. Name TAPAN DAS

. Father's Name Late Kripa Das

3. Permanent Address: _—_Vill- Pub-Khagrabari

PO.- Jalahghat

PS. Simla

Dist- Baksa (BT.A.D.) Assam

PIN-781327

4. Present Address : Vill & PO-Gobindapur

Dist-Barpeta, Assam

P.S.-Patacharkuchi

Pin-781326

5. Contact No. : 801*******

6. Email id 1 tapan01071992@gmailcom

7. Date of Birth + 01-01-1992

8. Nationality Indian

9. Religion : Hinduism

10.Category oBc

11.Sex : Male

12.Marital Status Unmarried

13.Language Known Assamese, English & Hindi

14.Educational Qualification HS. Passed

Declaration

Ido hereby declare that the above mentioned information are true, complete and

correct to the best of my knowledge and belief,

Place: Pathsala signature of the Candidate

Date: 05-02-2016

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