NEW STUDENT ADMISSION FORM

Upload Student Photo (Passport Size):

1. Student Name (ছাত্র/ছাত্রীৰ নাম):

2. Father's / Mother's Name (পিতৃ বা মাতৃৰ নাম):

3. School / College Name (বিদ্যালয় / মহাবিদ্যালয়ৰ নাম):

(I) Select Gender (লিংগ):

(a) Male (b) Female (c) Others

(II) (b) Date of Birth (জন্ম তাৰিখ):

(a) Age (বয়স):

4. Your Personal Address (নিজৰ ঠিকনা):

5. Select Medium (মাধ্যম বাছনি কৰক):

Assamese Medium English Medium

6. Select Class (শ্ৰেণী বাছনি কৰক):

7. Mobile Number (মবাইল নম্বৰ):

8. Email Address (ই-মেইল) - Optional:

✔

SUBMITTED SUCCESSFULLY!

Email Sent & Data Saved.

Downloading is mandatory, and you must bring that PDF file to The Catalyst Assam Head Office.
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ডাউনলোড কৰাটো বাধ্যতামূলক আৰু সেই PDF ফাইলটো 'The Catalyst Assam'ৰ মুখ্য কাৰ্যালয়লৈ (Head Office) লৈ আহিব লাগিব।

THE CATALYST ASSAM

ADMISSION ACKNOWLEDGEMENT RECEIPT (6th-8th Package)

Mayong Bazar, Rajamayong, Morigaon

Student Name:

Father/Mother:

School:

Address:

Gender:

Age:

Mobile:

Class:

Medium:

Package Details:

Date:

Student Photo

___________________

Student Signature

___________________

Office Seal & Sign

Submitting Form...

NEW STUDENT ADMISSION FORM

SUBMITTED SUCCESSFULLY!

THE CATALYST ASSAM