TPSC
Application Form
Post Details
Applied Post / एप्लाइड पोस्ट : General Duty Medical Officer 07/2024
Application No / : 07/2024/0284 Application Status / : Submitted Payment Status / : Paid
आवेदन संख्या आवेदन की स्थिति भुगतान की स्थिति
Personal Information
Candidate's Name / : RIYA GONCHOWDHURI Mobile No. / मोबाइल : 7005774172 Email Id / इ-मेल आई. :
प्रत्याशी का नाम संख्या डी riyagonchowdhuri1111[at]gmail
[dot]com
Tripura Residence Detail
Are you a Permanent Resident of : Yes PRTC Number : 201330020002741
Tripura?
PRTC Issuing District? : Agartala PRTC Issue date? : 04-06-2013
Identity Details
Has Aadhar : Yes Aadhar no. : xxxxxxxx6130 Nam on Aadhar : RIYA GONCHOWDHURI
Additional Information
First Name : RIYA Middle Name : Last Name : GONCHOWDHURI
Father Name / पिता : KRISNADHAN GAN Mother's Name / माता : MINA RANI DAS Gender / लिंग : FEMALE
का नाम CHOUDHURY का नाम
Mother Tongue : Bengali Date of Birth / : 31-12-1997 Age : 26 Years, 9 Months, 18 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 : East shibnagar kalitala P.O./Street Name : Bibekananda sarani P.S./Locality : College tilla
Cityname : Agartala PINCODE / पिन कोड : 799004 State/UT / राज्य / : TRIPURA
कें द्रीय शासित प्रदेश
District / जिला : West Tripura
Correspondence Address Details
House No./Vill/Town : East shibnagar kalitala P.O./Street Name : Bibekananda sarani P.S./Locality : College tilla
Cityname : Agartala PINCODE / पिन कोड : 799004 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) : 160
Weight / वजन (in Kgs) : 63
Qualifications Details
Qualification Type / : SSC/Madhyamik Branch/Stream : Science Result Status : Passed(2014)
योग्यता प्रकार
State / राज्य : TRIPURA Board/University / : TBSE Marks type : MARKS
बोर्ड / विश्वविद्यालय
Out Of : 700 Marks Obtained : 608 Percentage : 86.00
Qualification Type / : HS(10+2) Branch/Stream : Science Result Status : Passed(2016)
योग्यता प्रकार
State / राज्य : TRIPURA Board/University / : TBSE Marks type : MARKS
बोर्ड / विश्वविद्यालय
Out Of : 500 Marks Obtained : 364 Percentage : 72.00
Qualification Type / : Degree/Graduate Branch/Stream : MBBS Result Status : Passed(2022)
योग्यता प्रकार
State / राज्य : TRIPURA Board/University / : Tripura University, Marks type : MARKS
बोर्ड / विश्वविद्यालय Suryamaninagar, Tripura West
Out Of : 900 Marks Obtained : 529 Percentage : 58.00
Work Experience
Do you have work experience? : Yes
Employment : Past Experience Type / : Other Employer Type / : Private
(Present/Past) / अनुभव का प्रकार सेवारत का प्रकार
सेवारत (वर्तमान /
भूतकाल)
Nature of : Full Time From Date / किस तिथि : 21-11-2022 To Date / किस तिथि : 12-09-2023
Employment? / से तक
रोजगार की प्रकृ ति
Name of Post / पद का : Medical Officer Institution / Department / Organisation / संस्थान : TATA MAIN HOSPITAL, Jamshedpur
नाम / विभाग / संगठन
Critria Details
Have you bachelor degree in MBBS as per schedule(s) of the Indian : Yes
Medical Council Act,1956 ?
Are you completed Internship and also have permanent Registration : Yes
Certificate of any state Medical Council/Medical Council of India ?
Registration Certificate No : 003067
Certificate issuing date : 21-06-2022
Photo & Signature
Photo Signature
Centre Preference
Date : 21-09-2024 Place : AGARTALA Centre Preference : Agartala
Transaction Details
Date : 21-09-2024 12:10:55 Gateway : HDFC Transaction Id : 1698b9c8150bff30fa72
Gateway Transaction : 113471456538 Amount : 447.20 Status : PAID
Id
I RIYA GONCHOWDHURI 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.
