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    TPSC - Preview Registration Form Partha

    Uploaded by

    durgeshsharma7969
    This document is an application form submitted by Partha Acharjee for the post of Supervisor (ICDS)/CDPO/Panchayat Executive Officer 06/2021. It includes personal details like name, contact information, address, educational qualifications, work experience, category reservation, and payment details. Partha has submitted this application, paid the fees, and declared that all information provided is true and correct to the best of his knowledge.

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    TPSC - Preview Registration Form Partha

    Uploaded by

    durgeshsharma7969
    12 views3 pages
    This document is an application form submitted by Partha Acharjee for the post of Supervisor (ICDS)/CDPO/Panchayat Executive Officer 06/2021. It includes personal details like name, contact information, address, educational qualifications, work experience, category reservation, and payment details. Partha has submitted this application, paid the fees, and declared that all information provided is true and correct to the best of his knowledge.

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    This document is an application form submitted by Partha Acharjee for the post of Supervisor (ICDS)/CDPO/Panchayat Executive Officer 06/2021. It includes personal details like name, contact information, address, educational qualifications, work experience, category reservation, and payment details. Partha has submitted this application, paid the fees, and declared that all information provided is true and correct to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views3 pages

    TPSC - Preview Registration Form Partha

    Uploaded by

    durgeshsharma7969
    This document is an application form submitted by Partha Acharjee for the post of Supervisor (ICDS)/CDPO/Panchayat Executive Officer 06/2021. It includes personal details like name, contact information, address, educational qualifications, work experience, category reservation, and payment details. Partha has submitted this application, paid the fees, and declared that all information provided is true and correct to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    TPSC

    Application Form

    Post Details

    Applied Post / एप्लाइड पोस्ट : Supervisor (ICDS)/CDPO/Panchayat Executive Officer 06/2021

    Application No / : 06/2021/38786 Application Status / : Submitted Payment Status / : Paid


    आवेदन संख्या आवेदन की स्थिति भुगतान की स्थिति

    Personal Information

    Candidate's Name / : PARTHA ACHARJEE Mobile No. / मोबाइल : 7005839808 Email Id / इ-मेल आई. :
    प्रत्याशी का नाम संख्या डी pacharjee1212[at]gmail[dot]co
    m

    Tripura Residence Detail

    Are you a Bonafide Resident of : Yes PRT number? : 5050


    Tripura?

    PRT Issuing District? : West Tripura PRT Issue date? : 20-08-2011

    Identity Details

    Has Aadhar : Yes Aadhar no. : xxxxxxxx2102 Nam on Aadhar : PARTHA ACHARJEE

    Additional Information

    First Name : PARTHA Middle Name : Last Name : ACHARJEE

    Father Name / पिता : JIBAN CHANDRA ACHARJEE Mother's Name / माता : BHABANI ACHARJEE Gender / लिंग : MALE
    का नाम का नाम

    Mother Tongue : Bengali Date of Birth / : 01-02-2000 Age : 21 Years, 11 Months, 19 Days
    जन्मतिथि

    Marital Status / : UNMARRIED


    वैवाहिक स्थिति

    Category Reservation

    Category / श्रेणी : UR

    Subcategory Reservation

    Are you Differently Abled Person(PH/Divyang)? / क्या आपको कोई : No


    विकलांगता है (पी.एच/दिव्यांग)

    Permanent Address Details

    House No./Vill/Town : Madhuban Ranirkhamar P.O./Street Name : Ranirkhamar P.S./Locality : Amtali

    Cityname : Agartala PINCODE / पिन कोड : 799003 State/UT / राज्य / : TRIPURA


    कें द्रीय शासित प्रदेश

    District / जिला : West Tripura

    Correspondence Address Details

    House No./Vill/Town : Madhuban Ranirkhamar P.O./Street Name : Ranirkhamar P.S./Locality : Amtali

    Cityname : Agartala PINCODE / पिन कोड : 799003 State/UT / राज्य / : TRIPURA


    कें द्रीय शासित प्रदेश

    District / जिला : West Tripura


    Other Details

    Are you BPL card : NO Are you a govt. : NO Are You Ex- : NO
    holder? employee? servicemen? / क्या
    आप भूतपूर्व सैनिक हैं?

    Whether any : NO Was any court case : No Whether any : No


    prosecution is filed against you? disciplinary action has
    pending in any Court been initiated by
    of Law against you? Government/Semi-
    Government
    Organisations against
    you?

    Whether any : NO Whether debarred or : No


    disciplinary or any Black listed for
    similar action is Examination / SSB /
    initiated by Bar University / TPSC /
    council or medical Other PSC /UPSC or
    council or Association any other
    of other Organisations?
    Professional/Vocation
    al Institution?

    Physical Standards

    Height / ऊं चाई (in cms) : 175 Chest (Male only) / छाती (के वल : 93
    पुरुष) (in cms)

    Weight / वजन (in Kgs) : 73

    Qualifications Details

    Qualification Type / : SSC/Matric/High School Branch/Stream : Result Status : Passed(2016)


    योग्यता प्रकार

    State / राज्य : TRIPURA Board/University / : TBSE Marks type : MARKS


    बोर्ड / विश्वविद्यालय

    Out Of : 700 Marks Obtained : 533 Percentage : 76.00

    Qualification Type / : Intermediate/HS(10+2) Branch/Stream : Commerce Result Status : Awarded(2018)


    योग्यता प्रकार

    State / राज्य : TRIPURA Board/University / : TBSE


    बोर्ड / विश्वविद्यालय

    Qualification Type / : Graduate Branch/Stream : B.COM (H) Result Status : Awarded(2021)


    योग्यता प्रकार

    State / राज्य : TRIPURA Board/University / : Tripura University,


    बोर्ड / विश्वविद्यालय Suryamaninagar, Tripura West

    Work Experience

    Do you have work experience? : No

    Critria Details

    Qualification : Graduate
    At least 5(five) years experience in the field of Women and Child : No
    Welfare
    Knowledge of Bengali/Kok-borok : Yes
    Knowledge of Computer : Yes
    Have you applied for the Miscellaneous Posts vide Advt. No- 08/2017 : No
    dated 29.05.2017?
    Are you a discharged 10323 ad-hoc teacher ? : No
    Photo & Signature

    Photo Signature

    Centre Preference

    Date : 29-05-2022 Place : AGARTALA Centre Preference : Agartala

    Transaction Details

    Date : 29-05-2022 23:35:38 Gateway : HDFC Transaction Id : 006ff4fcbb209d9633b5

    Gateway Transaction : 111518839370 Amount : 235.40 Status : PAID


    Id

    I PARTHA ACHARJEE hereby declare that I have carefully read the advertisement for this post and all the terms and conditions indicated
    therein and undertake to abide by the terms and conditions of this advertisement for participating in the selection process. I fullfill all the
    terms and conditions mentioned in the advertisement and the information provided by me herein is true and correct to the best of my
    knowledge. I further stipulate that I havecarefully read Government Order No.252-HE of 2012 dated 30.05.2012 and assure that I am not
    barred by the provisionsof the said Government Order. I further undertake that I shall not claim any benefit of any qualification/category that
    I have not specifically indicated in this online application form. Further, I am aware that I am liable for appropriate penal action, disqualified
    from the selection processor loss of the job in the event of selection having been made, if the information provided by me is proved to be
    incorrect at any stage.

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