TPSC

Application Form

Post Details

Applied Post / ए ाइड पो : Supervisor (ICDS), (Group-C Non-Gazetted) under the Social Welfare & Social Education
Department, Govt. of Tripura 06/2021

Application : 06/2021/11889 Application : Submitted Payment : Paid

No / आवेदन सं ा Status / आवे दन की Status / भु गतान की
थित थित

Personal Information

Candidate's : DIPTASREE DEBBARMA Mobile No. / मोबाइल : 7005445401 Email Id / इ-मे ल आई. : dipadatta23[at]gmail[dot]com
Name / ाशी का नाम सं ा डी

Tripura Residence Detail

Are you a Bonafide Resident of : Yes PRT number? : 7560

Tripura?

PRT Issuing District? : West Tripura PRT Issue date? : 29-12-2008

Identity Details

Has Aadhar : Yes Aadhar no. : xxxxxxxx7657 Nam on Aadhar : DIPTASREE DEBBARMA

Additional Information

First Name : DIPTASREE Middle Name : Last Name : DEBBARMA

Father Name / िपता : LT DHIMAN DEBBARMA Mother's Name / माता : DIPA DATTA DEBBARMA Gender / िलं ग : FEMALE
का नाम का नाम

Mother Tongue : Bengali Date of : 03-12-1993 Age : 28 Years, 1 Months, 17 Days

Birth / ज#ितिथ

Marital : UNMARRIED
Status / वैवािहक थित

Category Reservation

Category / &ेणी : ST

Certificate : 5093 Certificate Issuing : 23-12-2008 Certificate Issuing : West Tripura

Number / माण प( Date / माणप( जारी District / माणप( जारी
सं ा करने की ितिथ करने वाले िजला का नाम

Subcategory Reservation

Are you Differently Abled Person(PH/Divyang)? / *ा आपको कोई : No

िवकलां गता है (पी.एच/िद,ां ग)
Permanent Address Details

House No./Vill/Town : Milan Chakra Sreenagar Rd P.O./Street Name : Arundhati Nagar P.S./Locality : A.D.NAGAR
No-6

Cityname : AGARTALA PINCODE / िपन कोड : 799003 State/UT / रा- / : TRIPURA

क./ीय शािसत दे श

District / िजला : West Tripura

Correspondence Address Details

House No./Vill/Town : Milan Chakra Sreenagar Rd P.O./Street Name : Arundhati Nagar P.S./Locality : A.D.NAGAR
No-6

Cityname : AGARTALA PINCODE / िपन कोड : 799003 State/UT / रा- / : TRIPURA

क./ीय शािसत दे श

District / िजला : West Tripura

Other Details

Are you BPL card : NO Are you a govt. : NO Are You Ex- : NO
holder? employee? servicemen? / *ा
आप भू तपू व2 सै िनक ह3 ?

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 / ऊंचाई (in cms) : 162

Weight / वजन (in Kgs) : 59

Qualifications Details

Qualification : SSC/Matric/High School Branch/Stream : COMMERCE Result Status : Passed

Type / यो5ता कार

State / रा- : TRIPURA Board/University : CBSE Marks type : CGPA

/ बोड2 / िव6िव7ालय

Percentage : 6.00

Qualification : Intermediate/HS(10+2) Branch/Stream : COMMERCE Result Status : Passed

Type / यो5ता कार

State / रा- : TRIPURA Board/University : CBSE Marks type : MARKS

/ बोड2 / िव6िव7ालय

Out Of : 500 Marks Obtained : 344 Percentage : 68.00

Qualification : Graduate Branch/Stream : BACHELOR OF BUSINESS Result Status : Passed

Type / यो5ता कार ADMINISTRATION

State / रा- : TRIPURA Board/University : Tripura University, Marks type : MARKS

/ बोड2 / िव6िव7ालय Suryamaninagar, Tripura West

Out Of : 500 Marks Obtained : 269 Percentage : 53.00

Qualification : Post Graduation Branch/Stream : MASTER OF BUSINESS Result Status : Passed

Type / यो5ता कार ADMINISTRATION

State / रा- : TRIPURA Board/University : Others Marks type : CGPA

/ बोड2 / िव6िव7ालय

Percentage : 9.10

Work Experience

Do you have work experience? : No

Critria Details

Qualification : Graduate

At least 5(five) years experience in the field of Women and Child : No

Welfare

Knowledge of Bengali/Kok-borok : Yes

Knowledge of Computer : Yes

Have you applied for the Miscellaneous Posts vide Advt. No- 08/2017 : No
dated 29.05.2017?

Photo & Signature

Photo Signature

Centre Preference

Date : 10-01-2022 Place : AGARTALA Centre Preference : Agartala

Transaction Details

Date : 10-01-2022 22:07:49 Gateway : RAZORPAY Transaction Id : order_Ii6i6b7pUkWuqr

Gateway Transaction : pay_Ii6jE9jNFgH0Kf Amount : 185.40 Status : PAID

Id
I DIPTASREE DEBBARMA 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.