DET 2019-20/MTS ADVERTISEMENT http://detceptam.com/drdoceptam/registration_print.php?q=ZDEyZWR...

Your Application submitted successfully. Your Application Number

is 1013013236128.
DET 2019-20/MTS ADVERTISEMENT

Application Number / आवे दन सं ा : 1013013236128

User Id / यूजर आईडी : [email protected]

Do you Possess the essential qualification requirement (EQR) and other : YES
essential requirement as per DET 2019-20/MTS Advt.

Candidate’s Name / अ थ का नाम : SURAJ PAUL

Post Code - Post Name / पद कोड – पद नाम: : 1301-Multi Tasking Staff

(MTS)

Category / वग : UR

Do you belong to Economically weaker sections(EWSs) as per DOPT : NO

F.No. 36039/1/2019-Estt.(Res.) dated 19th January 2019 ? (Applicable
only for UR Category)

Certificate Number : -
Date of Issue : -

Sub Caste : -
State: : -

Are you a Person with Benchmark Disability / ा आप िद ां गता मानदं ड : NO

धा रत ह?

Type of Disability / िद ां गता का कार : -

Do you belongs to Orthopedically Handicapped (Afflicted by Cerebral : -

Palsy) or Orthopedically Handicapped (Both Arm affected) or
Orthopedically Handicapped Candidates who has a locomotor disability
wherein the dominant writing extremity is affected to the extent of
slowing down the performance?.(Applicable Only for CAT (C)).
Do you have locomotor disability wherein the dominant writing extremity : -
is affected to the extent of slowing down the performance?. (Applicable
Only for CAT (D)).

Percentage of Disability / िद ां गता का ितशत : -

Certificate Number : -
Date of Issue : --

Do you belong to Minority community : NO

Are you an Ex-Serviceman / ा आप भूत पूव सैिनक ह? : NO

Date of Joining : --

Date of Discharge : --
Period of Service Rendered (In Years & Months & Days) : --

Have you already secured employment in Civil Side under Central : -

Government on regular basis after availing the benefits of Reservation
given to Ex-Servicemen for re-employment?

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Are you Disabled Defence Services Personnel?

Are you widow/divorced woman/woman judicially separated from her

husband and who is not re-married? /
प से अपने पित

Are you a Meritorious Sportsperson /

Sports Name:
Sports Level:
Are you a Person who had ordinarily been domiciled in the State of
Jammu and Kashmir during the period 01.01.1980 to 31.12.1989 /
आप एक ऐसे
के दौरान सामा

Are you a Government servant?

Type of Government servant:

Date of Joining

Period of Service Rendered (In Years & Months & Days)

Ministry/Deptt./Estts.

Identity Proof /

Nationality /

Certificate no

Date of Issue

Visible mark of identification /

Physical Measurement - Height(in cms)/

Physical Measurement - Weight(in Kgs)/

City of Examination Choice 1 /

City of Examination Choice 2 /

City of Examination Choice 3 /

Application Fees / आवेदन शु

Payment In : ONLINE

Amount / रािश : 100.00

Payment Status / भुगतान की थित : PAID

Payment Reference ID / भु गतान संदभ आईडी : 2851797286003

Transaction Date / भभुगतान ितिथ : 23-01-2020

Personal Details / गत िववरण

Date of Birth / ज ितिथ : 19-11-2000

Age completed as on 23.01.2020 : 19 Years 2 Months 4 Days

Gender / िलंग : MALE

Father's Name / िपता का नाम : DIPAK PAUL

Mother's Name / माता का नाम : GOURI RANI PAUL

Correspondence Address / प ाचार का पता

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Address Line 1 / पता 1 : VILL-KARATIGRAM PO-

RONGPUR PS-SILCH

Address Line 2 / पता 2 : VILL-KARATIGRAM PO-

RONGPUR PS-SILCH

City / शहर : SILCHAR

District / िज़ला : CACHAR

State / Union Territories / रा / क शािसत दे श : ASSAM

Pincode / िपन कोड : 788009

Permanent address / थायी पता
Address Line 1 / पता 1 : VILL-KARATIGRAM PO-
RONGPUR PS-SILCH

Address Line 2 / पता 2 : VILL-KARATIGRAM PO-

RONGPUR PS-SILCH

City / शहर : SILCHAR

District / िज़ला : CACHAR

State / Union Territories / रा / क शािसत दे श : ASSAM

Pincode / िपन कोड : 788009

Contact Details / संपक िववरण

Mobile No / मोबाइल नं बर : +91 8638570020

Alternative Mobile Number / वैक क मोबाइल नं बर : +91 7577807740

Email ID / ई-मेल आई॰ डी॰ : [email protected]

Educational and Professional Qualification Details / शै िणक और ावसाियक यो ता का िववरण (as

on 23.01.2020)

Qualifications Mode of Roll Number Institute/Board Date of Aggregate CGPA Maximum Total % of Class
(यो ताएँ ) Qualification (अनु मांक) (सं थान / बोड) Passing marks obtained marks CGPA Marks ( े णी)
(यो ता का (उ ीण होने obtained ( ा सी (अिधकतम (कुल ( ा ांक
मा म) की ितिथ) (कुल जी पी ए) अं क) सी जी का
ा ांक) पी ए) ितशत)

SSC / 10th Regular Roll B17 137 BOARD OF 31-05-2017 477 600 79.50 First
Standard No 0628 SECONDARY Class
(एसएससी / 10 EDUCATION
वीं) ASSAM

Additional Qualification Details / अित र यो ता

िववरण

Qualifications Status Name of the Institute/Board Date of

(यो ताएँ ) ( थित) Course (सं थान / बोड) Passing /
(पा म का Likely date
नाम) of
completion
(उ ीण होने
की ितिथ /
पूरी होने की
ितिथ)

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HSC / 12th --
Standard /
Equivalent
(एचएससी / 12
वीं / समक )

Diploma Pursuing CIVIL SCTE ASSAM 01-07-2020

(िड ोमा) ENGINEERING

Graduation --
( ातक)

Post --
Graduation
( ातको र)

Ph. D (पीएचडी) --

Posting Stations in order of Preferences / तैनाती े शन का वरीयता म

1 Agra
2 Ahmednagar
3 Ambernath
4 Balasore
5 Bengaluru
6 Bhubaneswar
7 Chandigarh
8 Chennai
9 Dehradun
10 Delhi
11 Gwalior
12 Haldwani
13 Hyderabad
Posting Preference Order 14 Jagdalpur
15 Jodhpur
16 Kanpur
17 Kochi
18 Kolkata
19 Leh
20 Mumbai
21 Mussoorie
22 Mysore
23 Nasik
24 Panagarh
25 Pune
26 Tezpur
27 Vishakhapatanam

I hereby give my consent to publish my score and rank of Exam along with my YES
particulars, on the website:

Uploaded Document Details / अपलोड िकए गए द ावेज का िववरण :

1. EQR Certificate (10th/Matriculation/ITI Certificate) / ई. ू.आर माणप (10वी ं/मै िटक/ITI माणप )
(The same will be treated as age proof certificate / इसको आयु माणप भी माना जाये गा)

Declaration / घोषणा:

I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I
understand that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.
म यह घोिषत करता / करती ं िक इस आवेदन म िदए गए सभी कथन स , पूण और मेरे ान और िव ास के अनुसार सही ह। म समझता / समझती ं िक िकसी भी सूचना
को िकसी भी र पर अस या गलत पाए जाने की थित म या म िनधा रत पा ता मानदं डों म से िकसी को पू रा नही ं कर रहा / रही ँ , और भत के संबंध म भाव / अनुिचत
दबाव बनाने के मामले म भी मेरी उ ीदवारी र की जा सकती है ।

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Final Submission Date / अं ितम जमा ितिथ : 23-01-2020 10:13:16 Signature of Applicant / आवेदक के ह ा र

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