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SLRC Class III Application Form Guide

The document is an online application form for Class III posts under the Government of Assam, submitted by Siddheswar Bharali. It includes personal information, educational qualifications, and preferences for the examination district. The applicant declares the accuracy of the information provided and acknowledges the consequences of submitting false information.

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11 views2 pages

SLRC Class III Application Form Guide

The document is an online application form for Class III posts under the Government of Assam, submitted by Siddheswar Bharali. It includes personal information, educational qualifications, and preferences for the examination district. The applicant declares the accuracy of the information provided and acknowledges the consequences of submitting false information.

Uploaded by

Sid
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

STATE LEVEL RECRUITMENT COMMISSION FOR CLASS III POSTS

State Level Recruitment Commission for Class III


Online Application form for Recruitment of Class III posts under Government of Assam
Application No. 2321041760

Bachelor`s Degree YES


Bachelor`s Degree with Computer Certificate/Diploma of
minimum 6(six) months duration from a recognized YES
Type of posts applied for Institute
HSSLC or equivalent examination passed YES
HSSLC (Science) Examination passed YES

Full name of the Applicant SIDDHESWAR BHARALI


Do you want to change name?
Name of Father/ Guardian HITESWAR BHARALI
Name of spouse of the Applicant
Name of mother of the Applicant RENU BHARALI
Applicant DOB 28/02/1995
Gender MALE
Registration Number of Employement Exchange 1740113/02/2023
Do you want to Change Registration Number of Employment
Exchange Of Assam?
Category OBC/MOBC
Caste KOCH-RAJBONGSHI
Are You Divyang (Physically Challenged) NO
Ex-Serviceman NO
Nationality INDIAN
Religion HINDU
Are you a family member of martyr? NO
Permanent Address Information PUB SURUJ NAGAR, WARD NO. 16
BYE LANE NO.-03
HOUSE NO.-10
GUWAHATI
ODALBAKRA
781019
KAMRUP (METRO)
Present Address Information

Mobile Number 8638463687


E-Mail [Link]@[Link] Aadhar Card number
Choice of District for appearing in written Exam :
Preference 1 KAMRUP METRO
Preference 2 KAMRUP
Preference 3 NALBARI
Qualification details ( All Degrees must be acquired from recognized University/Board )
Marks Total % of Year Of Name of Board /
Course Stream Roll No. Name of School/Institute
Obtained Marks Marks Passing University
HSLC or equivalent examination ARMY PUBLIC SCHOOL,
93.1 100 93.10 2010 3122388 CBSE
passed NARANGI
HSSLC or equivalent ARMY PUBLIC SCHOOL,
SCIENCE- 398 500 79.60 2012 3616718 CBSE
examination passed NARANGI
ASSAM ENGINEERING GAUHATI
Graduate degree BE - 3130 4600 68.04 2018 13/147
COLLEGE UNIVERSITY
Diploma in Computer Science 1YEAR 80 100 80.00 2020 SANKARACHARYA COLLEGE GOVT. OF DELHI

Declaration :
I declare that I have not been convicted of any criminal offence under any laws of the land.
I further declare that the above entries in my application form are correct. I am fully aware that I am liable for legal actions including
cancellation of my candidature if any inforamtion so provided by me above found to be false or incorrect.
I am aware that after the "Submit" button is clicked, I will not able to do any further corrections. I am responsible for the correctness of the
entries made in the application form.

Date : ______________
Place : _____________
Signature of the Applicant

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