Directorate of Employment and Craftsmen Training, Assam
Assam ITI Counselling 2024
Document Verification Certificate
Verified By : MS JASUDA HANDIQUE Verification Date : Jun 24 2024 11:41AM
Personal Details
Application Number 241110141013 Name SAMARJIT MALLICK
Father Name SAMARESH MALLICK Mother Name SATYABATI MALLICK
Date of Birth 20-04-2001 Gender Male
Category Schedule Caste (SC) Nationality Indian
Domicile ASSAM Religion HINDUISM
Sub Category List
Physically Handicapped No
Other Details
Highest Qualification GRADUATE AND ABOVE
Other Informations
Legal Guardian (In case of not applicable Please Enter 'NA') SAMARESH MALLICK
Family Annual Income Upto 5 lakhs
Qualification Details
Class 10th or Equivalent Details
Passing Status Passed
Passing Year 2017
Subject/Year/Semester Wise Marks Details
Name Passing Status Total Max Total Obtained
Hindi Passed 100 85.5
English Passed 100 85.5
Mathematics Passed 100 66.5
Social Science Passed 100 95
Science Passed 100 76
Subject/Year/Semester Max Marks : 500 | Subject/Year/Semester Obtained Marks: 408.5 | Subject/Year/Semester Percentage: 81.7
Contact Details
Correspondence Address
Premises No./Village Name Fatashil Ambari, K. K. Road
Sub Locality/Colony/Police Station(Optional) --
Locality/City/Town/Village/Post Office Guwahati
Country India
State ASSAM
District KAMRUP METROPOLITAN
Pin Code 781025
Mobile Number 970****273
Email Id cla*****************com
Alternate Mobile No (Optional) --
Alternate Email Id (Optional) --
Permanent Address
Premises No./Village Name Fatashil Ambari, K. K. Road
Sub Locality/Colony/Police Station(Optional) --
Locality/City/Town/Village/Post Office Guwahati
Country India
State ASSAM
District KAMRUP METROPOLITAN
Pin Code 781025
Registration Details
Activity Date & Time IP Address
Registration Form Submission Jun 22 2024 10:37PM 42.105.176.240
Application Form Submission Jun 22 2024 10:39PM 42.105.176.240
Uploded Documents
Date of Birth Certificate
10th Marksheet/Certificate
SC Category Certificate
Declaration
I hereby declare that all the particulars given by me in this form are true to the best of my knowledge and belief. Any mistake / misinformation, detected at
the time of admission or at any stage in future, will result in the cancellation of admission. I have read the information bulletin and understood all the
procedures.
Ramarks VERIFIED
Generated On 24-06-2024 11:40:32 AM Page No. 1
Directorate of Employment and Craftsmen Training, Assam
Assam ITI Counselling 2024
Document Verification Certificate
Changes Changed in Qualifying Details.<br/>
Eligibility Status
ITI Eligible for Counselling
I hereby agree to the following terms and conditions governing the admission process of
Counselling Board:
1. I have gone through and understood the contents of Information Brochure and eligibility criteria
prescribed therein. I shall abide by rules and admission process of Seat Allotment as specified by the
Directorate of Employment & Craftsmen Training, Assam.
2. I know that during verification of documents at the time of reporting, if any discrepancy is found in
original documents, including category, sub-category, date of birth etc. then my candidature will be
cancelled.
3. I know that the personal information provided by me is genuine and authentic.
4. I declare that I will not disclose or share the password with anybody. I understand that I am solely
responsible for safe guarding my password and neither Directorate of Employment & Craftsmen
Training, Assam nor NIC is responsible for misuse of my password.
5. I am aware of the fee, bond etc conditions of the Institution that I am interested in and know that
Directorate of Employment & Craftsmen Training, Assam has no role to play in that.
Signature of Candidate
(SAMARJIT MALLICK)
Generated On 24-06-2024 11:40:32 AM Page No. 2
