ASSAM STATE SCHOOL EDUCATION BOARD

Division-II

Student Registration Form, 2026

1. Select Board *

1(a). Select Board for Other Boards *

2. Select Class 10th Exam Passing Year *

3. Name of Class 10th Examination *

3(a). Have you appeared in SEBA Special Exam 2021? *

Click to know your SEBA special exam 2021 new roll and no (in case you forgot)

4(a). Roll of Class 10th Exam (If exists)

4(b). No of Class 10th Exam *

5. Total Marks (Excluding Additional Marks, if any) *

6. Marks Obtained (Excluding Additional Marks, if any) *

7. Percentage of marks secured in 10th Board Exam *

7(a) Grade secured in 10th Board Exam (if you have Grade)

8. Your Full Name * (As per class 10'th Certificate)

9. Date of Birth (DOB) * (As per class 10'th Certificate)

10. Mother's Name * (As per class 10'th Certificate)

11. Father's Name * (As per class 10'th Certificate)

12. Guardian's Name

13. Email ID (Optional)

14. 10 Digit Mobile No. *
*** Admission updates will be sent via SMS to this number

15. Verify Mobile with OTP.*

16. Select Nationality *

17. Aadhaar Number *

18. Aadhaar No. updation above 15 years of age? *

19. Personal Enrollment Number (PEN Number)

20. APAAR ID (Automated Permanent Academic Account Registry) (Optional)

21. Address for communication

Address line 1 *

Address line 2 *

State *

District *

Post Office *

Pin Code *

Village/Town/Ward *

Police Station *

22. Select Religion *

23. Select Caste *

24. Select Gender *

25. Whether belongs to Specially Abled Category ? *

26. Whether Belongs to Tea-Tribe/Adivasi Community? *

27. Do you have any State/National level extra-curricular certificate in Sports/Cultural/NCC etc? *

28. Whether Belongs to APL or BPL Category? *
(In case of BPL Category, Income Certificate of the family issued by concerned Revenue Circle)

29. Upload Required Documents

Upload passport sized photo (Maximum size : 1MB) *

Choose file (JPG,JPEG,PNG)

Upload class 10th's Marksheet (Maximum size : 1MB) *

Choose file (JPG,JPEG,PNG)

30. 6 Digit Login PIN of your choice *
Incase of Twin Applicant please use different PIN. Use this PIN, along with mobile and Date of Birth (DOB) for further login into portal

31. Confirm 6 Digit Login PIN *

*** Safely note down your 10 digit mobile number,date of birth and Login PIN for login into the portal

ASSAM STATE SCHOOL EDUCATION BOARD DIVISION-II

Application Form

Applicant Details

Applicant's Name		Father's Name
Mother's Name		Guardian's Name
Date of Birth		Gender
Nationality		Mobile No.
Email		Religion
Caste		Aadhaar No.
Aadhaar Updation		PEN
APAAR ID

Address for Communication

Address Line 1		Address Line 2
State		District
Post Office		Pin Code
Village/Ward/Town		Police Station

Education Details

Board
Class 10th Exam Passing Year
Class 10th Exam Name
Have you appeared in SEBA Special Exam 2021?
Roll of Class 10'th Exam
No. of class 10th Exam
Marks Obtained
Total Marks
Percentage of 10th Board Exam	%

Relevant Details

Whether belongs to Specially Abled Category ?	Yes
Whether Belongs to Tea-Tribe Community?
Whether Belongs to APL or BPL?
Do you have any State/National level extra-curricular certificate in Sports/Cultural/NCC etc?

Documents

Your class 10th's Marksheet

Hereby, I declare that all information provided above by me is true and correct to the best of my knowledge. Also, I am aware of the fact that my admission application(s) may be cancelled in later period of time, if the information provided here is found to be wrong/mismatched.

ASSAM STATE SCHOOL EDUCATION BOARD

Division-II

Student Registration Form, 2026

PopUp for Gap Certificate.