Napaam, Tezpur, Assam – 784028


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/Guardian’s Name

2. Academic Details

Please select your school.
Please select your department/centre.
Please select your programme/ course enrolled.
Please confirm and enter your roll number before filling-up this form.
Please enter ABC-ID, if not generated kindly visit https://www.abc.gov.in/
For International students, please change and select your country in Permanent Address to skip this field.
Please visit and register yourself at https://club.ndl.iitkgp.ac.in/sign-up. Follow the NDLI Club membership user-guidelines for more details
Please visit and register yourself at https://shodhchakra.inflibnet.ac.in/Register. For more Info about Shodh-Chakra, please visit at https://shodhchakra.inflibnet.ac.in/.
For Research Scholar Only.
Please verify your date of admission from your department/centre before applying.

3. Address for Correspondence

e.g. House no. /Building / Apartment /Flat No. /Village etc.
e.g. Area/ Street /Sector /Lane /Town etc.
Please note that this field should not be same as Address Line 1.

3. Permanent Address

e.g. House no. /Building / Apartment /Flat No. /Village etc.
e.g. Area/ Street /Sector /Lane /Town etc.
Please note that this field should not be same as Address Line 1.

4. Admission Details (For Availing New Identity Card)

Please enter your Admission Form/ Receipt No.
Please enter the Date of Transaction on which the payment was made during Admission.

Required upload size: 0.05MB – 0.5MB

Transaction/ Form 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.
  4. Please do not upload blur 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 pen preferred.
  4. Please donot upload blur signature.