GOVERNMENT OF ASSAM
OFFICE OF THE DIRECTOR OF SECONDARY EDUCATION, ASSAM KAHILIPARA, GUWAHATI-19
Online Application form for Recruitment of Graduate Teacher and Post Graduate Teacher under Government of Assam
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Personal Information
Full name of the Applicant
*
:
Name of Father/ Guardian
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Name of spouse of the Applicant:
Name of mother of the Applicant
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Gender
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[Select]
FEMALE
TRANSGENDER
MALE
Do you have Registration Number of Employment Exchange of Assam?
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[Select]
YES
NO
Registration Number of Employment Exchange of Assam
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Category
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[Select]
General
SC
STP
STH
OBC/MOBC
Caste
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[Select]
TEA TRIBES & ADIVASI
OTHERS
Other Caste
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Are You Divyang ( persons with disability )
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[Select]
YES
NO
Percentage of disability
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Divyang Type ( persons with disability )
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[Select]
OH (Orthopaedically Handicapped) with at least One Arm and One Leg
LV (Low Vision)
HI (Hearing Impaired)
Divyang ID Card No. issued by Govt. authority
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Divyang ID Card issuing District
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Ex-Serviceman
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[Select]
YES
NO
Ex-Servicemen ID Card No. issued by Zila Sainik Board
*
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Ex-Servicemen ID Card issuing District
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Applicant's Date Of Birth
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Nationality
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Religion
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[Select]
Hinduism
Islam
Sikhism
Christianity
Jainism
Others
Other Religion
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Permanent Residents of Assam
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[Select]
YES
NO
Language of MIL/Language (HSLC Or equivalent examination)
*
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[Select]
ASSAMESE
BENGALI
HINDI
ENGLISH (IL)
BODO
MANIPURI
KHASI
GARO
HMAR
MIZO
URDU
NEPALI
KARBI
Language as one of subject, If any other than MIL
*
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[Select]
ASSAMESE
BENGALI
BODO
MANIPURI
HINDI
Read in English Medium from Class XI
Diploma in Assamese Language issued by the Axom Sahitya Sabha
Diploma in Bengali Language issued by the Barak Upstyaka Bangya Sahitya O Sanskriti Sammelan
NONE
Medium of Instructions in Class X
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[Select]
ASSAMESE
BENGALI
HINDI
BODO
ENGLISH
MANIPURI
Do you have Aadhaar Card?
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:
[Select]
YES
NO
Aadhaar Card Number
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Do You Belong in family of 'D' Voter?
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[Select]
YES
NO
Marital Status
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[Select]
YES
NO
Details of Child/Children
Do you have a Child/Children?
*
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[Select]
YES
NO
Name of the Child:
DOB of the Child:
Gender of the Child:
[Select]
FEMALE
TRANSGENDER
MALE
Add Row
Permanent Address Information
Address 1
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Address 2
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Address 3
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City / Village
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Police Station
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Pin
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District
*
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[Select]
BAJALI
BARPETA
BAKSA
BISWANATH
BONGAIGAON
CACHAR
CHARAIDEO
CHIRANG
DARRANG
DHEMAJI
DHUBRI
DIBRUGARH
DIMA HASAO
GOALPARA
GOLAGHAT
HAILAKANDI
HOJAI
JORHAT
KAMRUP
KAMRUP (METRO)
KARBI ANGLONG
KARIMGANJ
KOKRAJHAR
LAKHIMPUR
MAJULI
MORIGAON
NAGAON
NALBARI
SIVASAGAR
SONITPUR
SOUTH SALMARA - MANKACHAR
TAMULPUR
TINSUKIA
UDALGURI
WEST KARBI ANGLONG
Present Address Not Same With Permanent Address
Present Address Information
Address 1
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:
Address 2
*
:
Address 3
*
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City / Village
*
:
Police Station
*
:
Pin
*
:
District
*
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[Select]
BAJALI
BARPETA
BAKSA
BISWANATH
BONGAIGAON
CACHAR
CHARAIDEO
CHIRANG
DARRANG
DHEMAJI
DHUBRI
DIBRUGARH
DIMA HASAO
GOALPARA
GOLAGHAT
HAILAKANDI
HOJAI
JORHAT
KAMRUP
KAMRUP (METRO)
KARBI ANGLONG
KARIMGANJ
KOKRAJHAR
LAKHIMPUR
MAJULI
MORIGAON
NAGAON
NALBARI
SIVASAGAR
SONITPUR
SOUTH SALMARA - MANKACHAR
TAMULPUR
TINSUKIA
UDALGURI
WEST KARBI ANGLONG
OTHER
Other District Name
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State
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[Select]
01-ANDAMAN AND NICOBAR ISLANDS
02-ANDHRA PRADESH
03-ARUNACHAL PRADESH
04-ASSAM
05-BIHAR
06-CHANDIGARH
07-CHHATTISGARH
08-DADRA AND NAGAR HAVELI
09-DAMAN AND DIU
10-NATIONAL CAPITAL TERRITORY OF DELHI
11-GOA
12-GUJARAT
13-HARYANA
14-HIMACHAL PRADESH
15-JAMMU AND KASHMIR
16-JHARKHAND
17-KARNATAKA
18-KERALA
19-LAKSHADWEEP
20-MADHYA PRADESH
21-MAHARASHTRA
22-MANIPUR
23-MEGHALAYA
24-MIZORAM
25-NAGALAND
26-ORISSA
27-PUDUCHERRY
28-PUNJAB
29-RAJASTHAN
30-SIKKIM
31-TAMIL NADU
32-TRIPURA
33-UTTAR PRADESH
34-UTTARAKHAND
35-WEST BENGAL
36-TELANGANA
contact Information
Mobile Number
*
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Send OTP
Verify OTP
Email Id
*
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Medium of Test Booklet
Medium of Test Booklet
*
:
[Select]
ASSAMESE
BENGALI
BODO
ENGLISH
DISTRICT FOR APPEARING IN THE WRITTEN EXAMINATION
(
Note
- Department reserves the right to change, increase or decrease the venues depending upon the number of applications received and any other administrative exigencies. )
Choice of District for Examination
*
:
[Select]
CACHAR
DIBRUGARH
JORHAT
KAMRUP
KAMRUP METRO
KOKRAJHAR
LAKHIMPUR
NALBARI
SONITPUR
NCC / Sports / Fine Arts and Cultural Activities
NCC ('C' or 'B' Certificate)
*
:
[Select]
C Certificate
B Certificate
NO
Sports (Participation in recognized sports at National Level representing Assam)
*
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[Select]
YES
NO
Name of sport
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Name of Event / Championship
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Year of Event / Championship
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Details of Achievements:
Fine Arts and Cultural Activities (Achievements in Fine Arts and Cultural Activities representing the State officially at National Level.)
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[Select]
YES
NO
Name of Fine Arts and Cultural Activities
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Name of Event / Competition
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Year of Event / Competition
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Details of Achievements
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Qualification details ( All Degrees must be acquired from recognized University/Board )
( Please Enter Percentage of marks by calculating from GPA/CGPA formula, if marks are provided in marks sheet as GPA/CGPA )
Educational Qualification
Stream
Marks Obtained
Total Marks
Percentage of Marks
Year Of Passing
Roll No.
Name of School / Institute
Name of Board / University
HSLC (10th) or equivalent examination passed
HSSLC (12th) or equivalent examination passed
[Select]
Arts
Commerce
Science
Others
Graduate Degree
[Select]
Arts
Commerce
Science
Mode of Course
REGULAR
ODL
Address of Campus in Assam:
[Select District]
BAJALI
BARPETA
BAKSA
BISWANATH
BONGAIGAON
CACHAR
CHARAIDEO
CHIRANG
DARRANG
DHEMAJI
DHUBRI
DIBRUGARH
DIMA HASAO
GOALPARA
GOLAGHAT
HAILAKANDI
HOJAI
JORHAT
KAMRUP
KAMRUP (METRO)
KARBI ANGLONG
KARIMGANJ
KOKRAJHAR
LAKHIMPUR
MAJULI
MORIGAON
NAGAON
NALBARI
SIVASAGAR
SONITPUR
SOUTH SALMARA - MANKACHAR
TAMULPUR
TINSUKIA
UDALGURI
WEST KARBI ANGLONG
Note
1) In case of PG degree,you can select maximum four(4) degrees but you must have particular subject in Graduation.
2) In case of equivalence degree, you have to select 'NA'
Post Graduate Degree
MCOM - Accountancy or Finance
MA - Assamese
MA - Bengali
MA - Anthropology
MSC - Anthropology
MA - Bodo
MSC - Botany or Biotechnology(Plant Biotechnology)
MA - Mathematics
MSC - Mathematics
MA - Statistics
MSC - Statistics
MCOM - Management
MBA - Management
MSC - Chemistry
MA - Economics
MA - Education
MA - English
MA - Geography
MSC - Geology or Applied Geology
MTECH - Geology or Applied Geology
MA - Hindi
MA - History
MA - Logic & Philosophy
MA - Manipuri
MSC - Physics
MA - Political Science
MCOM - Other
MA - Sanskrit
MA - Sociology
MSC - Zoology or Biotechnology(Animal Biotechnology)
NA
Graduation in BBA
YES
NO
Mode of Course
REGULAR
ODL
Address of Campus in Assam:
[Select District]
BAJALI
BARPETA
BAKSA
BISWANATH
BONGAIGAON
CACHAR
CHARAIDEO
CHIRANG
DARRANG
DHEMAJI
DHUBRI
DIBRUGARH
DIMA HASAO
GOALPARA
GOLAGHAT
HAILAKANDI
HOJAI
JORHAT
KAMRUP
KAMRUP (METRO)
KARBI ANGLONG
KARIMGANJ
KOKRAJHAR
LAKHIMPUR
MAJULI
MORIGAON
NAGAON
NALBARI
SIVASAGAR
SONITPUR
SOUTH SALMARA - MANKACHAR
TAMULPUR
TINSUKIA
UDALGURI
WEST KARBI ANGLONG
In case of non availability of degree in regular subject
Do you have any equivalent degree in Post Graduation for a particular subject
[Select]
YES
NO
Qualification Degree:
MCOM - Accountancy or Finance
MA - Assamese
MA - Bengali
MA - Anthropology
MSC - Anthropology
MA - Bodo
MSC - Botany or Biotechnology(Plant Biotechnology)
MA - Mathematics
MSC - Mathematics
MA - Statistics
MSC - Statistics
MCOM - Management
MBA - Management
MSC - Chemistry
MA - Economics
MA - Education
MA - English
MA - Geography
MSC - Geology or Applied Geology
MTECH - Geology or Applied Geology
MA - Hindi
MA - History
MA - Logic & Philosophy
MA - Manipuri
MSC - Physics
MA - Political Science
MCOM - Other
MA - Sanskrit
MA - Sociology
MSC - Zoology or Biotechnology(Animal Biotechnology)
Graduation in BBA
YES
NO
Professional Qualification in Teacher Education
[Select]
B.Ed
B.T.
PARANGAT
Hindi / Sanskrit Certification Details
[Select]
Pravin
Ratna
Shastri
NA
Do you having Hindi as one of the subjects with 50% marks in Graduation
[Select]
YES
NO
Do you having Sanskrit as one of the subjects with 50% marks in Graduation
[Select]
YES
NO
Instruction For Photograph:
Size of photograph must be less than 35 kb.
Height of photograph must be between 250 pixel and 320 pixel.
width of photograph must be between 150 pixel and 220 pixel.
Upload Photograph
Instruction For Signature
Size of signature must be less than 30 kb.
Height of signature must be between 100 pixel and 180 pixel.
width of signature must be between 150 pixel and 220 pixel.
Upload Signature
Declaration
I declare that I have not been convicted of any criminal offence under any law 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 information so provided by me above is found to be false or incorrect.
I am aware that after the "Submit" button is clicked, I shall not be able to do any further corrections. I am responsible for the correctness of the entries made in the application form.
Submit
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