ACADEMY OF TECHNOLOGY
G. T. Road (Adisaptagram), Aedconagar, Hooghly-712121
Application form
No part should be left blank. Write ‘NA’ if not applicable.
ADMINISTRATIVE ASSISTANT ADMINISTRATIVE
POST APPLIED FOR DEPT
1. Name of Candidate in full : ARUP KUMAR DEY
(in capital letters)
2. Father’s Name : AMAL KRISHNA DEY
3. Address
(a) Residential (Permanent) : VILL- TAHERPUR,BLOCK-E,ROAD NO-18,PLOT-844
POST OFFICE& POLICE STATION- TAHERPUR, DIST- NADIA,
PIN-741159
(b) For Correspondence : VILL- TAHERPUR,BLOCK-E,ROAD NO-18,PLOT-844
POST OFFICE& POLICE STATION- TAHERPUR, DIST- NADIA,
PIN-741159
(c) E-mail : ARUPKUMARDEY6@[Link]
(d) Phone No (with STD Code) : NA
(e) Mobile No : +91 9046871337/+91 7001275461
(f) Date of Birth (dd/mm/yyyy) : 01/04/1991
4. Nationality : INDIAN
5. Gender (M/F): MALE Marital Status: MARRIED
6. Mother Tongue : BENGALI
7. Other Languages Known : ENGLISH, HINDI
(Speak, Read & Write)
8. Academic Qualification
Examination/ Stream/Discipline Board/Council Name of School/College/ Year of Division/
Degree University Completion Grade/
Class
(with % of
marks)
10th GENERAL W.B.B.S.E. TAHERPUR NETAJI HIGH 2007 1ST DIVISION
SCHOOL (70%)
10+2 W.B.C.H.S.E. TAHERPUR NETAJI HIGH 2009 1ST DIVISION
COMMERCE SCHOOL (60%)
Diploma/ Equivalent I.C.E.I. CHAKDAHA COLLEGE 2012 1ST DIVISION
(70%)
GDCA
Graduate [Link] (HONS) KALYANI CHAKDAHA COLLEGE 2012 2ND DIVISION
(50%)
UNIVERSITY
Post Graduate NA NA NA NA NA
Doctoral NA NA NA NA NA
NET, GATE, SLET etc NA NA NA NA NA
Any other
qualification
9. Joint Entrance Rank :
10. Experience Profile (in reverse order starting with immediate appointment)
Employer’s Name & Address Designation Date of Date of Nature of Experience Reason for Leaving
Joining Leaving
NA NA NA NA NA NA
Teaching
I HAVE NON-TEACHING EXPERIENCE
ALL THE DETAILS ATTATCHED WITH THIS
Industry
APPLICATION FORM
11. Details of Ph.D. Registration: NA
12. (a). No. of Publications in Refereed Journal: NA
(b)(i). No. of Conference Publication: NA
(ii). No. of Papers presented in Conference: NA
(c). Books & Monographs: NA
13. Membership of Professional Bodies: NA
14. Distinction, Prizes or Awards:NA
15. Research Guidance: NA
(i) Doctoral Level:
(ii) Masters Level:
16. Any other information candidate wants to highlight: I HAVE VARIOUS GOVT. SECTOR ADMINISTRATIVE WORK
EXPERIENCE AND NOW I AM WORKING AT LUTHFA POLYTECNIC COLLEGE AS A STUDENT COUNCELLOR CUM
OFFICE ASSISTANT.
17. Joining by: LUTHFAA POLYTECNIC COLLEGE
18. Last Salary Drawn: 15000
19. PAN No: BHUPD4700Q
20. Aadhar No: 954793928111
DECLARATION
I declare that the entries made in this form are true to the best of my knowledge and belief.
Date: 23-06-2026 (Signature of the Applicant)
Place: TAHERPUR
Encl.: Scanned/ Photocopy of documents for all educational qualifications etc. along with
photocopy of PAN & Aadhaar Card.
(SPEED POST)
FROM, TO,
ARUP KUMAR DEY THE DIRECTOR
C/O. AMAL KRISHNA DEY ACADEMY OF TECHNOLOGY
TAHERPUR- E/18/844 G.T. ROAD , ADISAPTAGRAM
PO & PS- TAHERPUR PO- AEDCONAGAR
DIST- NADIA, PIN-741159 HOOGHLY- 712121
MOB-9046871337