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ON-LINE APPLICATION FORM
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Name of the Post :
Advt. No 04/2010 dt 01/04/2010
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Subject / Discipline :
Select Subject
Bengali
English
Sanskrit
Education
Political Science
Philosophy
History
Economics
Mathematics
Physics
Chemistry
Botany
zoology
Physiology
Psychology
Sociology
Geography
Commerce
Hindi
Statistics
Physical Education
Information Technology
Pali
Computer Science Technology(CSE)
Music(Vocal)
Environment Science
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Name of Applicant :
Select
Mr.
Miss.
Mrs.
Dr.
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Sex :
Select
Male
Female
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Father's Name :
Select
Mr.
Late.
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Category :
Select
Others
SC
ST
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Mother's Name :
Select
Mrs.
Late.
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Permanent Address :
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Postal Address for Communication :
Mobile No.
(if no,quote'0')
:
Land No.
(if no,quote'0')
:
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Date of Birth :
Day
Select Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
Age :
Select Applicant's Image :
Upload Passport Size (max. 40KB) JPEG Image Only
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In case of ST / SC, whether the certificate issued by the Govt. of Tripura :
Select
Yes
No
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Whether currently employed in regular Govt. Service :
Select
Yes
No
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Whether Differently abled (PH)(at least 40% disability) :
Select
Yes
No
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Whether Ex-serviceman :
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If yes, period war / service :
Select
Yes
No
(years)
(months)
Educational & other Qualifications as per advertisement:
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1) Graduation :
Name of the Examination
Name of the University
Year of Passing
Marks obtained (%)
2) Essential :
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a) Master's Degree in the concerned subject :
Name of the Examination
Name of the University
Year of Passing
Marks obtained (%)
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b) NET / SLET / SET :
Name of the Examination
Conducted by the UGC/CSIR or authorised body
Year of Passing
(if no, quote' 0')
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c) M. Phil. :
Name of the Subject
Name of the University
Year of Passing
(if no, quote' 0')
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d) Ph.D. :
Name of the Subject
Name of the University
Year of Ph.D. award
(if no, quote' 0')
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Desirable :
Knowledge of :
Select
None
Bengali
Kok Borak
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Any other additional Qualifications suitable for the post :
*
Experience, if any :
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Choice of the Centre for Interview/ Personality Test :
Select Centre
Agartala
Kolkata
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Recruitment Fee Deposited in the Account No.
31110220136
of the SBI in favour of The Secretary, TPSC
Deposited through
Bank Name
Branch Name
Deposit Date
Amount
(Rs.)
"Acrobat Reader is required to view / print Application Receipt.
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Acknowledgement copy as 'Receipt' generated after "On-Line" submission be preserved and a copy of the same with full signature will have to be sent alongwith all other certificates, marksheets, photographs etc. to reach the Commission's Office by 15th May 2010.
N.B:
All '
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fields are Mandatory. Insert 'NIL' in case of not applicable column(s).
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