GOVT. OF ASSAM

MISING AUTONOMOUS COUNCIL

GOGAMUKH : DHEMAJI ; ASSAM

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🎓 SCHOLARSHIP APPLICATION 🎓

AGOM MIGANG TABU TAID SHIKSHA SARATHI ASONI

(Merit cum Income Basis) 2024-25 & 2025-26

Personal Info

Academic Details

Documents

Review & Submit

Please fill in all required fields.

Personal Information

Name of the Applicant *

As per official documents

Nationality *

MAC Constituency *

Date of Birth *

Gender *

Marital status *

Category *

Father’s / Mother’s/ Husband/ Guardian’s name *

Occupation of Father/ Mother/ Husband/ Guardian’s *

If Father/ Mother/ Husband/ Guardian in service, mention the detail of his / her employer. *

Annual Family Income *

Mobile Number *

Email Address *

Permanent Address

Complete Address *

District *

PIN Code *

Academic Information

Course Name *

Institution/University Name *

Date of Admission *

Course Duration (in year) *

Current Year/Semester *

Registration/Roll Number *

Bank Account Details (for ECS)

Account Holder Name *

Bank Name *

Account Number *

IFSC Code *

Branch Name *

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