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. 2320038262

HSSLC or equivalent examination passed YES

HSSLC (Science) Examination passed YES
Type of posts applied for

Full name of the Applicant ROHIT CHANDA

Do you want to change name? NO
Name of Father/ Guardian SAJAL CHANDA
Name of spouse of the Applicant
Name of mother of the Applicant SUMITRA CHANDA
Applicant DOB 30/11/2003
Gender MALE
Registration Number of Employement Exchange 8791893/05/2022
Do you want to Change Registration Number of Employment
NO
Exchange Of Assam?
Category OBC/MOBC
Caste OTHERS
Caste Other NAPIT
Are You Divyang (Physically Challenged) NO
Ex-Serviceman NO
Nationality INDIAN
Religion HINDU
Are you a family member of martyr? NO
Permanent Address Information SONAI BAZAR,NEAR NARASING AKHRA.
SONAI TOWN SONAI MUKH PO SONAI MUKH
WARD NO 2
SONAI TOWN
SONAI
788119
CACHAR
Present Address Information

Mobile Number 8638368146

E-Mail MRROHITCHANDA357159@GMAIL.COM Aadhar Card number 654627347292
Choice of District for appearing in written Exam :
Preference 1 CACHAR
Preference 2 KAMRUP METRO
Preference 3 KAMRUP
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 B19- SONIA NITYA GOPAL H S
391 600 65.17 2019 SEBA
passed 1520043 SCHOOL
HSSLC or equivalent RAMANUJ GUPTA SENIOR
SCIENCE- 370 500 74.00 2021 022120279 AHSEC
examination passed SECONDARY SCHOOL
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.
Date : ______________
Place : _____________
Signature of the Applicant