASHIR UDDIN UMMEY ASSAMESE(A+B) NA

AHMED KARGUJ
25-09- SAMSUN
2004 NEHAR

SIMANTA THAKURIA 08-06- PULEN KANIKA

34 2004 M GN THAKURIA THAKURIA ASSAMESE(A+B) NA

25-01- BANI KANTA KABITA SARMA

2005 SARMA
35 UPASANA SARMA F GN ASSAMESE(A+B) NA
Elective Subject Full signature of the Full signature of
student (Short signature Father/Mother/Gurdian (Short
will not be accepted) signature will not be accepted)

GEOGRAPHY (E)

COMPUTER
SCIENCE (E)

COMPUTER
SCIENCE (E)

ADVANCED
MATHEMATICS (E)

ADVANCED
MATHEMATICS (E)

GEOGRAPHY (E)

GEOGRAPHY (E)

ADVANCED
MATHEMATICS (E)

ADVANCED
MATHEMATICS (E)

ADVANCED
MATHEMATICS (E)

COMPUTER
SCIENCE (E)

GEOGRAPHY (E)

COMPUTER
SCIENCE (E)

GEOGRAPHY (E)

COMPUTER
SCIENCE (E)

GEOGRAPHY (E)

COMPUTER
SCIENCE (E)

GEOGRAPHY (E)

ADVANCED
MATHEMATICS (E)

ADVANCED
MATHEMATICS (E)
ADVANCED
MATHEMATICS (E)

ADVANCED
MATHEMATICS (E)

COMPUTER
SCIENCE (E)

ADVANCED
MATHEMATICS (E)

ADVANCED
MATHEMATICS (E)

GEOGRAPHY (E)

GEOGRAPHY (E)

ADVANCED
MATHEMATICS (E)

COMPUTER
SCIENCE (E)

COMPUTER
SCIENCE (E)

ADVANCED
MATHEMATICS (E)
N.B. Certified that the above Particulars have been verified with the
relevant documents of the institution and found correct and genuine
Signature of the concerned office-in-charge (with
seal)
.............. HSLC EXAM Centre
MOST IMPORTANT
i. Particulars/Infromation once recorded will not be changed
ii. Statement for all categories of schools must come through respective centre in charges.
iii. The school authority is requested to enter male students first then leaving two row blank enter
the female students.
iv. Statements for Regisgtration will be accepted only in a single lot. No statement wil be accepted
for the second time.
v. *Date of Birth will not be altered if once recorded.
Certified that I have personally verified the statement and particulars of
all students are covered in the statement as per school record and
students are found genuine. For any wrong information I shall be fully
responsible under the appropriate rules.
Signature of the Head of the Institution (with seal)