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This document is a combined application form for filling up posts under the Directorate of Medical Education, Assam, submitted by Biju Devi. It includes personal details such as name, contact information, and educational qualifications, indicating her application for Grade-IV posts. Biju Devi is a female candidate from Kaliabor, Assam, with a permanent residency status and a completed Class XII education.

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18 views2 pages

Report

This document is a combined application form for filling up posts under the Directorate of Medical Education, Assam, submitted by Biju Devi. It includes personal details such as name, contact information, and educational qualifications, indicating her application for Grade-IV posts. Biju Devi is a female candidate from Kaliabor, Assam, with a permanent residency status and a completed Class XII education.

Uploaded by

champiborah72
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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GOVERNMENT OF ASSAM

COMBINED APPLICATION FORM FOR FILLING UP POSTS UNDER


DIRECTORATE OF MEDICAL EDUCATION, ASSAM

Personal Details:
Application No. : 2310126253
Full Name of the Candidate BIJU DEVI
:
( As per Aadhaar Card/ Pan Card/ Passport )
Candidate's Father's Name : PREM BAHADUR CHETRY
Candidate's Mother's Name : RUKMINI DEVI
Candidate's Spouse Name : SURAJ ADHIKARI
Candidate's Date of Birth (DD/MM/YYYY) : 20/10/1994
Gender : FEMALE
Correspondence Address : KAWAIMARI
: BENGENA ATI
: ULU WANI
City : KALIABOR
District : NAGAON
State : ASSAM
Pin Code : 782137
Permanent Address : KAWAIMARI
: BENGENA ATI
: ULU WANI
City : KALIABOR
District : NAGAON
State : ASSAM
Pin Code : 782137
Mobile No. of the Candidate : 7002850698
Alternative Contact No. Telephone / Mobile : 8681937326
E-mail Address of the Candidate : [email protected]
Nationality of the Candidate : INDIAN
Physical identification Marks :
Category of the Candidate : GENERAL
Do you belong to Physically challenged/Divyang?) : NO
Whether Candidate is Permanent Resident of Assam ? : YES
Employment Exchange Registration No. of Assam : : 9130080/03/2022

GRADE - III POSTS


Do you want to apply for Technical Posts : NO

Do you want to apply for Non - Technical Posts : NO

GRADE - IV POSTS
Do you want to apply (GRADE - IV) POSTS : YES
Post for (GRADE - IV) : Grade-IV,
Marks Marks Percentage Year of
Exam Passed Stream Name of School / Board / College / University
Obtained Out Of Of Marks Passing
8th Standard (VIII) : 244 600 4067 % 15/06/2012 SEBA
Highest qualification : Class XII
Date: 29/03/2025 18:37:31 Signature of Applicant

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