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The document is a combined application form for various posts under the Directorate of Medical Education, Assam, filled out by Debajit Rajput. He is applying for non-technical Grade-III posts and has provided personal details, educational qualifications, and contact information. The application confirms his residency in Assam and includes his OBC/MOBC(NCL) category status.

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Debajit Rajput
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17 views2 pages

One Liner

The document is a combined application form for various posts under the Directorate of Medical Education, Assam, filled out by Debajit Rajput. He is applying for non-technical Grade-III posts and has provided personal details, educational qualifications, and contact information. The application confirms his residency in Assam and includes his OBC/MOBC(NCL) category status.

Uploaded by

Debajit Rajput
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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GOVERNMENT OF ASSAM

COMBINED APPLICATION FORM FOR FILLING UP POSTS UNDER


DIRECTORATE OF MEDICAL EDUCATION, ASSAM

Personal Details:
Application No. : 2310347211
Full Name of the Candidate DEBAJIT RAJPUT
:
( As per Aadhaar Card/ Pan Card/ Passport )
Candidate's Father's Name : BISWANATH RAJPUT
Candidate's Mother's Name : CHITRA DEVI RAJPUT
Candidate's Spouse Name :
Candidate's Date of Birth (DD/MM/YYYY) : 28/02/1997
Gender : MALE
Correspondence Address : RAJMAI GRANT
: GOJALI
: DEMOW
City : SIBSAGAR
District : SIVASAGAR
State : ASSAM
Pin Code : 785672
Permanent Address : RAJMAI GRANT
: GOJALI
: DEMOW
City : SIBSAGAR
District : SIVASAGAR
State : ASSAM
Pin Code : 785672
Mobile No. of the Candidate : 8638719764
Alternative Contact No. Telephone / Mobile : 9854883872
E-mail Address of the Candidate : debajitrajput7@gmail.com
Nationality of the Candidate : INDIAN
Physical identification Marks :
Category of the Candidate : OBC/MOBC(NCL)
Do you belong to Physically challenged/Divyang?) : NO
Whether Candidate is Permanent Resident of Assam ? : YES
Employment Exchange Registration No. of Assam : : 30233722/03/2022

GRADE - III POSTS


Do you want to apply for Technical Posts : NO

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


LDA/Computer Operator cum Clerk/DTP Operator, Assistant
Librarian, Steno cum Computer Operator, Health Assistant (Male),
Coding Clerk, Documentalist, Receptionist-cum-Clerk, Record
GRADE - III Non Technical Posts : Clerk, Record Keeper cum Clerk cum Computer Operator, Store
Keeper cum Clerk cum Computer Operator, Store Keeper-cum-
Record Clerk, Health Educator, Library Assistant, Accountant,
Cashier, Account Assistant, Computer Operator, Librarian,

GRADE - IV POSTS
Do you want to apply (GRADE - IV) POSTS : NO
Marks
Marks Percentage Year of Name of School / Board /
Exam Passed Stream Out
Obtained Of Marks Passing College / University
Of
HSLC Or Equivalent
452 600 75.33 % 17/05/2013 Seba
(10) :
HSSLC Or Equivalent
SCIENCE 385 500 77 % 30/05/2015 Ahsec
(10+2) :
Graduation : SCIENCE 1090 1400 77.86 % 08/10/2021 Moran College
Diploma Non DIPLOMA IN COMPUTER APPLICATION
332 400 83 % 04/02/2021 NBCE
Technical : FROM A RECOGNIZED INSTITUTE
Do you have
appropriate
computer YES
certification
as per advertisment.

Date: 25/12/2024
18:00:26 Signature of Applicant

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