STATE LEVEL RECRUITMENT COMMISSION FOR CLASS III POSTS

State Level Recruitment Commission for Class III

Online Application form for Recruitment of Class III posts under Government of Assam
Application No. 2320238735

Bachelor`s Degree YES

Bachelor`s Degree with Computer
Certificate/Diploma of minimum 6(six) YES
Type of posts applied for months duration from a recognized Institute
HSSLC or equivalent examination passed YES
HSSLC (Science) Examination passed YES

Full name of the Applicant MANASH PRATIM NATH

Name of Father/ Guardian PRADIP NATH
Name of spouse of the Applicant
Name of mother of the Applicant BAKULI DEVI
Applicant DOB 06/11/1996
Gender MALE
Registration Number of Employement Exchange 8889585/03/2022
Category OBC/MOBC
Caste OTHERS
Caste Other NATH YOGI
Are You Divyang (Physically Challenged) NO
Ex-Serviceman NO
Nationality INDIAN
Religion HINDU
Are you a family member of martyr?
Permanent Address Information HABIBARANGABARI
WORD NO 5
NEAR HABIBARANGABARI LP SCHOOL
HABIBARANGABARI
MIKIRBHETA
782103
MORIGAON
Present Address Information

Mobile Number 9101457726

E-Mail MANASHNATH9101@GMAIL.COM Aadhar Card number 291061882379
Choice of District for appearing in written Exam :
Preference 1 KAMRUP METRO
Preference 2 KAMRUP
Preference 3 JORHAT
Qualification details ( All Degrees must be acquired from recognized University/Board )
Marks Total % of Year Of Name of Board /
Course Stream Roll No. Name of School/Institute
Obtained Marks Marks Passing University
HSLC or equivalent examination HABIBARANGABARI
430 600 71.67 2012 0122 SEBA
passed ADARSHA HIGH SCHOOL
HSSLC or equivalent examination ROLL 0683
SCIENCE- 303 500 60.60 2014 MORIGAON COLLEGE AHSEC
passed NO 20036
GAUHATI
Graduate degree BSC - 1119 1700 65.82 2017 0044 MORIGAON COLLEGE
UNIVERSITY
Diploma in Computer Science 1YEAR 72 100 72.00 2019 CP-17051 INASNAG091 DRISHTEE-CEEP

Declaration :
I declare that I have not been convicted of any criminal offence under any laws of the land.
I further declare that the above entries in my application form are correct. I am fully aware that I am liable for legal actions including
cancellation of my candidature if any inforamtion so provided by me above found to be false or incorrect.
I am aware that after the "Submit" button is clicked, I will not able to do any further corrections. I am responsible for the correctness of the
entries made in the application form.