DIPTI MAHAJAN

Axom Sarba Siksha Abhijan Mission Rashtriya Madhyamik Shiksha Abhiyan, Assam Department of Education (Elementary & Secondary), Govt. of Assam Human Resource Management & Information System (HRMIS) Elementary / Secondary Teacher Details School Type Elementary School Lower Primary School (LPS) Category of Teacher Regular Teacher without TET (before 2013+Teacher appointed on Compassionate Ground) TET Category - Language 1 Assamese Language 2 English Personal Details UDISE Code 18040105601 Teacher / Employee Code 0401056011002 Teacher / Employee Name DIPTI MAHAJAN Gender Female Date of Birth 31 Dec 1971 Caste OBC Religion Hinduism Nationality Indian Present Address 79 , SAKOMURA PT-1 , NAYAGAON , NORTH SALMARA , Assam , Bongaigaon , 783384 Permanent Address 79 , SAKOMURA PT-1 , NAYAGAON , NORTH SALMARA , Assam , Bongaigaon , 783384 Aadhaar No. 242185376297 Mobile 8011943424 Email Id [email protected] Mother's Name KIRAN MAHAJAN Father's Name JYOTISH MAHAJAN Personal Identification Marks ONE BLACK SPOT ON THE RIGHT HAND Blood Group A+ Do you have any kind of disability? No Marital Status Married Spouse Name JITEN RAY No

Is your spouse working under Government Service? Children Details S No. Name DOB No Records Academic Qualifications S Qualification Stream / Subjects Board / School / Passing Roll No. Marks Obtained No. Discipline Studied University College Year 312 ASS, ENG, G. 1 HSLC General MATH, G. BOARD OF RAYJHORA 1991 5129 SCIENCE, SECONDARY HIGH S, EDUCATION SCHOOL STUDIES, HINDI, GEO Professional Qualifications S Qualification Mode Status Subjects Board / School / Passing Roll No. Marks No. Studied University College Year Obtained No Records Service Details Name of the Post Held Regular Teacher without TET (before 2013+Teacher appointed on Compassionate Ground) Medium of School Assamese Subjects All subjects Category of Post REGULAR Pay Scale 14000/- TO 49000/- Grade Pay 6800/- Appointment Letter No. NSA/D/95/97-98/9915-21 Appointment Date 05 Jan 1999 Post Creation No. Post Creation Date - Date of effect of Service Provincialisation (If Provincialised then) - Date of joining in Service Date of joining in Present post 27 Jan 1999 Date of Retirement 02 May 2012 Period spent on Non-Teaching assignment 31 Dec 2031 NIL Salary Account and Other Official Account Details Permanent Account (PAN) No ATDPM7594H Account No (Salary Account) 11446250328 Account Name (Salary Account) DIPTI MAHAJAN Bank Name State Bank of India Branch Name (Salary Account) LANGTISINGA

IFSC SBIN0009145 Name of the district where your salary account no is active BONGAIGAON Name of the state where your salary account no is active ASSAM Salary Payment Mode ECS Gross Provident Fund (GPF) No Group Insurance Scheme (GIS) No. National Pension Scheme (NPS) No. Contributory Provident Fund (CPF) No Permanent Pension Account No. (PPAN) Permanent Retirement Account No. (PRAN) Service Record(s) S UDISE Code of the School where Name of the School where you Period from when you have worked in No. you have worked have worked the above School 1 18040105302 35 NO.KAYETHPARA LPS From To 2 18040103202 846 NO. GASPARA LPS 01 Jan 2011 20 Nov 2011 - 21 Nov 2011 01 May 2012 - Awards Received S No. Name of Award Date of receiving award Purpose of award Awarded by Remarks(If any) No Records Promotion Details New Cadre To Effective Date Scale Category Grade Pay Next Increment S No. From (Designation) No Records Date (Designation) Other Details S Suspension If reinstated from Department Penalty Any Case Details (Criminal No. Suspension Proceedings /police) From To From To From To No Records Uploaded Documents S No. Document Name 1 Caste Certificate 2 Copy of Appointment Letter 3 JBT marksheet 4 Proof of DOB 5 HSSLC Marksheet Declaration: I hereby declare that all the information furnished in the application are true, complete and correct to the best of my knowledge and belief. I also undertake that I have not submitted applications for two different schools. I understand that in the event of any information being found untrue /false / incorrect, Govt. of Assam has the right to take legal action against me including termination of my job without assigning any reason thereof.