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App From 123565 998553

The document is an application form for the position of Junior Purchase Assistant/Junior Storekeeper at the Government of India's Department of Atomic Energy. It includes personal details of the candidate, Tushar Kanti Bhuniya, such as contact information, educational qualifications, and employment history. The application also provides information on the exam center choices and fee payment details.
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© © All Rights Reserved
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0% found this document useful (0 votes)
17 views2 pages

App From 123565 998553

The document is an application form for the position of Junior Purchase Assistant/Junior Storekeeper at the Government of India's Department of Atomic Energy. It includes personal details of the candidate, Tushar Kanti Bhuniya, such as contact information, educational qualifications, and employment history. The application also provides information on the exam center choices and fee payment details.
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
You are on page 1/ 2

Government of India

Department of Atomic Energy


Directorate of Purchase & Stores
Vikram Sarabhai Bhavan, 0 floor, Anushaktinagar, Mumbai, Maharashtra – 400094

पोट के िलए आवे दन कर / Apply for Post: JUNIOR PURCHASE ASSISTANT/JUNIOR STOREKEEPER
आवे दन संया/ 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
जम 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 रा से वा कमी ह / Are you a Disabled Defence
No
Service personnel
अपंग यित/ Person with Disablility NO
या आप कद सरकार के नागिरक कमचारी ह / Are you a Central Govt.
No
Civilian Employee
िवभाग के उमीदवार/ Department Candidate No
पूव सै िनक/ Ex-Servicemen No
धम / Religion Hindu
या आप अपसंयक समुदाय से हो/ Whether belongs to minority
No
community
या आप कद / राय सरकार के कमचारी ह / Are you an employee of
No
Central/ State Government
वािषक पािरवािरक आय/ Annual Family Income(in Rupees) 500000
राटीयता/ Nationality INDIAN
आईडी का िववरण/ ID Details PAN CARD (CCFPB5119L )
परीा कद के िवकप/ Choice of Exam Center 1.Kolkata, 2.Guwahati, 3.Indore,
Fees Amount:200, Order Id:515429,
Fees Details
Statussuccess, Ref. No.:1946007909

Address Details.
पाचार 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
राय/ State: West Bengal (WB) राय/ State: West Bengal (WB)
िपन कोड/ Pincode: 721401 िपन कोड/ Pincode: 721401

परमाणु ऊजा िवभाग या उसके संिवधान इकाइयों म पहले से कायरत िरते 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

िशा और यावसाियक योयता (एसएससी से वष उीण 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 एमसीयू 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 कंयूटर डाटा ोसे िसं ग का ान है / Do you have Knowledge of computer data processing Yes

अययन के पाठम को इंिगत कर , यिद कोई हो, आवे दक वतमान 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 वतमान 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.

उमीदवार का फोटो / Candidate Photo उमीदवार के हतार/ 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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