Declaration Form
Chief Minister's Jibon Prerana Scheme - 2025
To be submitted by students who passed in 2025 from Kampur College
1. Name of the Student
2. Roll No. / Registration No.
3. Year of Passing
4. Course
--Select Course--
Bachelor of Arts (B.A.)
5. Department
6. Permanent Address
7. Mobile No.
8. Email ID
Declaration
“I,
, a student who graduated from Kampur College in 2025, hereby state that:
1. I am a Permanent Resident of Assam.
2. I am not included in any exclusion categories under the scheme.
3. All the particulars furnished above are true and correct.
4. I understand that providing false information may lead to rejection.”
Upload Documents
1. Signature of the Student
(Allowed formats: JPG, JPEG, PNG)
2. Signature of the Parent
(Allowed formats: JPG, JPEG, PNG)
3. Provisional / Original Pass Certificate
(Allowed formats: JPG, JPEG, PNG)
Submit Form