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    Apscrecruitment - in # Pscexamservice Candidate View Application Id 514890e8 8f7b 44a6 9992 Dfec63f66734

    Uploaded by

    Debabrat Saikia

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Apscrecruitment - in # Pscexamservice Candidate View Application Id 514890e8 8f7b 44a6 9992 Dfec63f66734

    Uploaded by

    Debabrat Saikia
    12 views4 pages

    Original Title

    Apscrecruitment.in # Pscexamservice Candidate View Application Id=514890e8 8f7b 44a6 9992 Dfec63f66734

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
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    12 views4 pages

    Apscrecruitment - in # Pscexamservice Candidate View Application Id 514890e8 8f7b 44a6 9992 Dfec63f66734

    Uploaded by

    Debabrat Saikia

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    05/12/2023, 20:01 apscrecruitment.in/#/pscexamservice/candidate-View-Application?

    id=514890e8-8f7b-44a6-9992-dfec63f66734

    Assistant Engineer (Mechanical) under Public Health Engineering Department


    Advt.No.28/2023

    Roll Number : --NA-- Application Id : DRAPP2328002900 Submission Date : 24/11/2023

    Applicant Basic Details


    Applicant DEBABRAT SAIKIA
    Name

    Mother’s BEAUTYSAIKIA Father's DEVAJYOTI SAIKIA


    Name Name

    Date of Birth 31/10/1996 Age as on 26 Years 2 Months 1 days


    ( 01/01/2023 )

    Male Caste/ More Other Backward


    Gender
    Category Classes(MOBC)

    Nationality Indian Email Id [email protected]

    Mobile 8876212192 Alt.Mobile


    Number No

    PwBD --NA--
    Category

    Present Address Permanent Address


    Address VILL CHUTIAKARI, PS NORTH Address VILL CHUTIAKARI, PS NORTH
    LAKHIMPUR, PO MOIDOMIA LAKHIMPUR, PO MOIDOMIA

    District Lakhimpur District Lakhimpur

    State ASSAM State ASSAM

    Pincode 787032 Pincode 787032

    https://apscrecruitment.in/#/pscexamservice/candidate-View-Application?id=514890e8-8f7b-44a6-9992-dfec63f66734 1/4
    05/12/2023, 20:01 apscrecruitment.in/#/pscexamservice/candidate-View-Application?id=514890e8-8f7b-44a6-9992-dfec63f66734

    Education Details
    Schooling Details
    University/
    Percentage/
    Qualification Subjects Duration Passing Year Examination
    CGPA/ Grade
    Conducting Body
    62.33%
    10th 10th Subjects 10 Years 2013 SEBA
    First Division
    58.14%
    Diploma in
    Plastic 3 Years 2016 Others Second
    Engineering
    Division

    Education Details
    Graduation Details
    University/
    Examination Percentage/
    Qualification Subjects Duration Passing Year
    Conducting CGPA/ Grade
    Body
    Assam Science &
    Technology
    University,
    Bachelor of Mechanical 69.6%
    3 Years 2021 Kahilipara,
    Technology(B.Tech.) Engineering First Division
    Guwahati –
    19(State
    University)

    https://apscrecruitment.in/#/pscexamservice/candidate-View-Application?id=514890e8-8f7b-44a6-9992-dfec63f66734 2/4
    05/12/2023, 20:01 apscrecruitment.in/#/pscexamservice/candidate-View-Application?id=514890e8-8f7b-44a6-9992-dfec63f66734

    Uploaded Document Details


    Document Name Misc./Document No. Issuing Date Issuing Authority
    Caste Certificate issued by Govt. Of
    2517 01/04/2013 --
    Assam
    Aadhaar Card 915877703656 --
    10th/HSLC Pass Certificate (Age
    --
    Proof)
    Diploma in Engineering Pass
    --
    Certificate
    All Semester/Year wise D.I.Engg mark
    undefined --
    sheets in a single PDF
    BTech Marksheet - Conversion
    formula of CGPA into percentage --
    mark Document
    BTech Pass Certificate --
    All Semester/Year wise BTech mark
    --
    sheets in a single PDF
    "The Small Family Norms"
    --
    declaration Form-A
    Valid Employment Exchange Identity
    Card issued in Assam/PRC issued in --
    Assam

    Payment Details
    Payment Date Reference No GRN No Amount(₹) Status

    --NA-- --NA-- --NA-- --NA--

    Additional Details
    Examination Zone Tezpur

    Are you a permanent resident of Assam? Yes

    Are you a BPL certificate holder? No

    Are you an employee of state government of Assam? No

    Are you debarred from any examination and/ or selection conducted by the UPSC or any state
    No
    P.S.C.?

    Have you ever debarred from applying for any Govt. Post? No

    Are you an Ex-Serviceman? No

    https://apscrecruitment.in/#/pscexamservice/candidate-View-Application?id=514890e8-8f7b-44a6-9992-dfec63f66734 3/4
    05/12/2023, 20:01 apscrecruitment.in/#/pscexamservice/candidate-View-Application?id=514890e8-8f7b-44a6-9992-dfec63f66734

    Declaration
    I, DEBABRAT SAIKIA hereby declare that all statements made in this application are true, complete and
    correct to the best of my knowledge and belief.
    In the event of any information being found false, incorrect on any facts are hidden by me or ineligibility
    being detected before or after the examination, action can be taken against me by the Commission as may
    be deemed fit.

    I have read the terms and conditions of the Commission as published in the advertisement carefully and I
    do hereby undertake to abide by them.

    I further declare that I fulfill all the conditions of eligibility regarding age limits, educational
    Qualification etc. prescribed for recruitment to the post.

    I certify that I have not been debarred by any examination conducting authority.

    I understand that application once submitted cannot be altered or changed in any format whatsoever and
    the submitted fee for the application will be not be refunded by Commission in any circumstances.

    I further declare that I have carefully read the Assam Public Services (Application of Small Family
    Norms in Direct Recruitment) Rules, 2019 published vide No. ABP.69/2019/17 Dated Dispur, the 6th
    November, 2019 and I do hereby undertake to abide by them.

    I have informed my Head of office/ Department in writing that I am applying for this post. *

    *Applicable for those who are already in Government service/ similar organisations or government owned
    industrial undertakings whether in permanent or temporary capacity or as work changed employees other than
    casual or daily rated employees or those serving under public enterprises.

    https://apscrecruitment.in/#/pscexamservice/candidate-View-Application?id=514890e8-8f7b-44a6-9992-dfec63f66734 4/4

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