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Assam Medical Education Job Application

The document is a combined application form for various posts under the Directorate of Medical Education and Health Services in Assam, filled by candidate Karabi Das. It includes personal details such as name, contact information, educational qualifications, and employment exchange registration. The candidate is applying for multiple non-technical positions and has provided relevant certifications and marks obtained in previous examinations.

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gogoijunmi08
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33 views2 pages

Assam Medical Education Job Application

The document is a combined application form for various posts under the Directorate of Medical Education and Health Services in Assam, filled by candidate Karabi Das. It includes personal details such as name, contact information, educational qualifications, and employment exchange registration. The candidate is applying for multiple non-technical positions and has provided relevant certifications and marks obtained in previous examinations.

Uploaded by

gogoijunmi08
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

GOVERNMENT OF ASSAM

COMBINED APPLICATION FORM FOR FILLING UP POSTS UNDER


DIRECTORATE OF MEDICAL EDUCATION, DIRECTORATE OF HEALTH SERVICES, DIRECTORATE OF HEALTH SERVICES (F/W) ASSAM

Personal Details:
Application No. : 2410010539
Full Name of the Candidate KARABI DAS
:
( As per Aadhaar Card/ Pan Card/ Passport )
Candidate's Father's Name : MUKUL DAS
Candidate's Mother's Name : MINU DAS
Candidate's Spouse Name :
Candidate's Date of Birth (DD/MM/YYYY) : 25/09/2001
Gender : FEMALE
Correspondence Address : VILLAGE - AJARGURI
: P.O - DESANGMUKH
: P.S - SIVASAGAR
City : SIVASAGAR
District : SIVASAGAR
State : ASSAM
Pin Code : 785663
Permanent Address : VILLAGE - AJARGURI
: P.O - DESANGMUKH
: P.S - SIVASAGAR
City : SIVASAGAR
District : SIVASAGAR
State : ASSAM
Pin Code : 785663
Mobile No. of the Candidate : 7002872416
Alternative Contact No. Telephone / Mobile : 7086892749
E-mail Address of the Candidate : karabidas.siv01@[Link]
Nationality of the Candidate : INDIAN
Physical identification Marks : One mole on right hand
: One mole on face
Category of the Candidate : SC
Do you belong to Physically challenged/Divyang?) : NO
Whether Candidate is Permanent Resident of Assam ? : YES
Employment Exchange Registration No. of Assam : : 4702750/03/2022

Do you want to apply for Non - Technical Posts : YES


(Group-5) - Health Educator, (Group-10) - Library Assistant,
Assistant Librarian, (Group-4) - (i) Accountant, (Group-4) - (ii)
Cashier, (Group-8) - Account Assistant, Clerk cum Record Keeper,
Clerk cum Record Keeper cum Computer Operator, Coding Clerk,
Coding Clerk Record Keeper, Computer Operator, Documentalist,
Junior Assistant, LDA Cum Computer Operator,LDA/Computer
GRADE - III Non Technical Posts :
Operator cum Clerk, Receptionist, Receptionist-cum-Clerk, Record
Clerk, Record Keeper cum Clerk cum Computer Operator, Store
Keeper, Store Keeper cum Clerk cum Computer Operator, Store
Keeper-cum- Clerk, Store Keeper-cum-Record Clerk , (Group-7) -
Health Educator Cum Sanitary Inspector, (Group-11) - Laboratory
Assistant,
Marks
Marks Percentage Year of Name of School / Board /
Exam Passed Stream Out
Obtained Of Marks Passing College / University
Of
HSLC Or Equivalent (10) J.N.V Sivasagar /CBSE
342 500 68.4 % 03/06/2017
: Board
HSSLC Or Equivalent J.N.V. Sivasagar / CBSE
ARTS 424 500 84.8 % 02/05/2019
(10+2) : Board
Jagannath Barooah College,
Graduation : ARTS 1738 2400 72.4 % 18/07/2022
Autonomous, Jorhat
1 YEAR DIPLOMA/CERTIFICATE IN Genx Computer Education
Diploma Non Technical : 80 100 80 % 24/04/2018
COMPUTER APPLICATION Centre
Do you have appropriate
computer certification YES
as per advertisment.
Employment Exchange
YES
Registration No.
Employment Exchange
4702750/03/2022
Registration No.

Date: 16/01/2025
[Link] Signature of Applicant

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