Napaam, Tezpur, Assam – 784028


(For Academic Session 2024-25 Only.)

Membership Form

1. Primary Details

Enter your First and Middle name
Enter your Surname
Select your dob as per Matriculation certificate
Gender
Recommended to use your Institutional Email ID (tezu.ernet.in or tezu.ac.in)
Enter your WhatsApp Mobile Number or the number registered with ABC ID.
Enter your Father’s/ Mother’s Name

2. Academic Details

Please enter ABC-ID, if not generated kindly visit https://www.abc.gov.in/
Please visit and register yourself at https://club.ndl.iitkgp.ac.in/sign-up. Follow the NDLI Club membership user-guidelines for more details
Consult your department before selecting your date of admission.
For Research Scholar Only.

3. Address for Correspondence

e.g. House no. /Building / Apartment /Flat No. /Village etc.
e.g. Area/ Street /Sector /Lane /Town etc.

3. Permanent Address

e.g. House no. /Building / Apartment /Flat No. /Village etc.
e.g. Area/ Street /Sector /Lane /Town etc.

4. Transaction Details (For Availing New Identity Card)

Required upload size: 0.05MB – 0.5MB

Transaction receipt file size should be in between 50 KB to 500KB (.jpg/.jpeg/.png/.pdf).

5. Photo and Signature

Required upload size: 0.05MB – 0.5MB

  1. Photo size should be in between 50 KB to 500KB (.jpg/.jpeg).
  2. Please upload only passport size photograph.
  3. Please do not upload black and white/ selfie photograph.

Required upload size: 0.025MB – 0.3MB

  1. Signature size should be in between 25 KB to 300KB (.jpg/.jpeg).
  2. Please use white background for signature.
  3. Dark black/blue pen preferred.