1/29/2019

REGISTRATION DETAILS

(Engagement Under Samagra Siksha,Assam)

1) Applicant Name : SATYAM CHANDRA

ROY
2) Father's Name : PURNA CHANDRA
ROY
3) Mother's Name : LALITA BALA ROY

4) Gender : Male
5) Date of Birth : 06 Apr 1994
6) Age as on 1st January
: 24 Year(s) 8 Month(s) 26
2019
Day(s)
7) Caste : OBC

8) Mobile Number : 7002116708

9) PAN Number : CAZPR7308K

10) E-Mail Address : roy.satyam72@gmail.com

Permanent Address
11)
Apartment/House/Plot : 55 a(2)
No.
12) Street Address : RG road
13) Town/City/Village : Gauripur word no 1
14) District : Dhubri
15) Pin Code : 783331

Mailling Address
16)
Apartment/House/Plot : 55 a(2)
No.
17) Street Address : RG road
18) Town/City/Village : Gauripur word no 1
19) District : Dhubri
20) Pin Code : 783331

1/2
1/29/2019

21) Registration Date :

and Time 1/29/2019 9:54:14 AM

Signature of Applicant
You Are Successfully Registered
Your Registration ID is : mz39cazpr7308k
Please Note Down Your Registration ID and Password
Somewhere Safe.You will be required to enter your
Registration ID and Password each time you login to the
System.

2/2