NERIM



NERIM GROUP OF INSTITUTIONS

Padma Nath Sarmah Bhawan,
Tripura Road, Joyanagar, Khanapara
Guwahati-781022
Phone: +91 9864750000

DR. ANITA BARUAH SARMAH COLLEGE OF EDUCATION

Parukutty Bhawan, Nabin Nagar,
Guwahati-781024
Phone: +91 9954887667
Telefax: +91 361-2452450

NERIM CHALLENGE ACADEMY

Mangala Nagar, Mangaldoi
Phone: +91 9577472768

 

One recent
passport
size photo



 


4517 Application form for Admission


  Course Applied for          Session :
1- Name of the Applicant:
(In Block Letters)

2- Father's Name
(In Block Letters)

Ocupation Phone No : Mobile :
3- Mother's Name
(In Block Letters)

Ocupation Phone No : Mobile :
4- Address :
Permanent Address Address for Correspondence


State Nationality
Mobile : Landline


State Nationality
Mobile : Landline

 

5- Email-Id

6- Date of Birth   
7- Academic Qualification  
 
Examination Passed Year of Passing Class / Division Marks Obtained % of Marks Medium of Instruction Board / Council
HSLC/10th
HS / 10+2 (Arts/Sc./Comm.)
Graduation    Stream
Post Graduation    Stream
Others
8- Work Experience
Company Name Job Profile Duration
9- Name of the School /
College last attended
10- Caste / Category (Mark Tick)
11- Local Guardian's
Name
Address
Landline      Phone No