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TPSC - Preview Registration Form

The document is an application form for the post of Degree Junior Engineer (Civil) submitted by Rahul Debnath, with application number 09/2023/3857. It includes personal information, residency details, qualifications, and a declaration affirming the accuracy of the provided information. The application status is submitted and payment has been completed.

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Rahul Debnath
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0% found this document useful (0 votes)
30 views3 pages

TPSC - Preview Registration Form

The document is an application form for the post of Degree Junior Engineer (Civil) submitted by Rahul Debnath, with application number 09/2023/3857. It includes personal information, residency details, qualifications, and a declaration affirming the accuracy of the provided information. The application status is submitted and payment has been completed.

Uploaded by

Rahul Debnath
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TPSC

Application Form

Post Details

Applied Post / एप्लाइड पोस्ट : Degree Junior Engineers, TES Gr-V(A), Civil 09/2023

Application No / : 09/2023/3857 Application Status / : Submitted Payment Status / : Paid


आवेदन संख्या आवेदन की िस्थित भुगतान की िस्थित

Personal Information

Candidate's Name / : RAHUL DEBNATH Mobile No. / मोबाइल : 9862384607 Email Id / इ-मेल आई. :
प्रत्याशी का नाम संख्या डी debnathrahul420[at]gmail[dot]c
om

Tripura Residence Detail

Are you a Permanent Resident of : Yes PRTC Number : 201430020045535


Tripura?

PRTC Issuing District? : South Tripura PRTC Issue date? : 25-09-2014

Identity Details

Has Aadhar : Yes Aadhar no. : xxxxxxxx7835 Nam on Aadhar : RAHUL DEBNATH

Additional Information

First Name : RAHUL Middle Name : Last Name : DEBNATH

Father Name / िपता : SUSANTA KUMAR DEBNATH Mother's Name / माता : APARNA DEBNATH Gender / िलं ग : MALE
का नाम का नाम

Mother Tongue : Bengali Date of Birth / : 17-07-2000 Age : 23 Years, 1 Months, 7 Days
जन्मितिथ

Marital Status / : UNMARRIED


वैवािहक िस्थित

Category Reservation

Category / श्रेणी : UR

Subcategory Reservation

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


िवकलांगता है (पी.एच/िदव्यांग)

Permanent Address Details

House No./Vill/Town : Vill:- North Srirampur, P.O./Street Name : Chottakhola P.S./Locality : P.R Bari

Cityname : Chottakhola PINCODE / िपन कोड : 799157 State/UT / राज्य / केंद्रीय : TRIPURA
शािसत प्रदेश

District / िजला : South Tripura

Correspondence Address Details

House No./Vill/Town : Vill:- North Srirampur, P.O./Street Name : Chottakhola P.S./Locality : P.R Bari

Cityname : Chottakhola PINCODE / िपन कोड : 799157 State/UT / राज्य / केंद्रीय : TRIPURA
शािसत प्रदेश

District / िजला : South Tripura


Other Details

Are you BPL card : Yes Are you a govt. : NO Are You Ex- : NO
holder? employee? servicemen? / क्या
आप भूतपूवर् सैिनक हैं?

BPL Registration No : 161000420024 BPL Certificate : South Tripura BPL Registration Date : 14-07-2011
District

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) : 177 Chest (Male only) / छाती (केवल : 78
पुरुष) (in cms)

Weight / वजन (in Kgs) : 57

Qualifications Details

Qualification Type / : SSC/Madhyamik Branch/Stream : General Result Status : Passed(2016)


योग्यता प्रकार

State / राज्य : TRIPURA Board/University / बोडर् : TBSE Marks type : MARKS


/ िवश्विवद्यालय

Out Of : 700 Marks Obtained : 300 Percentage : 42.00

Qualification Type / : Diploma Branch/Stream : Civil Result Status : Passed(2019)


योग्यता प्रकार

State / राज्य : KARNATAKA Board/University / बोडर् : Others Marks type : MARKS


/ िवश्विवद्यालय

Out Of : 625 Marks Obtained : 340 Percentage : 54.00

Qualification Type / : Degree/Graduate Branch/Stream : Civil Engineering Result Status : Passed(2022)


योग्यता प्रकार

State / राज्य : TRIPURA Board/University / बोडर् : ICFAI University Tripura Marks type : CGPA
/ िवश्विवद्यालय

Percentage :

Work Experience

Do you have work experience? : No

Critria Details

Degree in Civil : Yes

Select your optional papers : Civil Engineering Paper-I and Paper-II

Do you have PRTC issued on or before 24.08.2023? : Yes


Photo & Signature

Photo Signature

Centre Preference

Date : 19-08-2023 Place : BELONIA Centre Preference : Agartala

Transaction Details

Date : 19-08-2023 20:17:19 Gateway : HDFC Transaction Id : 3347a1029aa12a21d271

Gateway Transaction : 112978155470 Amount : 285.40 Status : PAID


Id

I RAHUL DEBNATH 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.

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