Government of India
Department of Atomic Energy
Directorate of Purchase & Stores
Vikram Sarabhai Bhavan, 0 floor, Anushaktinagar, Mumbai, Maharashtra – 400094
पोट के िलए आवे दन कर / Apply for Post: JUNIOR PURCHASE ASSISTANT/JUNIOR STOREKEEPER
आवे दन संया/ Application Number 123565
याशी का नाम/ Candidate Name TUSHAR KANTI BHUNIYA
िपता का नाम/ Father's Name NIRMAL KUMAR BHUNIYA
माता का नाम/ Mother's Name CHHANDASHREE BHUNIYA
वग / Category UR
िलंग/ Gender Male
मोबाइल न./ Mobile No. 9134608879
ईमेल पता/ Email Address tusharkanti15496@gmail.com
जम की तारीख/ Date of Birth 15/04/1996
वै वािहक िथित/ Marital Status Single
या आप एक मे धावी िखलाड़ी ह / Are you a Meritorious Sportsperson No
या आप एक िवकलांग रा से वा कमी ह / Are you a Disabled Defence
No
Service personnel
अपंग यित/ Person with Disablility NO
या आप कद सरकार के नागिरक कमचारी ह / Are you a Central Govt.
No
Civilian Employee
िवभाग के उमीदवार/ Department Candidate No
पूव सै िनक/ Ex-Servicemen No
धम / Religion Hindu
या आप अपसंयक समुदाय से हो/ Whether belongs to minority
No
community
या आप कद / राय सरकार के कमचारी ह / Are you an employee of
No
Central/ State Government
वािषक पािरवािरक आय/ Annual Family Income(in Rupees) 500000
राटीयता/ Nationality INDIAN
आईडी का िववरण/ ID Details PAN CARD (CCFPB5119L )
परीा कद के िवकप/ Choice of Exam Center 1.Kolkata, 2.Guwahati, 3.Indore,
Fees Amount:200, Order Id:515429,
Fees Details
Statussuccess, Ref. No.:1946007909
Address Details.
पाचार का पता/ Correspondence Address थाई पता / Permanent Address
पता/ Address: VILL BISHWMBHAR SARANI DHANDIGHI, POST CONTAI, PS पता/ Address: VILL BISHWMBHAR SARANI DHANDIGHI, POST CONTAI, PS
CONTAI CONTAI
िजला/ District: Purba Medinipur िजला/ District: Purba Medinipur
राय/ State: West Bengal (WB) राय/ State: West Bengal (WB)
िपन कोड/ Pincode: 721401 िपन कोड/ Pincode: 721401
परमाणु ऊजा िवभाग या उसके संिवधान इकाइयों म पहले से कायरत िरते दारों का िववरण/ Details of relatives already employed in Department of
Atomic Energy or its Constituents Units.
Sr. No. Name of Relative Relationship Unit in which employee Post Held
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Government of India
Department of Atomic Energy
Directorate of Purchase & Stores
Vikram Sarabhai Bhavan, 0 floor, Anushaktinagar, Mumbai, Maharashtra – 400094
िशा और यावसाियक योयता (एसएससी से वष उीण करने के म म )/ Education and Professional Qualification (in order of Passing Year from
SSC onwards).
Stream/
Board/ University/ Obtained
Name of Exam Passing Year Discipline/ Max Marks Percentage Duration in Year Remarks
Institute Marks
Subject
WEST BENGAL
BOARD OF BENG ENG HIS
SSC(10th) 2011 800 687 85.88 2 Good
SECONDARY GEO SCI
EDUCATION
WEST BENGAL
COUNCIL OF
BENG ENG
HSC(12th) HIGHER 2013 500 428 85.6 2 Good
MATH CHEM P
SECONDARY
EDUCATION
VIDYASAGAR
GRADUATION 2016 CHEMISTRY 800 521 65.13 3 First class
UNIVERSITY
POST VIDYASAGAR
2018 CHEMISTRY 1200 1018 84.83 2 First CLASS
GRADUATION UNIVERSITY
ले वल 1 एमसीयू टे ट के िलए से शन का चु नाव/ Choice of section for Level 1 MCQ Test : Part B(a) - GI and Reasoning in Science
या आपको कंयूटर डाटा ोसे िसं ग का ान है / Do you have Knowledge of computer data processing Yes
अययन के पाठम को इंिगत कर , यिद कोई हो, आवे दक वतमान म जारी है / Indicate the course of study, if any, the applicant is continuing
presently.
Full Time/ Part Duration of Course (in No. Semesters/ Years
Sr.No. Course Name Board/ University/ Institute Name % of Marks
Time months) Completed
अनु भव (सभी िपछले और वतमान रोजगार का िववरण तु त िकया जाना है )/ Experience(Particulars of all previous and present employment are to be
furnished).
Period of Service in
Employer Details Nature of Permanent or
Sr.No. Post Held (DD/MM/YYYY) format Reason for Leaving
Duties Temporary
Type Name & Address From To
Candidate Uploaded Photo and Signature.
उमीदवार का फोटो / Candidate Photo उमीदवार के हतार/ Candidate Signature
Note:
1. Visit offical website https://www.dpsdae.gov.in/english/home.aspx or https://www.dpsdae.formflix.in regularly for latest updates.
2. Keep one hard copy of the form itself for future use.
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