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TPSC - Preview Registration Form

Bishmoy Das has submitted an application for the post of L.D- Asstt- cum-Typist, Grade-VI 05/2021. He is a 20 year old male from Dwarikapur, Khowai district in Tripura. He has passed his SSC and Higher Secondary exams from Tripura board and has typing speed of 40 words per minute. He declares that he meets all eligibility criteria for the post and the information provided is true.

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Bishmoy Das
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0% found this document useful (0 votes)
25 views3 pages

TPSC - Preview Registration Form

Bishmoy Das has submitted an application for the post of L.D- Asstt- cum-Typist, Grade-VI 05/2021. He is a 20 year old male from Dwarikapur, Khowai district in Tripura. He has passed his SSC and Higher Secondary exams from Tripura board and has typing speed of 40 words per minute. He declares that he meets all eligibility criteria for the post and the information provided is true.

Uploaded by

Bishmoy Das
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
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TPSC

Application Form

Post Details

Applied Post / एप्लाइड पोस्ट : L.D- Asstt- cum-Typist, Grade-VI 05/2021

Application No / : 05/2021/5897 Application Status / : Submitted Payment Status / : Paid


आवेदन संख्या आवेदन की स्थिति भुगतान की स्थिति

Personal Information

Candidate's Name / : BISHMOY DAS Mobile No. / मोबाइल : 6033358608 Email Id / इ-मेल आई. : dbishmoy[at]gmail[dot]com
प्रत्याशी का नाम संख्या डी

Tripura Residence Detail

Are you a Bonafide Resident of : Yes PRT number? : 30769


Tripura?

PRT Issuing District? : Khowai PRT Issue date? : 11-06-2013

Identity Details

Has Aadhar : Yes Aadhar no. : xxxxxxxx2874 Nam on Aadhar : BISHMOY DAS

Additional Information

First Name : BISHMOY Middle Name : Last Name : DAS

Father Name / पिता : BIDHAN CHANDRA DAS Mother's Name / माता : SIMA DEB DAS Gender / लिंग : MALE
का नाम का नाम

Mother Tongue : Bengali Date of Birth / : 05-02-2001 Age : 20 Years, 11 Months, 10 Days
जन्मतिथि

Marital Status / : UNMARRIED


वैवाहिक स्थिति

Category Reservation

Category / श्रेणी : SC

Certificate Number / : 08636 Certificate Issuing : 03-09-2016 Certificate Issuing : Khowai


प्रमाण पत्र संख्या Date / प्रमाणपत्र जारी District / प्रमाणपत्र जारी
करने की तिथि करने वाले जिला का नाम

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 : Dwarikapur P.O./Street Name : Dwarikapur P.S./Locality : Kalyanpur

Cityname : Khowai PINCODE / पिन कोड : 799203 State/UT / राज्य / : TRIPURA


कें द्रीय शासित प्रदेश

District / जिला : Khowai

Correspondence Address Details

House No./Vill/Town : Dwarikapur P.O./Street Name : Dwarikapur P.S./Locality : Kalyanpur

Cityname : Khowai PINCODE / पिन कोड : 799203 State/UT / राज्य / : TRIPURA


कें द्रीय शासित प्रदेश

District / जिला : Khowai


Other Details

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

BPL Registration No : 161000519670 BPL Certificate : Khowai BPL Registration Date : 16-06-2011
District

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/Vocatio
nal Institution?

Physical Standards

Height / ऊं चाई (in cms) : 174 Chest (Male only) / छाती (के वल : 95
पुरुष) (in cms)

Weight / वजन (in Kgs) : 71

Qualifications Details

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


योग्यता प्रकार

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


बोर्ड / विश्वविद्यालय

Out Of : 700 Marks Obtained : 420 Percentage : 60.00

Qualification Type / : Intermediate/HS(10+2) Branch/Stream : Science Result Status : Passed


योग्यता प्रकार

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


बोर्ड / विश्वविद्यालय

Out Of : 500 Marks Obtained : 364 Percentage : 72.00

Work Experience

Do you have work experience? : No

Critria Details

Qualification : Intermediate(12th) Science

Technical Qualification : Knowledge of typing in computer with an accurate speed of 40(forty) words per minute along with basic
computer knowledge

Are you a discharged 10323 ad-hoc teacher? : No


Photo & Signature

Photo Signature

Centre Preference

Date : 20-12-2021 Place : DWARIKAPUR Centre Preference : Agartala

Transaction Details

Date : 20-12-2021 21:59:03 Gateway : RAZORPAY Transaction Id : order_IZnIoXkfGi2PzQ

Gateway Transaction : pay_IZnJFUyCoMR8UD Amount : 185.40 Status : PAID


Id

I BISHMOY DAS 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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