STUDENT CADET CORPS (SCC) ASSAM

UNDER – VIDYARUHI ASSOCIATION
(Educational Organization)
Govt. Regd No – 245/G/12 (V.A)
H/Q – Mirza, Kamrup, Asaam, PIN – 781125

STATE LEVEL AWARD TRAINING CAMP

Name of the District *

Name of the student *

Fathers name *

Mothers name *

Permanent address *

P.O. *

P.S *

PIN Code *

Gender *

Date of birth *//

Name of School/College/Group *

Cast *

Read in which Class *

Whether he/she was a member of NCC/NSS/Others

District Level Training Camp held at (Venue)

From Date//

To Date//

Name of Head of the Camp (HOC) District Level Training Camp

Certificate Number (District level Training Camp)

Other experience

Mobile numbers *

Photo *

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Qualification Document

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Age/Address proof

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District Level training camp Certificate

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Payment Screen Shot

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