Total Visits : good hits | Date & Time: Saturday, August 17, 2019
E-Mail: ajmalsuper40@gmail.com
Contact Number : 03674-254004
   PERSONAL DETAILS
Name of Student -
Father's Name -
Mother's Name -

Category - GENERAL       OBC       SC       ST

GENDER -   MALE      FEMALE
Date of Birth -

Age (as on 01/01/2019)
Years -
Months -
Days -
   PERMANENT ADDRESS
Vil/House No -
Post Office -
Police Station -
City/Town -
District -
State -
PIN -
Family Annual Income (in Rupees) -
Occupation of Guardian -
   ADDRESS FOR CORRESPONDENCE: (Click here if both the Addresses are same)
Vil/House No -
Post Office -
Police Station -
City/Town -
District -
State -
PIN -
Mobile No -
Email -
   EDUCATIONAL QUALIFICATIONS
ACADEMIC BOARD/ COUNCIL SUBJECTS YEAR OF PASSING Obtained Marks Total Marks GRADE / PERCENTAGE
SSC/ X/ Matric
Others
   Appeared AJMAL Super 40 Admission Test: [Yes/No.] If Yes
Roll No. Centre District Year Obtained Marks Total Marks GRADE / PERCENTAGE
   LANGUAGE KNOWN: (PLEASE CHECK)
Sl. No. LANGUAGE WRITING READING SPEAKING
1. English
2. Hindi
3. Assamese
4. Bengali
5. Other (Mention)

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AJMAL Super 40

AJMAL Super 40 Campus
Bordoloi Colony
Hojai, Assam
Pin-782435
Phone: 03674-254004
E-mail: ajmalsuper40@gmail.com

Head Office

AJMAL Foundation
Haji Mufossil Ali Complex
P.O: Hojai, Pin: 782435
Dist: Nagaon, Assam, INDIA
Phone and Fax: 03674-254786,254928
E-Mail: ajmal_foundation@yahoo.co.in
http://www.ajmalfoundation.org/

Enquiry Form




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