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Personal Details
Name of Post *:
Name in Full(Block Letters) *:
Email *:
Mobile *:
DOB *:
Present Address *:
Permanent Address *:
Same as Present Address
Father's name & Address *:
Place of Birth including Police
Station and district & P.O *:
Are you a citizen of India
and if so how?:
Citizen Proof:
Educational Qualifications
Sl.No Standard Name of board/ University Percentage Marks or CGPA Enclosure
1 Class-X or Equivalent
2 Class-XII or Equivalent
3 Bachelor Degree or Equivalent
4 Master Degree or Equivalent

Other Qualifications:   

Work Experience
Nos of Year(s)

General Details
Age on the 1st January 2021 *:
Present Occupation(if any) *:
Previous appointment held(if any):
Are you a temporary or retrenched personal of Temporary department of the Govt. of Assam:
Are you trained in or a member of the National Cadet Corps of Territorial Army or trained Home Guards and Civil Defence Volunteers, if so give particulars:
Employment Registration No:
Whether there is any Govt/semi Govt Employees in your family if any, particulars of such family member like relationship, name of the job, pay drawn, place of posting, permanent/Temporary etc. should be furnished:
I am a candidate for the post and the stated above are true to the best of my knowledge and behalf. In case of any false statement, I am liable to any action the Government deem fit and proper.