TPSC
Application Form
Post Details
Applied Post / ए ाइड पो : Supervisor (ICDS), (Group-C Non-Gazetted) under the Social Welfare & Social Education
Department, Govt. of Tripura 06/2021
Application : 06/2021/11889 Application : Submitted Payment : Paid
No / आवेदन सं ा Status / आवे दन की Status / भु गतान की
थित थित
Personal Information
Candidate's : DIPTASREE DEBBARMA Mobile No. / मोबाइल : 7005445401 Email Id / इ-मे ल आई. : dipadatta23[at]gmail[dot]com
Name / ाशी का नाम सं ा डी
Tripura Residence Detail
Are you a Bonafide Resident of : Yes PRT number? : 7560
Tripura?
PRT Issuing District? : West Tripura PRT Issue date? : 29-12-2008
Identity Details
Has Aadhar : Yes Aadhar no. : xxxxxxxx7657 Nam on Aadhar : DIPTASREE DEBBARMA
Additional Information
First Name : DIPTASREE Middle Name : Last Name : DEBBARMA
Father Name / िपता : LT DHIMAN DEBBARMA Mother's Name / माता : DIPA DATTA DEBBARMA Gender / िलं ग : FEMALE
का नाम का नाम
Mother Tongue : Bengali Date of : 03-12-1993 Age : 28 Years, 1 Months, 17 Days
Birth / ज#ितिथ
Marital : UNMARRIED
Status / वैवािहक थित
Category Reservation
Category / &ेणी : ST
Certificate : 5093 Certificate Issuing : 23-12-2008 Certificate Issuing : West Tripura
Number / माण प( Date / माणप( जारी District / माणप( जारी
सं ा करने की ितिथ करने वाले िजला का नाम
Subcategory Reservation
Are you Differently Abled Person(PH/Divyang)? / *ा आपको कोई : No
िवकलां गता है (पी.एच/िद,ां ग)
Permanent Address Details
House No./Vill/Town : Milan Chakra Sreenagar Rd P.O./Street Name : Arundhati Nagar P.S./Locality : A.D.NAGAR
No-6
Cityname : AGARTALA PINCODE / िपन कोड : 799003 State/UT / रा- / : TRIPURA
क./ीय शािसत दे श
District / िजला : West Tripura
Correspondence Address Details
House No./Vill/Town : Milan Chakra Sreenagar Rd P.O./Street Name : Arundhati Nagar P.S./Locality : A.D.NAGAR
No-6
Cityname : AGARTALA PINCODE / िपन कोड : 799003 State/UT / रा- / : TRIPURA
क./ीय शािसत दे श
District / िजला : West Tripura
Other Details
Are you BPL card : NO Are you a govt. : NO Are You Ex- : NO
holder? employee? servicemen? / *ा
आप भू तपू व2 सै िनक ह3 ?
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 / ऊंचाई (in cms) : 162
Weight / वजन (in Kgs) : 59
Qualifications Details
Qualification : SSC/Matric/High School Branch/Stream : COMMERCE Result Status : Passed
Type / यो5ता कार
State / रा- : TRIPURA Board/University : CBSE Marks type : CGPA
/ बोड2 / िव6िव7ालय
Percentage : 6.00
Qualification : Intermediate/HS(10+2) Branch/Stream : COMMERCE Result Status : Passed
Type / यो5ता कार
State / रा- : TRIPURA Board/University : CBSE Marks type : MARKS
/ बोड2 / िव6िव7ालय
Out Of : 500 Marks Obtained : 344 Percentage : 68.00
Qualification : Graduate Branch/Stream : BACHELOR OF BUSINESS Result Status : Passed
Type / यो5ता कार ADMINISTRATION
State / रा- : TRIPURA Board/University : Tripura University, Marks type : MARKS
/ बोड2 / िव6िव7ालय Suryamaninagar, Tripura West
Out Of : 500 Marks Obtained : 269 Percentage : 53.00
Qualification : Post Graduation Branch/Stream : MASTER OF BUSINESS Result Status : Passed
Type / यो5ता कार ADMINISTRATION
State / रा- : TRIPURA Board/University : Others Marks type : CGPA
/ बोड2 / िव6िव7ालय
Percentage : 9.10
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?
Photo & Signature
Photo Signature
Centre Preference
Date : 10-01-2022 Place : AGARTALA Centre Preference : Agartala
Transaction Details
Date : 10-01-2022 22:07:49 Gateway : RAZORPAY Transaction Id : order_Ii6i6b7pUkWuqr
Gateway Transaction : pay_Ii6jE9jNFgH0Kf Amount : 185.40 Status : PAID
Id
I DIPTASREE DEBBARMA 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.
