Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM,

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-HEMA MANKI, H.No.-313, Vill/Town-SALANG POTHER, P.O.- 001 NHM/SNRS/0090 ABHA MANKI HEMA MANKI BAMUN PUKHURI, P.S.-NAZIRA, Dist.-Sivasagar, State-ASSAM, 17.10.2016 Pin-785685 C/o-NUR ALOM TALUKDAR, H.No.-WARD NO 19, Vill/Town- HIKMAT ALI 002 NHM/SNRS/1735 ABIDA AHMED AZAD NAGAR, P.O.-BALADMARI, P.S.-, Dist.- 17.10.2016 AHMED Goalpara, State-ASSAM, Pin-783121 C/o-South city Hospital Mehepur, silchar, H.No.-03842/20645, 003 NHM/SNRS/0488 Achung Diana Gangmei Langangdun Gangmei Vill/Town-silchar, P.O.-Mehepur, P.S.-rangirkhari, Dist.-Cachar, State- 17.10.2016 Assam, Pin-788015 C/o-DILIP KUMAR RABHA, H.No.-0, Vill/Town-BAKARA PARA, DILIP KUMAR 004 NHM/SNRS/1319 ADITI RABHA P.O.-HAHIM, P.S.-BOKO, Dist.-Kamrup Rural, State-ASSAM, Pin- 17.10.2016 RABHA 781129

AGUN BALA C/o-Harendra Basumatary, H.No.-26, Vill/Town-Bhatarmary, P.O.- 005 NHM/SNRS/0314 Harendra Basumatary 17.10.2016 BASUMATARY Sidli, P.S.-Sidli, Dist.-Chirang, State-Assam, Pin-783373

Aheibam Nandalal C/o-Aheibam Nandalal singh, H.No.-, Vill/Town-Nayagram, P.O.- 006 NHM/SNRS/1078 AHEIBAM JOSHI DEVI 17.10.2016 singh Fulertal, P.S.-Lakhipur, Dist.-Cachar, State-Assam, Pin-788106

C/o-AMRI HOSPITAL DAKURIA, NEURO OT, H.No.-P-4&5, C.I.T AHONGSANGBAM 007 NHM/SNRS/1226 A. BIJENDRA SINGH Scheme, Block-A, Vill/Town-Dhakuria, P.O.-Gariahat, P.S.-Gariahat, 17.10.2016 SUJATA DEVI Dist.-KOLKATA, State-, Pin-700029

C/o-MAKIBAR RAHMAN, H.No.-331, Vill/Town-BANGAON, P.O.- 008 NHM/SNRS/1546 AJIJA BEGUM MAKIBAR RAHMAN 17.10.2016 BELSOR, P.S.-BELSOR, Dist.-, State-ASSALM, Pin-781303

C/o-RAJANI KALITA, H.No.-H.NO-08, Vill/Town-CHRISTIAN 009 NHM/SNRS/0335 AKANKHYA BHUYAN BHABA BHUYAN BASTI, UDAYACHAL PATH, P.O.-DISPUR, P.S.-DISPUR, Dist.- 17.10.2016 Kamrup Metro, State-ASSAM, Pin-781005

C/o-ANSAR ALI, H.No.-102, Vill/Town-2 NO PUBERGAON, P.O.- 010 NHM/SNRS/0167 AKRUMA KHATUN ABDUL HALIM MANKACHAR, P.S.-MANKACHAR, Dist.-, State-ASSAM, 17.10.2016 Pin-783131 C/o-BIPIN DAS, H.No.-22, Vill/Town-BORI, P.O.-BORI, P.S.- 011 NHM/SNRS/1941 ALAKA DAS BIPIN DAS 17.10.2016 BELSOR, Dist.-Nalbari, State-ASSAM, Pin-781338 C/o-BARNABUS PURTY, H.No.-287, Vill/Town-DOOLAHAT T E, ALICE SHEELA 012 NHM/SNRS/0029 BARNABUS PURTY P.O.-SINGRA, P.S.-LALUK, Dist.-Lakhimpur, State-ASSAM, Pin- 17.10.2016 PURTY 787023 C/o-DIPALI BARUAH, H.No.-SIVASAGAR, Vill/Town- ALONGKRITA LATE APURBA 013 NHM/SNRS/0822 JOYSAGAR BARUAH NAGAR, P.O.-RUDRASAGAR, P.S.- 17.10.2016 BARUAH BARUAH JOYSAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785665 C/o-SERAJ DAS, H.No.-NIL, Vill/Town-JERAI GAON, ROJA KUKHESWAR 014 NHM/SNRS/0123 ALPANA SONOWAL CHUCK,, P.O.-KHANJIKHOWA, P.S.-CHABUA, Dist.-, 17.10.2016 SONOWAL State-ASSAM, Pin-786183

C/o-MANSINGH RONGMAI, H.No.-69/100, Vill/Town- MANSINGH 015 NHM/SNRS/0725 ALUJIK LIU RONGMAI HAILAKANDI WARD NO 1, P.O.-HAILAKANDI, P.S.- 17.10.2016 RONGMAI HAILAKANDI, Dist.-Hailakandi, State-ASSAM, Pin-788151

C/o-CHATTAR HUSSAIN, H.No.-44, Vill/Town-PALASHANI, P.O.- MD ABDUL RAJAK 016 NHM/SNRS/0222 AMBIA BEGUM PALASHANI, P.S.-SADAR, Dist.-Nagaon, State-ASSAM, Pin- 17.10.2016 HAZARIKA 782001 C/o-JAHANGIR AHMED, H.No.-47, Vill/Town-JADAB PUR, P.O.- 017 NHM/SNRS/1161 AMBIA KHATUN MD BAHEJ UDDIN CHAKABAUSHI, P.S.-BAGHBAR, Dist.-, State-ASSAM, 17.10.2016 Pin-781308 C/o-SHIRAJUL HAQUE, H.No.-196, Vill/Town-CHASRA NO 1, 018 NHM/SNRS/0279 AMINA PARBIN SHIRAJUL HAQUE P.O.-SATRA KANARA, P.S.-BAGHBAR, Dist.-Barpeta, State- 17.10.2016 ASSAM, Pin-781308 C/o-IOCL (AOD) HOSPITAL, H.No.-BLOW NO 41, Vill/Town- JOTI PRAKASH 019 NHM/SNRS/0343 AMLA TIRKEY DIGBOI, P.O.-DIGBOI, P.S.-DIGBOI, Dist.-Tinsukia, State-Assam, 17.10.2016 TIRKEY Pin-786171

AMRIT PRABHA C/o-Manuram Kalita, H.No.-191, Vill/Town-Lakhimi Nagar, P.O.- 020 NHM/SNRS/0951 Manuram Kalita 17.10.2016 KALITA Demow, P.S.-Demow, Dist.-Sivasagar, State-Assam, Pin-785662

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 1 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-LATE PRANHARI BARMAN, H.No.-45, Vill/Town-RAULY, LATE PRANHARI 021 NHM/SNRS/0866 ANAMIKA BARMAN P.O.-RAULY, P.S.-SARTHEBARI, Dist.-Barpeta, State-ASSAM, Pin- 17.10.2016 BARMAN 781311 C/o-SUDARSHAN DAS, H.No.-0, Vill/Town-MOHAKAL, P.O.- 022 NHM/SNRS/0272 ANAMIKA DAS SUDARSHAN DAS MOHAKAL, P.S.-BADARPUR, Dist.-Karimganj, State-ASSAM, Pin- 17.10.2016 788701 C/o-Mr. Jagadish Chandra Das, H.No.-, Vill/Town-Manahkuchi, P.O.- Mr. Jagadish chandra 023 NHM/SNRS/0967 Anamika Das Manahkuchi, P.S.-Hajo, Dist.-Kamrup Rural, State-Assam, Pin- 17.10.2016 Das 781104 C/o-Late Puna Gogoi, H.No.-363 A, Vill/Town-Rowmari Dihingia 024 NHM/SNRS/0253 ANAMIKA GOGOI Late Puna Gogoi Gaon, P.O.-Jamirah, P.S.-Borbaruah, Dist.-Dibrugarh, State-Assam, 17.10.2016 Pin-786004

C/o-GAGAN KALITA, H.No.-118/08, Vill/Town-KATHALMURI, 025 NHM/SNRS/0685 ANAMIKA KALITA GAGAN KALITA P.O.-BAGHMARA BAZAR, P.S.-PATACHARKUCHI, Dist.- 17.10.2016 Barpeta, State-ASSAM, Pin-781328

C/o-RITU RAJ SARMA, H.No.-5A, Vill/Town-BYE LANE 2 , RODALIPATH , JONAK NAGAR , KAHILIPARA, P.O.- 026 NHM/SNRS/0085 ANEE PRADHAN JAKUB PRADHAN 17.10.2016 KAHILIPARA, P.S.-KAHILIPARA, Dist.-Kamrup Metro, State- ASSAM, Pin-781019

C/o-HEMANTA KATHAR, H.No.-11, Vill/Town-SATRIBARI ANGOM PROMILA ANGOM NINGTHOU 027 NHM/SNRS/0300 CHRISTIAN HOSPITAL KC ROAD, P.O.-REHABARI, P.S.- 17.10.2016 DEVI SING PALTANBAZAR, Dist.-Kamrup Metro, State-ASSAM, Pin-781008

C/o-Pratul Barman, H.No.-45, Vill/Town-bhabanipur kailash nagar 028 NHM/SNRS/0530 Angsusmita Barman Pratul Barman noonmati , P.O.-noonmati, P.S.-noonmati, Dist.-Kamrup 17.10.2016 Metro, State-Assam, Pin-781020 C/o-NOBIN BHENGRA, H.No.-0, Vill/Town-DIGHOLIA, P.O.- LATE MATHIUS 029 NHM/SNRS/0326 ANIMA BHENGRA DIGHOLIA, VIA - DIKOM, P.S.-TENGAGHAT, Dist.-Dibrugarh, 17.10.2016 BHENGRA State-ASSAM, Pin-786101 C/o-PRATAP CH SARMA, H.No.-44, Vill/Town-NAPTAPARA, P.O.- 030 NHM/SNRS/0603 ANIMA DEVI PRATAP CH SARMA HATIMARA, P.S.-SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin- 17.10.2016 784144 C/o-Kabiram Boro, H.No.-12, Vill/Town-Duligaon, P.O.- 031 NHM/SNRS/0614 Anita Boro Kabiram Boro Ranchaidham, P.S.-Basugaon, Dist.-Chirang, State-Assam, Pin- 17.10.2016 783372

C/o-REJINALD SUNIT KR. TIRKEY, H.No.-K420, Vill/Town- 032 NHM/SNRS/1525 ANITA KUJUR BARNABAS KUJUR KADAMONI KALIBARI ROAD, P.O.-DIBRUGARH, P.S.- 17.10.2016 DIBRUGARH, Dist.-Dibrugarh, State-ASSAM, Pin-786001

C/o-ANANTA PEGU, H.No.-21, Vill/Town-DELHOUSI, P.O.- 033 NHM/SNRS/0414 ANITA PEGU ANANTA PEGU 17.10.2016 GOHPUR, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin-784168

C/o-RABEN CHANDRA RAY, H.No.-59, Vill/Town-JAPEYA NITYANANDA 034 NHM/SNRS/1554 ANITA SARKAR PARA, P.O.-DOMPARA, P.S.-MANIKPUR, Dist.-, State- 17.10.2016 SARKAR Assam, Pin-783392 C/o-DHANESWAR INJAL, H.No.-181, Vill/Town-BAHTALA, P.O.- 035 NHM/SNRS/0887 ANJALI INJAL DHANESWAR INJAL DOPGURI, P.S.-KHETRI, Dist.-Kamrup Metro, State-ASSAM, Pin- 17.10.2016 782403

C/o-DILIP KUTUM, H.No.-12, Vill/Town-AMLAKHI KUTUM, P.O.- 036 NHM/SNRS/1904 ANJALI KUTUM DILIP KUTUM KANGKAN CHAPORI, P.S.-DHAKUAKHANA, Dist.-Lakhimpur, 17.10.2016 State-ASSAM, Pin-787055

C/o-BENEDICT LAKRA, H.No.-121, Vill/Town-2 NO. 037 NHM/SNRS/0679 ANJALI LAKRA BENEDICT LAKRA PIRAKATTA, P.O.-DHEKIAJULI, P.S.-DHEKIAJULI, Dist.- 17.10.2016 Sonitpur, State-ASSAM, Pin-784110

C/o-PRADIP NEOG, H.No.-SMQ 130/2, Vill/Town-CHABUA, P.O.- 038 NHM/SNRS/0561 ANJALI NEOG PRADIP NEOG 550A DSC PL, Att to Air force station, c/o 99APO, P.S.-CHABUA, 17.10.2016 Dist.-Dibrugarh, State-ASSAM, Pin-900635

C/o-SATRUGHANA RAJOWAR, H.No.-82, Vill/Town-UPPER 039 NHM/SNRS/0712 ANJALI RAJOWAR DUKHU RAJOWAR PANBARI, P.O.-UPPER PANBARI, P.S.-DHEKIAJULI, Dist.- 17.10.2016 Sonitpur, State-ASSAM, Pin-784110 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 2 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-KHAGEN SAIKIA, H.No.-OIL HOSPITAL NURSING HOSTEL, 040 NHM/SNRS/0858 ANJALI SAIKIA KHAGEN SAIKIA Vill/Town-DULIAJAN, P.O.-DULIAJAN, P.S.-DULIAJAN, Dist.- 17.10.2016 Dibrugarh, State-ASSAM, Pin-786602

C/o-RATNA KALITA, H.No.-, Vill/Town-CIVIL HOSPITAL LATE RAJESWAR 041 NHM/SNRS/1259 ANJANA KALITA CAMPUS BHALUKDUBI, P.O.-BHALUKDUBI, P.S.-GOALPARA, 17.10.2016 KALITA Dist.-Goalpara, State-ASSAM, Pin-783101

C/o-Surendra Narzari, H.No.-Nil, Vill/Town-Barbengera, P.O.- 042 NHM/SNRS/0325 ANJIMA NARZARI Surendra Narzari 17.10.2016 Kabirali, P.S.-Udalguri, Dist.-Udalguri, State-Assam, Pin-784525

C/o-SUREN DAIMARI, H.No.-, Vill/Town-KAHIBARI, P.O.- 043 NHM/SNRS/1261 ANJONI DAIMARI SUREN DAIMARI HARISINGA, P.S.-HARISINGA, Dist.-Udalguri, State-ASSAM, Pin- 17.10.2016 457810

C/o-Bipin Gowala, H.No.-0, Vill/Town-Horuderoi Gaon, P.O.-Rajmai, 044 NHM/SNRS/0381 Anju Gowala Bipin Gowala 17.10.2016 P.S.-Demow, Dist.-Sivasagar, State-Assam, Pin-785672

C/o-TILOK DEORI, H.No.-144, Vill/Town-NO 2 MOHONG DEORI 045 NHM/SNRS/1188 ANJUMANI DEORI SUMESWAR DEORI VILL BORDUMSA, P.O.-PURANI PUKHURI, P.S.-BORDUMSA, 17.10.2016 Dist.-Tinsukia, State-ASSAM, Pin-786174

C/o-PUTUL GOGOI, H.No.-NILL, Vill/Town-DUWARMARA 046 NHM/SNRS/1137 ANJUMONI GOGOI PUTUL GOGOI ADARSHA GAON, P.O.-PENGEREE, P.S.-PENGEREE, Dist.- 17.10.2016 Tinsukia, State-ASSAM, Pin-786174

C/o-KUNJALATA BANIYA, H.No.-3, Vill/Town-GUWAHATI, P.O.- ANKITA LAKSHMAN 047 NHM/SNRS/1659 FATASHIL AMBARI, P.S.-FATASHIL AMBARI, Dist.-Kamrup 17.10.2016 CHAKRABORTY CHAKRABORTY Metro, State-ASSAM, Pin-781025

C/o-ASWINI KR TAHBILDAR, H.No.-203, Vill/Town- ASWINI KR 048 NHM/SNRS/1251 ANKITA TAHBILDAR JOYMONGALA, P.O.-BARAZARA, P.S.-NALBARI, Dist.-Nalbari, 17.10.2016 TAHBILDAR State-ASSAM, Pin-781334 C/o-Gunadhar Das, H.No.-151, Vill/Town-Maz bagh mara, P.O.- 049 NHM/SNRS/0070 Ankumoni Das Gunadhar Das Burigang, P.S.-Biswanath Chariali, Dist.-Sonitpur, State-Assam, Pin- 17.10.2016 784176 C/o-ABDUL SALAM SHEIKH, H.No.-189, Vill/Town-VILL 050 NHM/SNRS/1007 ANOWARA KHATUN HABIBAR REZZAK DHARMASALA PT 5, P.O.-DHARMASALA, P.S.-DHUBRI, Dist.- 17.10.2016 Dhubri, State-ASSAM, Pin-783324 C/o-MR. ISHAN BASUMATARY, H.No.-521, Vill/Town- ANSUMWI ISHAN 051 NHM/SNRS/0060 BARNAGAON, P.O.-UDALGURI, P.S.-UDALGURI, Dist.-Udalguri, 17.10.2016 BASUMATARY BASUMATARY State-ASSAM, Pin-784509 C/o-SR.MARYJHON, H.No.-CHAPAGURI, Vill/Town- 052 NHM/SNRS/0634 ANUBHA DAS LATE JOGESH DAS CHAPAGURI, P.O.-DHALIGAON, P.S.-DHALIGAON, Dist.- 17.10.2016 Chirang, State-ASSAM, Pin-783380 C/o-Superintendent, SMCH, H.No.-12, Vill/Town-Nursing, Hostel, 053 NHM/SNRS/0183 ANUPAMA DAS Sudhi Ranjan Das P.O.-Ghungoor SMCH, P.S.-Silchar, Sadar, Dist.-Cachar, State- 17.10.2016 Assam, Pin-788014

C/o-Dulal Chandra Mandal, H.No.-House No. 144, Vill/Town- 054 NHM/SNRS/1005 Anuradha Barman Dulal Chandra Mandal Namghar Path, Nabajyotipur, Upper Hengrabari, P.O.-Hengrabari, 17.10.2016 P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781036

C/o-BINOD KUMAR CHETRI, H.No.-37, Vill/Town-PILLINGKATA 055 NHM/SNRS/0752 APARAJITA DEWRI GOLAP DEWRI ROAD NEAR SHIV MANDIR BAKRAPARA, P.O.-BASISTHA, 17.10.2016 P.S.-BASISTHA, Dist.-Kamrup Metro, State-ASSAM, Pin-781029

C/o-umakanti doley, H.No.-27, Vill/Town-lakhimi, P.O.- LATE GHANA KT 056 NHM/SNRS/0046 APPUN DOLEY jengraimukh(majuli), P.S.-jengraimukh, Dist.-, State-assam, Pin- 17.10.2016 DOLEY 785105 C/o-GAUTAM BRAHMA, H.No.-286, Vill/Town-JHARGAON, P.O.- 057 NHM/SNRS/0039 ARCHANA BRAHMA GAUTAM BRAHMA PASCHIM JHARGAON, P.S.-TAMULPUR, Dist.-Baksa, State- 17.10.2016 ASSAM, Pin-781367

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 3 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-AMBUL INDUAR, H.No.-32, Vill/Town-DIHINGHULLA, P.O.- 058 NHM/SNRS/1240 ARCHANA INDUAR AMBUL INDUAR DIHINGHULLA, P.S.-TENGAKHAT, Dist.-Dibrugarh, State- 17.10.2016 ASSAM, Pin-786101

C/o-MD NUR HUSSAIN, H.No.-82, Vill/Town-DANDUA 059 NHM/SNRS/1884 ARIFA BEGUM MD NUR HUSSAIN MAZGAON, P.O.-NIZ DANDUA, P.S.-MORIGAON, Dist.- 17.10.2016 Morigaon, State-ASSAM, Pin-782104 C/o-DHARMESWAR DAIMARI, H.No.-142, Vill/Town-DWIMU DHARMESWAR 060 NHM/SNRS/1034 ARLIN DAIMARI NWGWR, P.O.-UDALGURI, P.S.-UDALGURI, Dist.-Udalguri, State- 17.10.2016 DAIMARI ASSAM, Pin-784509 C/o-Tarini Daimary, H.No.-, Vill/Town-Pudum Pukhuri Gaon, P.O.- 061 NHM/SNRS/0072 Aruna Daimary Tarini Daimary Pudum Pukhuri, P.S.-Howraghat, Dist.-Karbi Anglong, State-Assam, 17.10.2016 Pin-782441 C/o-Tilok Ch. Gogoi, H.No.-Lahon Gaon, Vill/Town-Barbaruah Lahon 062 NHM/SNRS/1716 Arunima Gogoi Tilok Ch. Gogoi Gaon, P.O.-Barbaruah, P.S.-Barbaruah, Dist.-Dibrugarh, State-Assam, 17.10.2016 Pin-786007

C/o-DINESH GOALA, H.No.-BALIJAN NORTH TEA ESTATE, 063 NHM/SNRS/1103 ARUPA GOALA LATE PINKU GOALA Vill/Town-BALIJAN NORTH TEA ESTATE, P.O.-CHABUA, P.S.- 17.10.2016 CHABUA, Dist.-Dibrugarh, State-ASSAM, Pin-786184

C/o-JOGESH BORKAKOTY, H.No.-30, Vill/Town-KAMDEWAL, JOGESH 064 NHM/SNRS/0828 ASHA BORKAKOTY P.O.-KAMDEWAL, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, 17.10.2016 BORKAKOTY Pin-784169 C/o-SULTAN ALI, H.No.-200, Vill/Town-MAJAR GAON, P.O.- ASHMA SHAHIBAD 065 NHM/SNRS/0486 FERDUSH KHAN PATBAUSHI, P.S.-BARPETA, Dist.-Barpeta, State-Assam, Pin- 17.10.2016 KHAN 781301 C/o-ASROF ALI, H.No.-33, Vill/Town-GHORAMARA PATHAR, 066 NHM/SNRS/0058 ASIA KHATUN ASROF ALI P.O.-TUKRAPARA, P.S.-CHAYGAON, Dist.-Kamrup Rural, State- 17.10.2016 ASSAM, Pin-781136

C/o-ABDUR RAJAK CHOUDHURY, H.No.-114(A), Vill/Town- ASMA BEGOM ABDUR RAJAK 067 NHM/SNRS/0371 ALGAPUR PART-I, P.O.-KALIBARI BAZAR, P.S.-ALGAPUR, 17.10.2016 CHOUDHURY CHOUDHURY Dist.-Hailakandi, State-ASSAM, Pin-788150

C/o-RAHMAT ALI, H.No.-92, Vill/Town-GERUA MUKH, P.O.- 068 NHM/SNRS/0318 ASMA KHATUN RAHMAT ALI GARUA ATI BAZAR, P.S.-KHATOWAL, Dist.-Nagaon, State- 17.10.2016 ASSAM, Pin-782140 C/o-Mosharaf Hussain Prodhani, H.No.-200, Vill/Town-Balughat, Mosharaf Hussain 069 NHM/SNRS/1055 Asuma Khatun P.O.-RAVATARY, P.S.-SOUTH SALMARA, Dist.-Dhubri, State- 17.10.2016 Prodhani Assam, Pin-783127 C/o-Bethany Hospital Outreach, H.No.-, Vill/Town-Pahamsyiem 070 NHM/SNRS/0889 Athoi Panmei Katabi Panmei Nongpoh, P.O.-Nongpoh, P.S.-Nonpoh, Dist.-Ri bhoi, State- 17.10.2016 Meghalaya, Pin-793102 C/o-Atom Iboyaima Singh, H.No.-48, Vill/Town-Thoubal Bazar 071 NHM/SNRS/1047 Atom Monteshori Devi Atom Iboyaima Singh Makha, P.O.-Thoubal, P.S.-Thoubal, Dist.-Thoubal, State-Manipur, 17.10.2016 Pin-795138

C/o-Asraf Ali Ahmed, H.No.-108, Vill/Town-Talli Pt.-II, P.O.-Belguri, 072 NHM/SNRS/0665 AZIZA YESMIN Asraf Ali Ahmed 17.10.2016 P.S.-Agomani, Dist.-Dhubri, State-ASSAM, Pin-783335

C/o-DWIJEN BAISHYA, H.No.-247, Vill/Town-DANGARDI, P.O.- 073 NHM/SNRS/1012 BABITA BAISHYA DWIJEN BAISHYA ARIKUCHI, P.S.-MUKALMUA, Dist.-Nalbari, State-ASSAM, Pin- 17.10.2016 781339 C/o-KARUNA DOLEY, H.No.-17, Vill/Town-DIGHAL GARAH, BABYMADHAVI 074 NHM/SNRS/0258 CHENIRAM PEGU P.O.-BENGENAGARAH, P.S.-DHEMAJI, Dist.-Dhemaji, State- 17.10.2016 PEGU ASSSAM, Pin-787058

C/o-PYNSHNGAIN KHARMIH, H.No.-35, Vill/Town- PYNSHNGAIN 075 NHM/SNRS/1216 BALVARINA KSING KHLIEHSHNONG SOHRA, P.O.-SOHRA P.O, P.S.-SOHRA P.S, 17.10.2016 KHARMIH Dist.-EAST KHASI HILLS, State-MEGHALAYA, Pin-793111

C/o-Dr. Parag Barman, H.No.-35, Vill/Town-Guwahati, P.O.-Dispur, 076 NHM/SNRS/1717 Banalata Talukdar Kalpa Nath Talukdar 17.10.2016 P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781005

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 4 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-CHITRA BORA, H.No.-66, Vill/Town-AUGURI, P.O.- LATE PRASANTA 077 NHM/SNRS/0370 BANASHREE BORA BHURBANDHA, P.S.-MORIGAON, Dist.-Morigaon, State-ASSAM, 17.10.2016 BORA Pin-782104

C/o-Karuna Kanta Kalita, H.No.-191, Vill/Town-Khudradadhi, P.O.- 078 NHM/SNRS/0358 Banashree Kalita Karuna Kanta Kalita 17.10.2016 Geruah, P.S.-Hajo, Dist.-Kamrup Rural, State-Assam, Pin-781102

C/o-SOS village director sos children's village guwahati p.o_guwahati, 079 NHM/SNRS/1582 Bandana SOS village director H.No.-11, Vill/Town-Town, P.O.-Airport, P.S.-Azara, Dist.-Kamrup 17.10.2016 Metro, State-Assam, Pin-781015

C/o-sos children village guwahati airport mirzapur, H.No.-11, 080 NHM/SNRS/0146 BANDANA BORO sos director village Vill/Town-town, P.O.-airport, P.S.-azara, Dist.-Kamrup Metro, State- 17.10.2016 assam, Pin-781015 C/o-Kailash Brahma, H.No.-Near namghar, Vill/Town-Moran, P.O.- BANDANA SAPAN 081 NHM/SNRS/1018 Moran,Dikhari, P.S.-Moran, Dist.-Dibrugarh, State-ASSAM, Pin- 17.10.2016 CHAKRABORTY CHAKRABORTY 785675

C/o-Paban Pran Rabidas, H.No.-117, Vill/Town-Kujidah Bajor Chuk, 082 NHM/SNRS/1160 BANDANA RABIDAS Bijoy kumar Rabidas 17.10.2016 P.O.-Hatichong, P.S.-Jajari, Dist.-Nagaon, State-Assam, Pin-782142

C/o-Sri Hiranya Kumar Baishya, H.No.-AT/Unit-7/Type-V, Vill/Town- 083 NHM/SNRS/1051 Bandana Talukdar Sri Rameswar Talukdar Kahilipara (Power House Colony), P.O.-Kahilipara, P.S.-Dispur, Dist.- 17.10.2016 Kamrup Metro, State-Assam, Pin-781019

C/o-LT KULEN DEKA, H.No.-, Vill/Town-KHAGARABARI, P.O.- 084 NHM/SNRS/0689 BANDITA DEKA LT KULEN DEKA BARNAGAON, P.S.-UDALGURI, Dist.-Udalguri, State-ASSAM, Pin- 17.10.2016 784509 C/o-PRODIP KONWAR, H.No.-, Vill/Town-DALBIR SINGH DULESWAR 085 NHM/SNRS/0548 BARAKHA PHUKAN LOHAR PATH, P.O.-DIBRUGARH, P.S.-DIBRUGARH, Dist.- 17.10.2016 DEWDHAI PHUKAN Dibrugarh, State-ASSAM, Pin-786001 C/o-Manju Choudhury, H.No.-, Vill/Town-Panikhaiti, P.O.-Panikhaiti, 086 NHM/SNRS/1749 Barnali Choudhury Prabin Choudhury P.S.-Pragjyotishpur Police station, Dist.-Kamrup Metro, State-Assam, 17.10.2016 Pin-781026 C/o-LT KAMESWAR NATH, H.No.-6, Vill/Town-MADHUKUCHI, LT. KAMESWAR 087 NHM/SNRS/0482 BARNALI DEVI P.O.-MADHUKUCHI, P.S.-RANGIA, Dist.-Kamrup Rural, State- 17.10.2016 NATH ASSAM, Pin-781345

C/o-Bani Kanta Medhi, H.No.-177, Vill/Town-Mazdia, P.O.- 088 NHM/SNRS/0415 Barnali Medh Bani Kanta Medhi 17.10.2016 Chowkbazar, P.S.-Nalbari, Dist.-Nalbari, State-Assam, Pin-781334

C/o-SAMIR RANJAN SARKAR, H.No.-281/B, CENTRAL SAMIR RANJAN GOTANAGAR GUWAHATI-781011, Vill/Town- 089 NHM/SNRS/0582 BARNALI SARKAR 17.10.2016 SARKAR GUWAHATI, P.O.-MALIGAON, P.S.-JALUKBARI, Dist.-Kamrup Metro, State-ASSAM, Pin-781011

C/o-DILIP KR SARMAH, H.No.-31, Vill/Town-UPAHUPARA 3RD 090 NHM/SNRS/0402 BARSHA BHARDWAJ DILIP KR SARMAH COLONY INDUSTRIAL AREA, P.O.-MANGALDAI, P.S.- 17.10.2016 MANGALDAI, Dist.-Darrang, State-ASSAM, Pin-784125

C/o-WELSON BARLA, H.No.-1, Vill/Town-DUBI BASTI, P.O.- 091 NHM/SNRS/1039 BASANTI BARLA WELSON BARLA HARMOTI MERBIL, P.S.-LALUK, Dist.-Lakhimpur, State-ASSAM, 17.10.2016 Pin-784160 C/o-BIREN MAJHI, H.No.-46, Vill/Town-GORMARA PATHER, 092 NHM/SNRS/0405 BASANTI MAJI SUKRAM MAJI P.O.-GORMARA, P.S.-DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, 17.10.2016 Pin-784111 C/o-ABDUL LATIF SK, H.No.-21, Vill/Town-KALNOI, P.O.- 093 NHM/SNRS/0079 BASATON KHATUN ABDUL LATIF SK MEDORTARY, P.S.-FOKIRGANJ, Dist.-Dhubri, State-ASSAM, Pin- 17.10.2016 783330 C/o-BITUPAN NARAH, H.No.-NA, Vill/Town-VILL GAMCHUK, 094 NHM/SNRS/0637 BEAUTY BORUAH LEKHAN BORUAH P.O.-KHUBALIA, P.S.-DHEMAJI, Dist.-Dhemaji, State-ASSAM, Pin- 17.10.2016 787057 C/o-MR PRINCE MARAIYA, H.No.-20, Vill/Town-RAJABARI, P.O.- MR PRINCE 095 NHM/SNRS/0219 BEAUTY MARAIYA RAJABARI, P.S.-BORHOLLA, Dist.-Jorhat, State-ASSAM, Pin- 17.10.2016 MARAIYA 785631

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 5 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-HEMA KANTA PEGU, H.No.-HEMA KANTA PEGU, 096 NHM/SNRS/1923 BEAUTY PEGU HEMA KANTA PEGU Vill/Town-KATHAL GURI, P.O.-PIPALGURI, P.S.-SILAPATHAR, 17.10.2016 Dist.-Dhemaji, State-ASSAM, Pin-787059

C/o-DURGA TIRKEY, H.No.-LINE NO.1, Vill/Town-HALEM T.E, 097 NHM/SNRS/0668 BEAUTY TIRKEY DURGA TIRKEY P.O.-HALEM, P.S.-HALEM, Dist.-Sonitpur, State-ASSAM, Pin- 17.10.2016 784170 C/o-R.K,Swagiary, H.No.-Ward no-6, Near Sangrila school, Vill/Town- 098 NHM/SNRS/1224 Bebi Boro Gobinda Boro Hathimatha Bazar Road, P.O.-Kokrajhar, P.S.-Kokrajhar, Dist.- 17.10.2016 Kokrajhar, State-Assam, Pin-783370 C/o-FARIZ UDDIN AHMED, H.No.-406, Vill/Town-VILL NAYER BEGUM NAZIRA HAZI SHAMSER ALI 099 NHM/SNRS/0379 ALGA PART III, P.O.-NAYER ALGA, P.S.-BILASIPARA, Dist.- 17.10.2016 AHMED SARKAR Dhubri, State-ASSAM, Pin-783348

C/o-MISSION CHARIALI BAPTIST CHRISTIAN HOSPITAL, BELYNDA 100 NHM/SNRS/0625 LALDIN H.No.-0, Vill/Town-TEZPUR, P.O.-TEZPUR, P.S.-TEZPUR, Dist.- 17.10.2016 LALRINGKIM Sonitpur, State-Assam, Pin-784001

C/o-ANANCIA KULLU, H.No.-0180/138, Vill/Town-KHATKHATI 101 NHM/SNRS/1170 BERNA KULLU LOUIS KULLU KHARIA BASTI, P.O.-KHATKHATI, P.S.-BOKAJAN, Dist.-Karbi 17.10.2016 Anglong, State-ASSAM, Pin-782480

C/o-HILARUS EKKA, H.No.-157, Vill/Town-2 NO. RATANPUR, 102 NHM/SNRS/1178 BERNADETH EKKA HILARUS EKKA P.O.-LAKHIBARI, P.S.-MERAPANI, Dist.-Golaghat, State-ASSAM, 17.10.2016 Pin-785603 C/o-W/O DR. ANSUMAN HATIMURIA, H.No.-QTR NO. 439/III/A, BHAGYASHREE INDRA KANTA 103 NHM/SNRS/0788 Vill/Town-NAMRUP, P.O.-PARBATPUR, P.S.-NAMRUP, Dist.- 17.10.2016 GOGOI GOGOI Dibrugarh, State-ASSAM, Pin-786623 C/o-Jugal Choudhury, H.No.-48, Vill/Town-guwahati, mathura nagar, 104 NHM/SNRS/1929 Bhagyasri Chetia Mr. Munin Chetia kk handique path, P.O.-Dispur, P.S.-Dispur, Dist.-Kamrup Metro, 17.10.2016 State-assam, Pin-781006 C/o-RABI BARMAN, H.No.-2, Vill/Town-RUPNAGAR, DEKAGIRI 105 NHM/SNRS/1610 BHANITA BARMAN RABI BARMAN PATH, P.O.-INDRAPUR, P.S.-BIRUBARI, Dist.-Kamrup Metro, 17.10.2016 State-ASSAM, Pin-781032

C/o-BIREN DEKA, H.No.-597, Vill/Town-JANIGOG, P.O.- 106 NHM/SNRS/1474 BHANITA DEKA BIREN DEKA 17.10.2016 JANIGOG, P.S.-NALBARI, Dist.-Nalbari, State-ASSAM, Pin-781334

C/o-GOPAL PD. UPADHAYA, H.No.-1050, Vill/Town-DIGBOI, BHANU KALA GOPAL PD. 107 NHM/SNRS/0047 P.O.-DIGBOI, P.S.-DIGBOI, Dist.-Tinsukia, State-ASSAM, Pin- 17.10.2016 UPADHAYA UPADHAYA 786171 C/o-KALIRAM KALITA, H.No.-NA, Vill/Town-PACHARIA, P.O.- 108 NHM/SNRS/0776 BHANU KALITA KALIRAM KALITA PACHARIA, P.S.-HAJO, Dist.-Kamrup Rural, State-ASSAM, Pin- 17.10.2016 781104

BHANUSHRI BHAGABAN C/o-PRASANTA KAR, H.No.-122, Vill/Town-JAHAJGHAT, P.O.- 109 NHM/SNRS/0348 17.10.2016 CHOUDHURY CHOUDHURY TEZPUR, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-784001

BHANUSHRI BHAGABAN C/o-PRASANTA KAR, H.No.-122, Vill/Town-JAHAJGHAT, P.O.- 110 NHM/SNRS/0234 17.10.2016 CHOUDURY CHOUDHURY TEZPUR, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-784001

C/o-C/o. Kripamay Barman, H.No.-Opp. Delta Publicity, (Maa 111 NHM/SNRS/0972 Bhesh Kumari Chhetri Phata Bahadur Chhet ri Communication), Vill/Town-Dr. R P Road, P.O.-Sachibalaya, P.S.- 17.10.2016 Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781006

C/o-ARUN BARO, H.No.-360, Vill/Town-GELAIDINGI, P.O.- 112 NHM/SNRS/0081 BHUMITRA BARO ARUN BARO MENAPARA, P.S.-MANGALDAI, Dist.-Darrang, State-Assam, Pin- 17.10.2016 784146 C/o-JAGAT SARMAH, H.No.-124, Vill/Town-KENDUGURI, P.O.- 113 NHM/SNRS/0980 BIDISHA SARMAH JAGAT SARMAH JAP-JUP, P.S.-BIHPURIA, Dist.-Lakhimpur, State-ASSAM, Pin- 17.10.2016 784162 C/o-Mr. Amarendra Kalita, H.No.-6, Vill/Town-Gopal nagar, 114 NHM/SNRS/1215 BIJIT KALITA Amarendra kalita Noonmati, P.O.-Noonmati, P.S.-Noonmati, Dist.-Kamrup Metro, State- 17.10.2016 Assam, Pin-781020

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 6 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Keshab Borman, H.No.-121, Vill/Town-Tirolia, P.O.-Tengakhat, 115 NHM/SNRS/0669 BIJU BORMAN Keshab Borman 17.10.2016 P.S.-Tengakhat, Dist.-Dibrugarh, State-Assam, Pin-786103

C/o-GOLAP DEKA, H.No.-, Vill/Town-BHAKAT PARA, P.O.- 116 NHM/SNRS/0803 BIJU MANI DEKA GOLAP DEKA DALANG GHAT, P.S.-MANGALDOI, Dist.-Darrang, State-ASSAM, 17.10.2016 Pin-784528 C/o-SISTER MERYJHON, H.No.-, Vill/Town-CHAPAGURI, P.O.- 117 NHM/SNRS/0916 BIJULI DAIMARY MIKHEAL DAIMARY CHAPAGURI, P.S.-DHALIGAON, Dist.-Chirang, State-ASSAM, Pin- 17.10.2016 783380

C/o-JANMA PATIR, H.No.-, Vill/Town-DHENUDHARA, P.O.- 118 NHM/SNRS/0470 BIJUMONI PEGU DAMBARU PEGU 17.10.2016 GOHPUR, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin-784168

C/o-Baptist Christian Hospital, H.No.-B6, Vill/Town-Mission Charali, 119 NHM/SNRS/0714 Bimla Balmiki Pradeep Balmiki P.O.-Ketekibari, P.S.-Ketekibari, Dist.-Sonitpur, State-Assam, Pin- 17.10.2016 784001 C/o-Anand Mashi Demta, H.No.-, Vill/Town-Doria Village, P.O.- 120 NHM/SNRS/1022 Bina Rani Demta Anand Mashi Demta Digholia, P.S.-Dikom Via Dibrugarh, Dist.-Dibrugarh, State-Assam, 17.10.2016 Pin-786101 C/o-GANESH CHANDRA SAIKIA, H.No.-15, Vill/Town-1 NO. LATE KONBOP 121 NHM/SNRS/0802 BINAMAI BORUAH SONARI GAON WARD NO.15, P.O.-JORHAT, P.S.-JORHAT, Dist.- 17.10.2016 BORUAH Jorhat, State-ASSAM, Pin-785001 C/o-KUHIRAM HAZARIKA, H.No.-227, Vill/Town-Chengapara KUHIRAM 122 NHM/SNRS/0232 Binita Hazarika No1, P.O.-PATHARIGHAT, P.S.-SIPAJHAR, Dist.-Darrang, State- 17.10.2016 HAZARIKA ASSAM, Pin-784144 C/o-SISTER MARYJOHN, H.No.-, Vill/Town-CHAPAGURI, P.O.- 123 NHM/SNRS/0834 BINITA PYNGROPE BIJU RAI CHAPAGURI, P.S.-DHALIGAON, Dist.-Chirang, State-ASSAM, Pin- 17.10.2016 783380 C/o-VICTORIA TOPPO, H.No.-101, Vill/Town-DEOGHARIA 124 NHM/SNRS/0739 BINITA TOPPO LT HABIL TOPPO WARD NO 2, P.O.-DEOGHARIA, P.S.-TITABOR, Dist.-Jorhat, State- 17.10.2016 Assam, Pin-785630 C/o-ABHIJIT KUMAR BARUAH, H.No.-25, Vill/Town-BORBARI, Late Tankeswar 125 NHM/SNRS/0821 BIROZA HAZARIKA HENGRABARI, P.O.-HENGRABARI, P.S.-DISPUR, Dist.-Kamrup 17.10.2016 Hazarika Metro, State-ASSAM, Pin-781036 C/o-KUKIL CHANDRA MORAN, H.No.-222, Vill/Town- KUKIL CHANDRA 126 NHM/SNRS/0112 BOBITA MORAN NAZIRATING GAON, P.O.-KAKOJAN, P.S.-PHILLOBARI, Dist.- 17.10.2016 MORAN Tinsukia, State-ASSAM, Pin-786151

C/o-Sasadhar Gogoi, H.No.-899,Amar Kutir, Vill/Town-Boiragimath 127 NHM/SNRS/1025 Boby Gogoi Sasadhar Gogoi Alok Path, P.O.-Boiragimath, P.S.-Gabharupathar, Dist.-Dibrugarh, 17.10.2016 State-ASSAM, Pin-786001

LATE UMESHWAR C/o-BHUGADA DAS, H.No.-51, Vill/Town-CHUNGI, P.O.- 128 NHM/SNRS/0045 BONDITA DAS 17.10.2016 DAS CHUNGI, P.S.-TITABAR, Dist.-Jorhat, State-ASSAM, Pin-785616

C/o-Dhiren Chandra Logun, H.No.-84, Vill/Town-Christian patty 129 NHM/SNRS/0638 Bondita Logun Dhiren Chandra Logun Borbheta, P.O.-Borbheta, P.S.-Jorhat, Dist.-Jorhat, State-Assam, Pin- 17.10.2016 785004 C/o-PUSPA DAS, H.No.-269, Vill/Town-BORIGOAN, P.O.- 130 NHM/SNRS/0495 BONTI DAS PUSPA DAS DHALPUR, P.S.-NARAYANPUR, Dist.-Lakhimpur, State-ASSAM, 17.10.2016 Pin-784165

C/o-INTERNATIONAL HOSPITAL, H.No.-, Vill/Town- 131 NHM/SNRS/0354 BORNALI BORA MR TEPURAM BORA GUWAHATI,LOTUS TOWER,G.S ROAD, P.O.-GUWAHATI, P.S.- 17.10.2016 DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781005

C/o-SUNIL BORGOHAIN, H.No.-0, Vill/Town-ABHOYPURIA BORNALI 132 NHM/SNRS/0388 SUNIL BORGOHAIN GAON, P.O.-SILASAKU, P.S.-SIMLUGURI, Dist.-Sivasagar, State- 17.10.2016 BORGOHAIN ASSAM, Pin-785686 C/o-Mr. Parag Gogoi, H.No.-, Vill/Town-GNRC 133 NHM/SNRS/0120 Bornali Boruah Mr. Bogaai Boruah Hospital,Sixmile,Guwahati, P.O.-Khanapara, P.S.-Dispur, Dist.- 17.10.2016 Kamrup Metro, State-Assam, Pin-781022 C/o-Bireswar Chutia, H.No.-3, Vill/Town-Sissi Bhebeli Gaon, P.O.- 134 NHM/SNRS/0050 Bornali Chutia Punaram Chutia Sissi Borgaon, P.S.-Silapather, Dist.-Dhemaji, State-Assam, Pin- 17.10.2016 787110

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 7 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-KUMUD CHANDRA CHUTIA, H.No.-HAHKHATI NEAPLI KUMUD CHANDRA 135 NHM/SNRS/0856 BORNALI CHUTIA GAON, Vill/Town-HAHKHATI, P.O.-HAHKHATI, P.S.-DHOLLA, 17.10.2016 CHUTIA Dist.-Tinsukia, State-ASSAM, Pin-786154

C/o-ABONI KHAKHLARI, H.No.-41, Vill/Town-KACHARI BORNALI 136 NHM/SNRS/0852 ABONI KHAKHLARI PATHAR, P.O.-KACHARI PATHAR, P.S.-DULIAJAN, Dist.- 17.10.2016 KHAKHLARI Dibrugarh, State-ASSAM, Pin-786602 C/o-BIREN PHUKAN, H.No.-NA, Vill/Town-PANBARI, P.O.- 137 NHM/SNRS/1045 BORNALI PHUKAN BIREN PHUKAN BHIMPATHER, P.S.-DIGBOI, Dist.-Tinsukia, State-ASSAM, Pin- 17.10.2016 786171

C/o-BIKASH BORA, H.No.-NEXT TECH ZONE, CHANGMAI BORNALI PHUKAN BUDHESWAR COMPLEX #4, Vill/Town-SEGUNBARI, MARGHERITA, P.O.- 138 NHM/SNRS/0082 17.10.2016 BORA PHUKAN MARGHERITA, P.S.-MARGHERITA, Dist.-Tinsukia, State-ASSAM, Pin-786181

C/o-SUREN TACHA, H.No.-32, Vill/Town-BHOLABORI, P.O.- 139 NHM/SNRS/1077 BORSHA RANI TACHA SUREN TACHA BHOLABORI, P.S.-NARAYANPUR, Dist.-Lakhimpur, State- 17.10.2016 ASSAM, Pin-787033 C/o-Maa Hostel,Near Hari Mandir, H.No.-Hostel House No. 3, 140 NHM/SNRS/1328 BREINLIN M JYRWA Krowel Marbaniang Vill/Town-Dispur/Guwahati, P.O.-dispur, P.S.-kamrup, Dist.-Kamrup 17.10.2016 Metro, State-Assam, Pin-781006 C/o-GOLAP SAIKIA, H.No.-3B, Vill/Town-SOLOGURI BRISTI REKHA 141 NHM/SNRS/0245 GOLAP SAIKIA GARCHOWA, P.O.-KACHAGARAL, P.S.-JORHAT, Dist.-Jorhat, 17.10.2016 SAIKIA State-ASSAM, Pin-785010

C/o-A.G. nursing home, H.No.-Nil, Vill/Town-Jorhat, P.O.-Jorhat, 142 NHM/SNRS/0438 C. ANNIE C.Hmingthanga 17.10.2016 P.S.-Pulibor, Dist.-Jorhat, State-Assam, Pin-785001

C/o-Sumhrilthang Faihriem, H.No.-, Vill/Town-Muolhoi, P.O.- 143 NHM/SNRS/0758 cecilia Mansian Huai Paul Thanglian Pau 17.10.2016 Haflong, P.S.-Haflong, Dist.-Dima Hasao, State-Assam, Pin-788819

C/o-Late Ch. Balibabu Singha, H.No.-, Vill/Town-VILL. Late Ch. Balibabu 144 NHM/SNRS/0077 CH. LOIDAM SINGHA MODHOBPUR, P.O.-MADARIPAR, P.S.-LALA, Dist.-Hailakandi, 17.10.2016 Singha State-ASSAM, Pin-788163 C/o-MANIR UDDIN, H.No.-161, Vill/Town-NAKUCHI PATHER, 145 NHM/SNRS/1902 CHAINA KHATUN MANIR UDDIN P.O.-NAKUCHI PATHER, P.S.-BARPETA, Dist.-Barpeta, State- 17.10.2016 ASSAM, Pin-781352 C/o-NIPEN SAIKIA, H.No.-57, Vill/Town-SALAMARA GAON, P.O.- 146 NHM/SNRS/0910 CHAINIESH DOLEY LATE ARDA DOLEY KHATHOR GAON, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, 17.10.2016 Pin-784169

C/o-MONOJ KANTI ROY, H.No.-48/58, Vill/Town-WARD NO 14, LATE 147 NHM/SNRS/0268 CHAITALI ROY P.O.-LAKSHMISAHAR, P.S.-HAILAKANDI, Dist.-Hailakandi, State- 17.10.2016 MONORANJAN ROY ASSAM, Pin-788152

C/o-Zachrias Basumatary, H.No.-318, Vill/Town-No.1 Khagarabari CHAMPA 148 NHM/SNRS/0576 Zachrias Basumatary (Hatisar), P.O.-Deosiri, P.S.-Runikhata, Dist.-Chirang, State-Assam, 17.10.2016 BASUMATARY Pin-783375 C/o-BIJOY CH ROY, H.No.-145, WARD NO 8, Vill/Town-DHUBRI, CHANDANA BHUSON CH 149 NHM/SNRS/0351 P.O.-DHUBRI, P.S.-DHUBRI, Dist.-Dhubri, State-ASSAM, Pin- 17.10.2016 ADHIKARY ADHIKARY 783301 C/o-KANKAN TALUKDAR, H.No.-62, Vill/Town-RAYPUR, P.O.- 150 NHM/SNRS/0104 CHANDANA KALITA GANESH KALITA RAYPUR, P.S.-PATACHARKUCHI, Dist.-Barpeta, State-ASSAM, 17.10.2016 Pin-781325 C/o-UMESH PATHAK, H.No.-952, Vill/Town-CHENGA, P.O.- 151 NHM/SNRS/1558 CHANDRALI PATHAK UMESH PATHAK CHENGA, P.S.-TARABARI, Dist.-Barpeta, State-ASSAM, Pin- 17.10.2016 781305

C/o-BHAGIRATH KALITA, H.No.-1, Vill/Town-SRIMANTAPUR, 152 NHM/SNRS/1933 CHANDRIMA DAS NUMAL DAS NEAR SHANI MANDIR,, P.O.-PO: INDRAPUR, P.S.- 17.10.2016 BHANGAGARH, Dist.-Kamrup Metro, State-ASSAM, Pin-781032

C/o-TARANI KUMAR, H.No.-7, Vill/Town-KHEHENIPARA, P.O.- 153 NHM/SNRS/0839 CHAYANIKA KUMAR TARANI KUMAR BEZERA, P.S.-BAIHATA CHARIALI, Dist.-Kamrup Rural, State- 17.10.2016 ASSAM, Pin-781121 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 8 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Anil talukdar, H.No.-, Vill/Town-nanara, P.O.-karara, P.S.-baihata 154 NHM/SNRS/0411 chayanika talukdar Anil talukdar 17.10.2016 chariali, Dist.-Kamrup Rural, State-asaam, Pin-781381

C/o-RAJKUMAR PEGU, H.No.-45, Vill/Town-PANJABARI, KAILASH NAGAR (DONIPOLO), P.O.-BAGHARBORI, P.S.- 155 NHM/SNRS/0753 CHILA MILI LATE BIRASON MILI 17.10.2016 SATGAON (CHACHAL), Dist.-Kamrup Metro, State-ASSAM, Pin- 781037

C/o-RAJKUMAR PEGU, H.No.-45, Vill/Town-PANJABARI 156 NHM/SNRS/1625 CHILA MILI LATE BIRASON MILI KAILASH NAGAR BONI POLO, P.O.-BAGHARBARI, P.S.- 17.10.2016 SATGAON, Dist.-Kamrup Metro, State-ASSAM, Pin-781037

C/o-SAI KHEN PU, H.No.-42, Vill/Town-UPPER CACHAL VIP 157 NHM/SNRS/0648 CHING DEIHLIAN SAI KHEN PU ROAD, P.O.-KHANAPARA, P.S.-DISPUR, Dist.-Kamrup Rural, 17.10.2016 State-ASSAM, Pin-781022 C/o-SADEK ALI, H.No.-6, Vill/Town-SATHGAON, P.O.-VDYAN 158 NHM/SNRS/1217 CHING LIAN VUNG CHIN KHAN KAP VIHAR, P.S.-SATHGAON, Dist.-Kamrup Metro, State-ASSAM, Pin- 17.10.2016 781178 C/o-T khupchinthang, H.No.-10, Vill/Town-Vengnuam 159 NHM/SNRS/0767 CHING THIANNGAI T khupchinthang Debongkhunou, Jitibam, P.O.-Jiribam, P.S.-Jiribam, Dist.-Imphal 17.10.2016 East, State-Manipur, Pin-795116 C/o-LOKHRO, H.No.-36, Vill/Town-KAMRUP(M), P.O.- CHINGAKHAM CH.UMACHANDRA 160 NHM/SNRS/1285 HENGRABARI, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, 17.10.2016 DASUMATI DEVI SINGH Pin-781036 C/o-Jishu dey, H.No.-house no.-11, nilachal path, Vill/Town-odalbaka 161 NHM/SNRS/1050 chinghauvung S. khupkhanchin , lalganesh, P.O.-odalbakra, P.S.-dispur, Dist.-Kamrup Metro, State- 17.10.2016 assam, Pin-781034

C/o-TULARAM KOCH, H.No.-NEAR LAKHMI MANDIR OPPT. CHINGNGAIHDON 162 NHM/SNRS/0095 TULARAM KOCH NAMGHAR, Vill/Town-BONDA NARENGI, P.O.-BONDA, P.S.- 17.10.2016 KOCH PANIKHAITI, Dist.-Kamrup Metro, State-ASSAM, Pin-781026

C/o-Mr. Parama nanda Baruah, H.No.-, Vill/Town-Seujpur, 163 NHM/SNRS/0963 Chinmoyee Baruah Parama nanda Baruah Gogamukh, P.O.-Gogamukh, P.S.-Gogamukh, Dist.-Dhemaji, State- 17.10.2016 Assam, Pin-787034

C/o-CHONGTHAM ARCHANA DEVI, H.No.-AGILE HOSPITAL, CHONGTHAM CHONGTHAM 164 NHM/SNRS/1290 Vill/Town-JAYANAGAR CHARIALI, P.O.-KHANAPARA, P.S.- 17.10.2016 ARCHANA DEVI BINOY SNGH KHANAPARA, Dist.-Kamrup Rural, State-ASSAM, Pin-781009

C/o-PRINCE ABRAHAM MARAIYA, H.No.-157, Vill/Town- PRINCE ABRAHAM 165 NHM/SNRS/1091 DAISY MARAIYA BORHOLLA RAJABARI, P.O.-RAJABARI BORHULLA, P.S.- 17.10.2016 MARAIYA BORHOLLA, Dist.-Jorhat, State-ASSAM, Pin-785631

C/o-NARENDRA BASUMATARY, H.No.-19, Vill/Town- DAORAI NARENDRA 166 NHM/SNRS/1024 NAGACHUBA, P.O.-PACHIMPATALA, P.S.-PANERY, Dist.- 17.10.2016 BASUMATARY BASUMATARY Udalguri, State-ASSAM, Pin-784526 C/o-ATUL DUARAH, H.No.-9, Vill/Town-BAMUNBARI GAON, DEBALAKHMI 167 NHM/SNRS/0115 ATUL DUARAH P.O.-CHIRAKHUNDA, P.S.-AMGURI, Dist.-Sivasagar, State- 17.10.2016 DUARAH ASSAM, Pin-785666

C/o-TAPASH PAUL, H.No.-233508, Vill/Town- 168 NHM/SNRS/0864 DEBARATI PAUL TAPASH PAUL BARDOWALI,TALTALLA, P.O.-A.D.NAGAR, P.S.-A.D.NAGAR, 17.10.2016 Dist.-WEST TRIPURA, State-WEST TRIPURA, Pin-799003

C/o-SHIVA DOLEY, H.No.-, Vill/Town-1 NO MAJULIPUR, P.O.- 169 NHM/SNRS/0004 DEBESWARI PEGU HEM CH. PEGU LAIMEKURI, P.S.-JONAI, Dist.-Dhemaji, State-ASSAM, Pin- 17.10.2016 787060 C/o-DEBI DEB, H.No.-198, Vill/Town-KADAMTALA, P.O.- LATE BHOBOTOSH 170 NHM/SNRS/0228 DEBOSHREE DEB KADAMTALA, P.S.-RAMKRISHNA NAGAR, Dist.-Karimganj, 17.10.2016 DEB State-ASSAM, Pin-788166 C/o-JUGEN KHARIA, H.No.-129, Vill/Town-DEBRAPARA 171 NHM/SNRS/0827 DEEPIKA KHARIA JUGEN KHARIA BALIJAN, P.O.-NAKACHARI, P.S.-NAKACHARI, Dist.-Jorhat, 17.10.2016 State-ASSAM, Pin-785001

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 9 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-ANIL KALITA, H.No.-165, Vill/Town-BATHAN, 172 NHM/SNRS/1247 DEEPSIKHA KALITA ANIL KALITA KALITAPARA, P.O.-DUMUNICHOWKI, P.S.-BAIHATA- 17.10.2016 CHARIALI, Dist.-Kamrup Rural, State-ASSAM, Pin-781121

C/o-DINASH HEMROM, H.No.-, Vill/Town-1 NO PATIA PATHER, 173 NHM/SNRS/0552 DEVAJANI HEMROM DINASH HEMROM P.O.-TINSUKIA, P.S.-TINSUKIA, Dist.-Tinsukia, State-ASSAM, Pin- 17.10.2016 786125

HEMA KANTA C/o-HEMA KANTA DEORI, H.No.-65, Vill/Town-sivasagar, P.O.- 174 NHM/SNRS/0664 DEVARANI DEORI 17.10.2016 DEORI Tengapani, P.S.-Demow, Dist.-Sivasagar, State-Assam, Pin-785671

C/o-NAGEN SAIKIA, H.No.-76, Vill/Town-BARKUMARPARA, 175 NHM/SNRS/1890 DHANADA DEKA DHANESWAR DEKA P.O.-PATHARIGHAT, P.S.-SIPAJHAR, Dist.-Darrang, State- 17.10.2016 ASSAM, Pin-784144 C/o-BISWAJIT MEDHI, H.No.-40, Vill/Town-KAMRUP METRO, LATE NRIPENDRA 176 NHM/SNRS/0542 DHANJITA MEDHI P.O.-DISPUR, P.S.-HATIGAON, Dist.-Kamrup Metro, State- 17.10.2016 NATH MEDHI ASSAM, Pin-781038

C/o-MR PURNA KONWAR, H.No.-, Vill/Town-KOTOHA MR PURNA 177 NHM/SNRS/1653 DHANTI KONWAR NAGAON, P.O.-KOTOHA BALIGAON, P.S.-BORBARUAH, Dist.- 17.10.2016 KONWAR Dibrugarh, State-ASSAM, Pin-785676

C/o-JITUL PATRA, H.No.-188, Vill/Town-BANIPUR DHEKERI LATE JIBAN 178 NHM/SNRS/0896 -DIMPEE BARUAH GAON, P.O.-BANIPUR, P.S.-DIBRUGARH, Dist.-Dibrugarh, State- 17.10.2016 BARUAH ASSAM, Pin-786003 C/o-PIJU BORAH, H.No.-NA ALI CHRISTIAN GAON, Vill/Town- 179 NHM/SNRS/0334 DIMPI BORAH PIJU BORAH SIVASAGAR, P.O.-SIVASAGAR, P.S.-SIVASAGAR, Dist.- 17.10.2016 Sivasagar, State-ASSAM, Pin-785640 C/o-MR. DHURBA JYOTI SAIKIA, H.No.-118, Vill/Town-2 NO. LATE RAJANI 180 NHM/SNRS/0192 DIMPI DHEKIAL RANGAGARA, P.O.-LILAPUR, P.S.-BHADOI PANCHALI, Dist.- 17.10.2016 DHEKIAL Dibrugarh, State-ASSAM, Pin-786191 C/o-Mr.Anil Bhengra, H.No.-19, Vill/Town-No.4 181 NHM/SNRS/1145 Dipali Bhengra Mr.Anil Bhengra Shantipur,Chungajan, P.O.-Chungajan, P.S.-Chungajan, Dist.- 18.10.2016 Golaghat, State-Assam, Pin-785601 C/o-MANIK CHANDRA DOHOTIA, H.No.-SIPAHI GAON, LATE HEMADHAR 182 NHM/SNRS/1171 DIPALI BORGOHAIN Vill/Town-SIPAHI GAON, P.O.-JOYSAGAR, P.S.-JOYSAGAR, 18.10.2016 BORGOHAIN Dist.-Sivasagar, State-ASSAM, Pin-785640

C/o-Mr Khagen das, H.No.-, Vill/Town-Kowari gaon, P.O.-Bangara, 183 NHM/SNRS/1211 Dipali das Mr Khagen das 18.10.2016 P.S.-Azara, Dist.-Kamrup Metro, State-ASSAM, Pin-781015

C/o-RAJBI DAS, H.No.-H NO 35, Vill/Town-NARAKASUR HILL DIPAMONI PADMADHAR 184 NHM/SNRS/1147 TOP , HASTINAPUR, P.O.-INDRAPUR, P.S.-BHANGAGARH, 18.10.2016 CHOUDHURY CHOUDHURY Dist.-Kamrup Metro, State-ASSAM, Pin-781032

C/o-AMULYA SHARMA, H.No.-51, Vill/Town-DWARAKA LATE LAKSHMI 185 NHM/SNRS/0418 DIPANDITA KALITA NAGAR, NAMGARH PATH, GUWAHATI, P.O.-KHANAPARA, 18.10.2016 KANTA KALITA P.S.-KHANAPARA, Dist.-Kamrup Metro, State-ASSAM, Pin-781022

C/o-JOTIN PEGU, H.No.-27, Vill/Town-NO. 1 ARAIMORA 186 NHM/SNRS/1159 DIPANDITA PEGU JOTIN PEGU VILLAGE, P.O.-JONAI, P.S.-JONAI, Dist.-Dhemaji, State-ASSAM, 18.10.2016 Pin-787060 C/o-SUCHIRAM CHUNGKRANG, H.No.-133, Vill/Town-LAMA DIPIKA SUCHIRAM 187 NHM/SNRS/0055 BORGORAH GOAN, P.O.-CHIMENMUKH, P.S.-SILAPATHAR, 18.10.2016 CHUNGKRANG CHUNGKRANG Dist.-Dhemaji, State-ASSAM, Pin-787059

C/o-HEMANTA KUMAR DUARAH, H.No.-BYLAND 12, HEMANTA KUMAR PRAGATI NAGAR, Vill/Town-SATGAON, GUWAHATI, P.O.- 188 NHM/SNRS/1487 DIPIKA DUARAH 18.10.2016 DUARAH UDAYAN VIHAR, P.S.-SATGAON POLICE STATION, Dist.- Kamrup Metro, State-ASSAM, Pin-781171

C/o-Sudheswar Phukan, H.No.-118, Vill/Town-Kotoha Nogaon, P.O.- 189 NHM/SNRS/0766 Dipika Phukan Sudheswar Phukan 18.10.2016 Baligaon, P.S.-Borboruah, Dist.-Dibrugarh, State-Assam, Pin-785676

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 10 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-MR NIRANJAN GOGOI, H.No.-81A, Vill/Town-BAMPATHER MR NIRANJAN 190 NHM/SNRS/0629 DIPSIKHA GOGOI GAON, P.O.-RAJABHETA, P.S.-BORBORUAH, Dist.-Dibrugarh, 18.10.2016 GOGOI State-ASSAM, Pin-786008

C/o-NOYON HEMROM, H.No.-219, Vill/Town-HATHKHULA 191 NHM/SNRS/1233 DIPSIKHA MURMU DIMBULAL MURMU BONGALI GAON, P.O.-CHABUA, P.S.-CHABUA, Dist.-Dibrugarh, 18.10.2016 State-ASSAM, Pin-786184

C/o-Prakash Doley, H.No.-Ward No-2, Vill/Town-Kalyanpur, P.O.- 192 NHM/SNRS/0142 Dipti Noroh Hari Chandra Noroh 18.10.2016 Bokakhat, P.S.-Bokakhat, Dist.-Golaghat, State-Assam, Pin-785612

C/o-MOHENDRA PEGU, H.No.-20, Vill/Town-1 NO. DAHGHARIA 193 NHM/SNRS/1909 DIPTI PEGU MOHENDRA PEGU GAON, P.O.-BADATI JAMUGURI, P.S.-BIHPURIA, Dist.- 18.10.2016 Lakhimpur, State-ASSAM, Pin-784162 C/o-BALEN RAJBONGSHI, H.No.-934, Vill/Town-MALAYBARI, BALEN 194 NHM/SNRS/1016 DIPTI RAJBONGSHI P.O.-MALAYBARI, P.S.-KHETRI, Dist.-Kamrup Metro, State- 18.10.2016 RAJBONGSHI ASSAM, Pin-782403 C/o-Himangshu Bihari Brahma, H.No.-, Vill/Town-kharadhara { 195 NHM/SNRS/0391 Dipti Swargiary Bineswar Baro odalguri }, P.O.-Baramchari, P.S.-Patacharkuchi, Dist.-Barpeta, State- 18.10.2016 Assam, Pin-781355

C/o-MR. BAPARAM GOGOI, H.No.-13,, Vill/Town-GATANGA, MR. BAPARAM 196 NHM/SNRS/1180 DIPTIMONI GOGOI SUKLESWAR NAGAR,, P.O.-BALIPUKHURI TINIALI,, P.S.- 18.10.2016 GOGOI BEBEZIA,, Dist.-Sonitpur, State-ASSAM, Pin-784154

C/o-Mrs Nilu Dey., H.No.-Ward no "A"., Vill/Town-Chabua Town., 197 NHM/SNRS/0793 DOLI DEY Late Bijoy Kumar Dey P.O.-Chabua., P.S.-Chabua., Dist.-Dibrugarh, State-Assam, Pin- 18.10.2016 786184 C/o-DIMBESWAR WARY, H.No.-1, Vill/Town-GOGAMUKH 198 NHM/SNRS/0838 DOLINA WARY DIMBESWAR WARY GAON, P.O.-GOGAMUKH, P.S.-GOGAMUKH, Dist.-Dhemaji, State- 18.10.2016 ASSAM, Pin-787034 C/o-NATINDRA BASUMATARY, H.No.-143, Vill/Town-PUB DRAYA NATINDRA 199 NHM/SNRS/0099 BALIGAON, P.O.-GOGAMUKH, P.S.-GOGAMUKH, Dist.- 18.10.2016 BASUMATARY BASUMATARY Dhemaji, State-ASSAM, Pin-787034 C/o-SARBANANDA LAHON, H.No.-137, Vill/Town-NAZIRA 200 NHM/SNRS/0982 DRISTY BORGOHAIN JEET BORGOHAIN LAKHIMI ALI, P.O.-NAZIRA, P.S.-NAZIRA, Dist.-Sivasagar, State- 18.10.2016 ASSAM, Pin-785685

C/o-METRON, GMCH, H.No.-METRON OFFICE, GMCH, DURGAMAYA NANDA BAHADUR 201 NHM/SNRS/1166 Vill/Town-GUWAHATI, P.O.-INDRAPUR, P.S.-BHANGAGARH, 18.10.2016 LIMBOO LIMBOO Dist.-Kamrup Metro, State-ASSAM, Pin-781032

C/o-SOLACE HOSPITA & RCS (P) LTD, H.No.-AGIA ROAD, E. MOHESHORE 202 NHM/SNRS/0505 E. IBEMLEI DEVI Vill/Town-B.O.C, P.O.-BALADMARI, P.S.-GOALPARA, Dist.- 18.10.2016 SINGHA Goalpara, State-ASSAM, Pin-783121

C/o-BRAHMAPUTRA DIAGNOSTIC & HOSPITAL LTD, H.No.-, EKTA SUJANMIT 203 NHM/SNRS/1816 PRADIP TAKRI Vill/Town-DIBRUGARH, P.O.-JALAN NAGAR, P.S.-BORBARI, 18.10.2016 TAKRI Dist.-Dibrugarh, State-ASSAM, Pin-786005

C/o-NAREN DEKA, H.No.-H NO-82, Vill/Town-BHELAPARA, P.O.- 204 NHM/SNRS/1502 ELAMANI DEKA NAREN DEKA ROWTA CHARIALI, P.S.-UDALGURI, Dist.-Udalguri, State- 18.10.2016 ASSAM, Pin-784508

C/o-Biswajit Chakraborty, H.No.-14-1-B (Swamiji Apratment) Flat Elangbam Sunita Elangbam Somorendro 205 NHM/SNRS/0883 No. 102, Vill/Town-Swamiji Road, Itkhola, Silchar, P.O.-Silchar, P.S.- 18.10.2016 Chakraborty Singh Silchar sadar, Dist.-Cachar, State-Assam, Pin-788001

C/o-MR HARNARAYAN ROY, H.No.-80A, Vill/Town- ELANGBAN SUMILA E.RADHESHYAM 206 NHM/SNRS/0745 BARBARI,RONGBONG POTH, P.O.-HENGRABARI, P.S.-DISPUR, 18.10.2016 DEVI SINGH Dist.-Kamrup Metro, State-ASSAM, Pin-781036 C/o-MUSTAFIZUR RAHMAN, H.No.-NA, Vill/Town-KATIMARI LATE ABUL 207 NHM/SNRS/0132 ELEMA PARBIN GRANT, P.O.-HERAPATI, P.S.-SADAR, Dist.-Nagaon, State- 18.10.2016 KASHEM ASSAM, Pin-782002

C/o-SANJAY TOPNO, H.No.-NAHARKATIA, Vill/Town- 208 NHM/SNRS/0336 ELGIN TOPNO SANJAY TOPNO NAHARKATIA, P.O.-NAHARKATIA, P.S.-NAHARKATIA, Dist.- 18.10.2016 Dibrugarh, State-ASSAM, Pin-786610 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 11 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-BENANCIUS KULLU, H.No.-135, Vill/Town-NO. 2 209 NHM/SNRS/0103 ELIMA KULLU BENANCIUS KULLU PODUMONI, P.O.-SARUPATHAR, P.S.-SARUPATHAR, Dist.- 18.10.2016 Golaghat, State-ASSAM, Pin-785601

C/o-Mr. N Gogoi, H.No.-100, Vill/Town-Rukmini nagar, P.O.-Dispur, 210 NHM/SNRS/0516 Elina Ekka Mr. Benedict Ekka 18.10.2016 P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781006

C/o-Elizabeth Dhan, H.No.-, Vill/Town-Harmutty tea estate, P.O.- 211 NHM/SNRS/1637 Elizabeth Dhan Late.Joseph Dhan 18.10.2016 Laluk, P.S.-Laluk, Dist.-Lakhimpur, State-Assam, Pin-784160

C/o-LATE SUKUMAR HAZARIKA, H.No.-84, Vill/Town- LATE SUKUMAR 212 NHM/SNRS/1862 ELVINA HAZARIKA BANBARIA, P.O.-BHELLA, P.S.-BARPETA, Dist.-Barpeta, State- 18.10.2016 HAZARIKA ASSAM, Pin-781309 C/o-MERCY HOSPITAL, H.No.-22, Vill/Town-ISLAMPATTY, P.O.- 213 NHM/SNRS/0670 EMIKA WAR POLYNARIUS BIAM HAIBARGAON, P.S.-SADAR, Dist.-Nagaon, State-ASSAM, Pin- 18.10.2016 782002 C/o-LALTLANGLIEN KHAWBUNG, H.No.-82, Vill/Town-DIGAR VANLALNGAI 214 NHM/SNRS/1736 EMILY LALNUNTHAR COMPOUND, P.O.-FULLERTOL, P.S.-FULLERTOL, Dist.-Cachar, 18.10.2016 PAKHUONGTE State-ASSAM, Pin-788106 EMMANUEL C/o-R. K. NGENTE, H.No.-79, Vill/Town-MUOLHO,I HAFLONG, 215 NHM/SNRS/1020 LALDINTHAR R K NGENTE P.O.-HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao, State-ASSAM, 18.10.2016 NGENTE Pin-788819 C/o-NAYAN DAIMARI, H.No.-40, Vill/Town-DUMORUGURI, P.O.- 216 NHM/SNRS/0569 ERA DAIMARI NAYAN DAIMARI KABIRALI, P.S.-KALAIGAON, Dist.-Udalguri, State-ASSAM, Pin- 18.10.2016 784525 C/o-MATIAS KAWA, H.No.-HAPJAN, Vill/Town-HAPJAN 217 NHM/SNRS/0550 ESTER KAWA MATIAS KAWA PURBAT TE, P.O.-PARBATPUR, P.S.-NAMRUP, Dist.-Dibrugarh, 18.10.2016 State-ASSAM, Pin-786623 C/o-GAJEN DAS, H.No.-4, Vill/Town-NAYANPUR GUWAHATI, 218 NHM/SNRS/0899 ESTHER KAMSUAN Gaithailung Kamsuan P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin- 18.10.2016 781006

C/o-SATRIBARI CHRISTIAN HOSPITAL, H.No.-CHATRIBARI, 219 NHM/SNRS/1621 EZRA DAIMARY LT ROBI DAIMARY Vill/Town-CHATRIBARI, P.O.-PANBAZAR, P.S.-PANBAZAR, 18.10.2016 Dist.-Kamrup Metro, State-ASSAM, Pin-781001

C/o-JOYNAL ABDIN, H.No.-154, Vill/Town-DONGRA, P.O.- HASSAN ALI 220 NHM/SNRS/1195 FARIDA AHMED DHAKUA, P.S.-BARPETA, Dist.-Barpeta, State-ASSAM, Pin- 18.10.2016 AHMED 781309

C/o-SAFURA BEGAM CHOUDHURY, H.No.-73, Vill/Town- FARIDA BEGAM LATE ALA UDDIN 221 NHM/SNRS/0812 KALINAGAR PART-V, P.O.-KALINAGAR, P.S.-ALGAPUR, Dist.- 18.10.2016 CHOUDHURY CHOUDHURY Hailakandi, State-ASSAM, Pin-788801

C/o-LUKMAN ALI BARBHUIYA, H.No.-30, Vill/Town-DAKSHIN FATIMA BEGUM LUKMAN ALI 222 NHM/SNRS/0526 MOHANPUR PART-V, P.O.-KACHUDARAM, P.S.- 18.10.2016 BARBHUIYA BARBHUIYA KACHUDARAM, Dist.-Cachar, State-ASSAM, Pin-788119

C/o-BASIR UDDIN LASKAR, H.No.-236, Vill/Town- FATIMA BEGUM BASIR UDDIN 223 NHM/SNRS/0288 NITYANANDAPUR PART- I, P.O.-NITYANANDAPUR, P.S.- 18.10.2016 LASKAR LASKAR LALA, Dist.-Hailakandi, State-ASSAM, Pin-788168 C/o-ABDUR RAZZAQUE, H.No.-437, Vill/Town-HALDHIA GAON, 224 NHM/SNRS/1950 FATIMA NARGIS ABDUR RAZZAQUE P.O.-GHUGUBARI, P.S.-KALGACHIA, Dist.-Barpeta, State- 18.10.2016 ASSAM, Pin-781319

C/o-G. JOYANTI MISRA, H.No.-HOUSE 107, Vill/Town- LATE G. KAMDEV 225 NHM/SNRS/0066 G. SANGITA MISRA LAKHIPUR PURNAGRAM WARD NO. 9, P.O.-LAKHIPUR, P.S.- 18.10.2016 MISRA LAKHIPUR, Dist.-Cachar, State-ASSAM, Pin-788103

C/o-SISTER GAILU VALLEY HOSIPTAL, H.No.-VALLEY 226 NHM/SNRS/0513 GAILULIU KAMEI GAIKHUANLUNG HOSPITAL, Vill/Town-SILCHAR, P.O.-MEHERPUR, P.S.- 18.10.2016 SILCHAR, Dist.-Cachar, State-ASSAM, Pin-788015

C/o-R.K. Nath, H.No.-204, Vill/Town-Kusumtola, P.O.-Kusumtola, 227 NHM/SNRS/1130 Gayatri Devi R.K. Nath 18.10.2016 P.S.-Jamugurihat, Dist.-Sonitpur, State-ASSAM, Pin-784189

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 12 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-MR SANTANU , H.No.-8, Vill/Town-DIBRUGARH, MR SANTANU 228 NHM/SNRS/1623 GAYATRI GOSWAMI P.O.-C.R. BUILDING, P.S.-MILAN NAGAR OUTPOST, Dist.- 18.10.2016 GOSWAMI Dibrugarh, State-ASSAM, Pin-786001

C/o-BAL BAHADUR GURUNG, H.No.-56, Vill/Town-VILL BAL BAHADUR 229 NHM/SNRS/1080 GAYATRI GURUNG KOIDORBARTA DALANI, P.O.-KOIDORBARTA DALANI, P.S.- 18.10.2016 GURUNG DEMOW, Dist.-Sivasagar, State-ASSAM, Pin-708654

C/o-OLI PHUKAN, H.No.-234, Vill/Town-JUNAKI PATH, JOYCHANDRA 230 NHM/SNRS/1229 GAYATRI HANDIQUE JAPORIGOG, P.O.-JAPORIGOG, P.S.-DISPUR, Dist.-Kamrup 18.10.2016 HANDIQUE Metro, State-ASSSAM, Pin-781005 C/o-Mr Paesh how Bora, H.No.-no, Vill/Town-Gorehaga Sonari, P.O.- 231 NHM/SNRS/0184 Gayatri How Bora Mr Paesh how Bora Azad, P.S.-NORTH LAKHIMPUR, Dist.-Lakhimpur, State-ASSAM, 18.10.2016 Pin-787001 C/o-NIRMAL RAJKHOWA, H.No.-33, Vill/Town-LUNPURIA NIRMAL 232 NHM/SNRS/0837 GAYATRI RAJKHOWA GAON, P.O.-BORHOLLA, P.S.-GHILADHARI, Dist.-Golaghat, State- 18.10.2016 RAJKHOWA ASSAM, Pin-785631 C/o-PROBIN SAIKIA, H.No.-199, Vill/Town-KHARGHORIA 233 NHM/SNRS/0962 GAYATRI SAIKIA PROBIN SAIKIA GAON, P.O.-ROBI GAON, P.S.-TEOK, Dist.-Jorhat, State-ASSAM, 18.10.2016 Pin-785683 C/o-RUBUL TAMULY, H.No.-DHEPOR GAON, Vill/Town- 234 NHM/SNRS/0393 GAYATRI TAMULY RUBUL TAMULY DHEPOR GAON, P.O.-NAMTIDOLL, P.S.-HALUATING, Dist.- 18.10.2016 Sivasagar, State-ASSAM, Pin-785684

C/o-SAMMAR PRASAD UPADHYAYA, H.No.-189, Vill/Town- BHIM PRASAD 235 NHM/SNRS/0491 GEETA BANSKOTA GOLAI NO2, NEAR DPS SCHOOL, DIGBOI, P.O.-GOLAI, P.S.- 18.10.2016 BANSKOTA DIGBOI, Dist.-Tinsukia, State-ASSAM, Pin-786171

C/o-GHANASHYAM BORGOHAIN, H.No.-WARD NO -07, GHANASHYAM MUKHESWAR Vill/Town-MADHUPUR, P.O.-BISWANATH CHARIALI, P.S.- 236 NHM/SNRS/0571 18.10.2016 BORGOHAIN BORGOHAIN BISWANATH CHARIALI, Dist.-Sonitpur, State-ASSAM, Pin- 784176

C/o-Puspa Kanta Bora, H.No.-5, Vill/Town-Dispur, P.O.-Dispur, P.S.- 237 NHM/SNRS/0207 Gin Ngaih Lun T Gin Za Dong 18.10.2016 Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781006

C/o-GHANA SAIKIA, H.No.-20, Vill/Town-BALIA CHAPORI 238 NHM/SNRS/0108 GITA SAIKIA GHANA SAIKIA GAON, P.O.-KACHAMARI, P.S.-MERAPANI, Dist.-Golaghat, State- 18.10.2016 ASSAM, Pin-785705

C/o-Jatindra Sarma, H.No.-215, Vill/Town-Tihu town 2no ward, P.O.- 239 NHM/SNRS/0267 GITALI DEVI Mr. Jatindar Sarma 18.10.2016 Tihu, P.S.-Tihu, Dist.-Nalbari, State-Assam, Pin-781371

C/o-Bitu khanikar, H.No.-26, Vill/Town-Bapapung No 2 digboi, P.O.- 240 NHM/SNRS/0946 Gitali Gogoi Minaram Gogoi 18.10.2016 Bhimpather, P.S.-Digboi, Dist.-Tinsukia, State-Assam, Pin-786171

C/o-MUHIDHAR GOGOI, H.No.-, Vill/Town-DUBIA PATHAR, 241 NHM/SNRS/1863 GITANJALI GOGOI MUHIDHAR GOGOI P.O.-DUBIA, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin- 18.10.2016 784178

C/o-PARAG KHANIKAR, H.No.-45, Vill/Town-NAZIRA LIGIRI GITANJALI 242 NHM/SNRS/0920 PARAG KHANIKAR PUKHURI KHANIKAR GAON, P.O.-LIGIRIPUKHURI, P.S.- 18.10.2016 KHANIKAR NAZIRA, Dist.-Sivasagar, State-ASSAM, Pin-785685

C/o-MR DEVAJIT BORAH, H.No.-23, Vill/Town-GHIMARUJAN, GITASHRI HAZARIKA 243 NHM/SNRS/0412 TAPAN HAZARIKA P.O.-BALIJAN, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin- 18.10.2016 BORAH 784172 C/o-sharat phukan, H.No.-kakopather bazar, Vill/Town-kakopather, 244 NHM/SNRS/0646 gitimoni gogoi phukan gombhir gogoi P.O.-kakopather, P.S.-kakopather, Dist.-Tinsukia, State-assam, Pin- 18.10.2016 786152 C/o-JAGANATH DOLEY, H.No.-, Vill/Town-PANBARI, P.O.- 245 NHM/SNRS/0969 GORIMA DOLEY Jaganath Doley PANBARI, P.S.-NARAYANPUR, Dist.-Lakhimpur, State-ASSAM, 18.10.2016 Pin-784164 C/o-Ricky Yendrembam, H.No.-, Vill/Town-Moirangkhom Makha Gurumayum Sujata Gurumayum 246 NHM/SNRS/0365 Loklaobung, P.O.-Imphal, P.S.-Imphal, Dist.-Imphal West, State- 18.10.2016 Sharma Surjakumar Sharma Manipur, Pin-795001

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 13 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-AKABBAR ALI, H.No.-236, Vill/Town-VILL. JHARNARCHAR 247 NHM/SNRS/0523 HAMINUR NAHAR AKABBAR ALI PT-IV, P.O.-JARUACHAR, P.S.-FAKIRGANJ, Dist.-Dhubri, State- 18.10.2016 ASSAM, Pin-783339 C/o-AKABBAR ALI, H.No.-236, Vill/Town-JHARNAR CHAR 248 NHM/SNRS/1966 HAMINUR NAHAR AKABBAR ALI PART-4, P.O.-JARUACHAR, P.S.-FAKIRGANJ, Dist.-Dhubri, State- 18.10.2016 ASSAM, Pin-783339 C/o-SANJIB AHMED, H.No.-0, Vill/Town-GUGAMUKH MISSION, 249 NHM/SNRS/0307 HANNA BEGUM LATE USMAN ALI P.O.-GUGAMUKH, P.S.-GUGamukh, Dist.-Dhemaji, State-ASSAM, 18.10.2016 Pin-787034 C/o-DILIP GOGOI, H.No.-12, Vill/Town-KHOWANG DULIA 250 NHM/SNRS/1049 HARIPRIYA GOGOI DILIP GOGOI GAON, P.O.-RANGCHALI, P.S.-KHOWANG, Dist.-Dibrugarh, State- 18.10.2016 ASSAM, Pin-785675 C/o-ZULHASH UDDIN, H.No.-667, Vill/Town-KUMULLI PARA, HASAN ALI 251 NHM/SNRS/1061 HASIDA TALUKDAR P.O.-JOSHIHATI PARA, P.S.-HOWLY, Dist.-Barpeta, State-Assam, 18.10.2016 TALUKDAR Pin-781316 C/o-IOC AOD HOSPITAL NURSING HOSTEL, H.No.- 252 NHM/SNRS/0100 HASINA BEGUM MD FAZAL AHMED BUNGALOW NO 41, Vill/Town-DIGBOI, P.O.-DIGBOI, P.S.- 18.10.2016 DIGBOI, Dist.-Tinsukia, State-ASSAM, Pin-786171 C/o-SHAJIM UDDIN, H.No.-106, Vill/Town-BHERA GAON, P.O.- 253 NHM/SNRS/1274 HASINA KHATUN SHAJIM UDDIN JAHUR PAM, P.S.-BARPETA, Dist.-Barpeta, State-ASSAM, Pin- 18.10.2016 781314 C/o-MORTUJA AHMED BARBHUIYA, H.No.-673, Vill/Town- TONGKHOTHANG 254 NHM/SNRS/1134 HATHOIKIM MISAO BANSKANDI, P.O.-BANSKANDI, P.S.-LAKHIPUR, Dist.-Cachar, 18.10.2016 MISAO State-ASSAM, Pin-788101 C/o-HATKHOLHING, H.No.-12, Vill/Town-NARIKAL HATKHOLHING BASTI,GEETANAGAR,BYE LANE 4 GUWAHATI 24, P.O.- 255 NHM/SNRS/0677 LIENSAT SINGSIT 18.10.2016 SINGSIT GEETANAGAR, P.S.-GEETANAGAR, Dist.-Kamrup Metro, State- ASSAM, Pin-781024 C/o-H. IBOHAL SINGH, H.No.-100, Vill/Town-Khurkhul makha HEIKHAM CHINITA 256 NHM/SNRS/0630 H. IBOHAL SINGH leikai, P.O.-Mantripukhri, P.S.-Sekmai, Dist.-Imphal West, State- 18.10.2016 DEVI Manipur, Pin-795002

C/o-SRI HIREN BURAGOHAIN, H.No.-37, Vill/Town-NAHORANI HEMA SHREE HIREN 257 NHM/SNRS/0585 GAON, P.O.-CHAKALIYA (SEPON), P.S.-MORAN HAT, Dist.- 18.10.2016 BURAGOHAIN BURAGOHAIN Dibrugarh, State-ASSAM, Pin-785673

C/o-MAMIN CHANDRA NATH, H.No.-74, Vill/Town-JOYBHUM, SANTOSH KUMAR 258 NHM/SNRS/1288 HEMAPRABHA NATH P.O.-CHARAIKHOLA, P.S.-KOKRAJHAR, Dist.-Kokrajhar, State- 18.10.2016 NATH ASSAM, Pin-783376 C/o-LOKNATH CHETIA, H.No.- BISHNU RABHA PATH, HOUSE NO. 05, Vill/Town-LATIYA GARO BY LANE, P.O.- 259 NHM/SNRS/0935 HEMPROBHA CHETIA GULAP CHETIA 18.10.2016 SERVEY, P.S.-BASISHTHA, Dist.-Kamrup Metro, State-ASSAM, Pin-781028 C/o-HENA AHMED, H.No.-, Vill/Town-NABARUN NAGAR, P.O.- HABIL UDDIN 260 NHM/SNRS/0511 HENA AHMED MALIGAON, P.S.-JALUKBARI, Dist.-Kamrup Metro, State- 18.10.2016 AHMED ASSAM, Pin-781009

C/o-BOLEN GORLOSA, H.No.-, Vill/Town-CHOTOWASHLING JOYCHONDR 261 NHM/SNRS/1069 HENULI NAIDING PART-III, P.O.-DIYUNGMUKH, P.S.-DIYUNGMUKH, Dist.-Dima 18.10.2016 NAIDING Hasao, State-ASSAM, Pin-782448

C/o-MOHESWAR DOLEY, H.No.-, Vill/Town-BECHAMARA, P.O.- 262 NHM/SNRS/0006 HEWALI DOLEY MOHESWAR DOLEY SUBAHI PATHAR, P.S.-DHEMAJI, Dist.-Dhemaji, State-ASSAM, 18.10.2016 Pin-787057

C/o-Nogen Bora, H.No.-280, Vill/Town-Alengmuria, P.O.-Dhekial, 263 NHM/SNRS/0305 Himadri Borah Nogen Bora 18.10.2016 P.S.-Dergaon, Dist.-Golaghat, State-Assam, Pin-785622

C/o-JAGESWAR SARMA, H.No.-BARATHABARI, Vill/Town- 264 NHM/SNRS/0508 HIMADRI SARMA JAGESWAR SARMA BARATHABARI, P.O.-JANARAM CHOWKA, P.S.-MANGALDAI, 18.10.2016 Dist.-Darrang, State-ASSAM, Pin-784125

C/o-JOGESWAR SARMA, H.No.-195, Vill/Town-BARATHIABARI, 265 NHM/SNRS/0535 HIMADRI SARMA JOGESWAR SARMA P.O.-JANARAM CHOWKA, P.S.-MANGALDOI, Dist.-Darrang, 18.10.2016 State-ASSAM, Pin-784125

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 14 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Nagendra Bezbaruah, H.No.-9, Vill/Town-Azara, P.O.-Azara, P.S.- 266 NHM/SNRS/0243 Himakshi Bezbaruah Nagendra Bezbaruah 18.10.2016 Azara, Dist.-Kamrup Metro, State-Assam, Pin-781017

C/o-MOHEN CH. KURMI, H.No.-NA, Vill/Town-BALIJAN TEA 267 NHM/SNRS/0033 HIMASHREE KURMI MOHEN CH. KURMI ESTATE, P.O.-SITALPATHER, P.S.-DERGAON, Dist.-Golaghat, 18.10.2016 State-ASSAM, Pin-785614

C/o-Nagen Ch. Kalita, H.No.-79, Vill/Town-Roumari, P.O.-Amlighat, 268 NHM/SNRS/0840 HIMASREE KALITA Nagen Ch. Kalita 18.10.2016 P.S.-JAGIROAD, Dist.-Morigaon, State-ASSAM, Pin-782413

C/o-Ringson ronghang, H.No.-2, Vill/Town-Ghilani, P.O.- 269 NHM/SNRS/0606 Hiporkani thubru khlur sungoh Donkamokam, P.S.-Baithalangso, Dist.-Karbi Anglong, State-assam, 18.10.2016 Pin-782485 C/o-BINAN CHANDRA RABHA, H.No.-, Vill/Town-THEKASU, BINAN CHANDRA 270 NHM/SNRS/0978 HIRU DEVI RABHA P.O.-DUDHNOI, P.S.-DUDHNOI, Dist.-Goalpara, State-ASSAM, Pin- 18.10.2016 RABHA 783124

C/o-L. Saratchandra Singh, H.No.-Railway Qtr. No. 421-B, Vill/Town- 271 NHM/SNRS/1117 Huidrom Bidyapati Devi H. Temba Singh Railway Officers Colony Namabari, Maligaon, P.O.-Maligaon, P.S.- 18.10.2016 Jalukbari, Dist.-Kamrup Metro, State-Assam, Pin-781011

C/o-MRS. RILANG CHULLET, CENTRAL DAIRY, ANIMAL AND HUSBANDARY DEPARTMENT, H.No.-BLOCK NO 01 QUARTER IAITYNGSHAIN MR. BIORLESS 272 NHM/SNRS/1522 NO 09, Vill/Town-MAWIONG, P.O.-MAWLAI, P.S.-MAWLAI, Dist.- 18.10.2016 CHULLET MAWLONG EAST KHASI HILLS DISTRICT, State-SHILLONG, MEGHALAYA, Pin-793016

C/o-NEAR HAYAT HOSPITAL SURYAMUKHI PATH, H.No.-50, IMMANUEL 273 NHM/SNRS/0632 LALLAWMTHANG Vill/Town-ODALBAKRA, P.O.-LALGANESH, P.S.-DISPUR, Dist.- 18.10.2016 RAMSIEMMAWI Kamrup Metro, State-ASSAM, Pin-781034

C/o-JORHAT CHRISTIAN MEDICAL CENTRE, H.No.-, Vill/Town- IMSUSANGLA 274 NHM/SNRS/1921 NUNGSANGTEMJEN JORHAT, P.O.-BORBHETA, P.S.-JORHAT, Dist.-Jorhat, State- 18.10.2016 LONGCHAR ASSAM, Pin-785004 C/o-DAVID KANDULNA, H.No.-125, Vill/Town-MAZBAT T. E., 275 NHM/SNRS/0688 IRIN KANDULNA DAVID KANDULNA P.O.-MAZBAT, P.S.-MAZBAT, Dist.-Udalguri, State-ASSAM, Pin- 18.10.2016 784507 C/o-SUKUR UDDIN BARBHUIYA, H.No.-11, Vill/Town-BARIK ISMATARA SUKUR UDDIN 276 NHM/SNRS/0293 NAGAR PT-II, P.O.-BHORAKHAI (NIT), P.S.-SILCHAR, Dist.- 18.10.2016 BARBHUIYA BARBHUIYA Cachar, State-ASSAM, Pin-788010 C/o-ABDUL MOTIN, H.No.-112, Vill/Town-SONARI GAON, P.O.- 277 NHM/SNRS/1918 JABIN AKTER ABDUL MOTIN SONARI GAON, P.S.-DHING, Dist.-Nagaon, State-ASSAM, Pin- 18.10.2016 782123

C/o-MD JAHIR ALOM, H.No.-26, Vill/Town-HALIFIELD, 278 NHM/SNRS/0596 JAHIDA KHATUN MD JAHIR ALOM TRINAYAN NAGAR, P.O.-BELTOLA, P.S.-BASISTHA, Dist.- 18.10.2016 Kamrup Metro, State-ASSAM, Pin-781028

C/o-PUNA DOLEY, H.No.-59, Vill/Town-BECHAMORA GAON, 279 NHM/SNRS/0116 JAHNABI DOLEY PUNA DOLEY P.O.-SALMORA, P.S.-KAMALA BARI, Dist.-Jorhat, State-ASSAM, 18.10.2016 Pin-785110

C/o-MOHIBUR RAHMAN BARBHUIYA, H.No.-164, Vill/Town- JAHURA BEGUM MOHIBUR RAHMAN 280 NHM/SNRS/0303 MATIJURI, P.O.-MATIJURI, P.S.-HAILAKANDI, Dist.-Hailakandi, 18.10.2016 BARBHUIYA BARBHUIYA State-ASSAM, Pin-788155

C/o-RAFIQUL ISLAM, H.No.-7, Vill/Town-MAILKUCHI, P.O.- 281 NHM/SNRS/1167 JAHURA KHATUN KHURSHED ALI 18.10.2016 DHAKUA, P.S.-barpeta, Dist.-Barpeta, State-ASSAM, Pin-781309

C/o-TULESWAR MORAN, H.No.-78, Vill/Town-KORDOIGURI, 282 NHM/SNRS/0069 JANILA MORAN TULESWAR MORAN P.O.-KORDOIGURI, P.S.-BAGHJAN, Dist.-Tinsukia, State-ASSAM, 18.10.2016 Pin-786156

C/o-MICHEAL TOPPO, H.No.-164, Vill/Town-KUHUM T.E, P.O.- 283 NHM/SNRS/0502 JANU TOPPO MICHEAL TOPPO 18.10.2016 CHUNGI, P.S.-TITABOR, Dist.-Jorhat, State-ASSAM, Pin-785616

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 15 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-W/O Burhan Uddin Mazumder, H.No.-32, Vill/Town- 284 NHM/SNRS/0037 Jasmin Sultana Humayun Kabir Kachudaram Pt2, P.O.-Kachudaram, P.S.-Kachudaram, Dist.-Cachar, 18.10.2016 State-Assam, Pin-788119

C/o-MIZAZUR RAHMAN BARBHUIYA, H.No.-12, Vill/Town- JASMIN SULTANA MIZAZUR RAHMAN 285 NHM/SNRS/0368 ALGAPUR PART-IV, P.O.-KALIBARI BAZAR, P.S.-ALGAPUR, 18.10.2016 BARBHUIYA BARBHUIYA Dist.-Hailakandi, State-ASSAM, Pin-788150

C/o-BIREN GOWALLA, H.No.-SIVASAGAR MISSION 286 NHM/SNRS/0479 JASMINE GOWALLA BIREN GOWALLA COMPOUND, Vill/Town-SIVASAGAR, P.O.-SIVASAGAR, P.S.- 18.10.2016 SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785640

C/o-BIMAL SENAPATI, H.No.-287, Vill/Town-BORBARI VIP LAL BAHADUR 287 NHM/SNRS/1303 JAYANTA PRADHAN ROAD, P.O.-HENGRABARI, P.S.-DISPUR, Dist.-Kamrup Metro, 18.10.2016 PRADHAN State-ASSAM, Pin-781036 C/o-ABDUL LATIF, H.No.-4, Vill/Town-HOWLY THAKURBARI 288 NHM/SNRS/0770 JELEKA KHATUN ABDUL LATIF ROAD, P.O.-HOWLY, P.S.-HOWLY, Dist.-Barpeta, State-ASSAM, 18.10.2016 Pin-781316 C/o-LALA RANADHIR ROY, H.No.-74, Vill/Town-ANANDA ROTHALIEN 289 NHM/SNRS/1169 JENETH LALTLINGZO NAGAR, GMCH ROAD, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup 18.10.2016 SONGATE Metro, State-ASSAM, Pin-781005 C/o-SUMNEITHANG, H.No.-142, Vill/Town-HMARKHAWLIEN JENNY 290 NHM/SNRS/1260 SUMNEITHANG MISSION, P.O.-FULERTAL, P.S.-LAKHIPUR, Dist.-Cachar, State- 18.10.2016 HRILNGHAKMAWI ASSAM, Pin-788106 C/o-MD JAKIR HUSSAIN, H.No.-101, Vill/Town-RAHDHALA, 291 NHM/SNRS/0746 JESMIN SULTANA MD JAKIR HUSSAIN P.O.-JALUGUTI, P.S.-MIKIRBHETA, Dist.-Morigaon, State- 18.10.2016 ASSAM, Pin-782104 C/o-MD SAIFUL ISALM, H.No.-71, Vill/Town-HARIPUR, P.O.- 292 NHM/SNRS/0188 JESMINA KHANAM LATE EASIN KHAN BAHARIHAT, P.S.-TARABARI, Dist.-Barpeta, State-ASSAM, Pin- 18.10.2016 781302 C/o-EASIN KHAN, H.No.-71, Vill/Town-HARIPUR, P.O.- 293 NHM/SNRS/1135 JESMINA KHANAM. EASIN KHAN GOMAFULBARI, P.S.-TARABARI, Dist.-Barpeta, State-ASSAM, 18.10.2016 Pin-781302 C/o-MORTUJA AHMED BARBHUIYA, H.No.-673, Vill/Town- 294 NHM/SNRS/1142 JESSY LALIRANPUI THANGSUNG BANSKANDI, P.O.-BANSKANDI, P.S.-LAKHIPUR, Dist.-Cachar, 18.10.2016 State-ASSAM, Pin-788101 C/o-NAREN KAKATI, H.No.-101, Vill/Town-CHGALI CHUBURI, 295 NHM/SNRS/0036 JHARNA KAKATI NAREN KAKATI P.O.-BIHAGURI, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin- 18.10.2016 784153 C/o-SEKHAR SINGHA, H.No.-185, Vill/Town-POLARPAR, P.O.- JHUMA RANI 296 NHM/SNRS/0557 PRATAP MALAKAR POLARPAR, P.S.-PANCHGRAM, Dist.-Hailakandi, State-ASSAM, 18.10.2016 MALAKAR Pin-788801

Let. Abdus samad C/o-Let.Abdus samad sarkar, H.No.-944, Vill/Town-Airkata, P.O.- 297 NHM/SNRS/0554 Jinnaton nessa 18.10.2016 sarkar Airkata, P.S.-Southsalmara, Dist.-Dhubri, State-Assam, Pin-783330

C/o-ABOU BAKKAR SIDDIQUE, H.No.-244, Vill/Town- LT ABDUS SAMAD 298 NHM/SNRS/1767 JINNATON NESSA ASHARIKANDI, P.O.-ASHARIKANDI, P.S.-GAURIPUR, Dist.- 18.10.2016 SARKAR Dhubri, State-ASSAM, Pin-783331

LATE C/o-ANJALI SAIKIA GOGOI, H.No.-35, Vill/Town- 299 NHM/SNRS/1295 JINTI GOGOI GHANAKANTA SARUABHAIPURIA VILLAGE, P.O.-TENGAKHAT, P.S.- 18.10.2016 GOGOI TENGAKHAT, Dist.-Dibrugarh, State-ASSAM, Pin-786103

C/o-Smt Soneka Doley, H.No.-House No 100, Vill/Town-Vill Namoni 300 NHM/SNRS/0084 JINU DOLEY LOKHINATH DOLEY Milanpur Gaon, P.O.-Samukjan, P.S.-Demow, Dist.-Sivasagar, State- 18.10.2016 Assam, Pin-785671 C/o-GABBRIEL BAGLARI, H.No.-258, Vill/Town-SONAI GABBRIEL 301 NHM/SNRS/1037 JIRUSHA BAGLARI BATHABARI, P.O.-KHUSURABARI, P.S.-UDALGURI, Dist.- 18.10.2016 BAGLARI Udalguri, State-ASSAM, Pin-784509 C/o-Mr. JOLEN HORO, H.No.-RAILWAY GATE NO. - 05, 302 NHM/SNRS/1883 JOHNY JOHN HORO JOLEN HORO Vill/Town-BASHBARI, P.O.-HIJUGURI, P.S.-HIJUGURI, Dist.- 18.10.2016 Tinsukia, State-ASSAM, Pin-786192 C/o-ATUL KR KALITA, H.No.-22, Vill/Town-GOOPAL NAGAR, PRAMOD CH 303 NHM/SNRS/0643 JON KALITA P.O.-NOONMATI, P.S.-NOONMATI, Dist.-Kamrup Metro, State- 18.10.2016 KALITA ASSAM, Pin-781020 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 16 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-DEBEN CHANDRA DAS, H.No.-52, Vill/Town-SORUHOOJ LATE BHUMIDHAR 304 NHM/SNRS/0061 JONALI DAS GAON, P.O.-DOHATIA, P.S.-PULIBOR, Dist.-Jorhat, State-ASSAM, 18.10.2016 DAS Pin-785617 C/o-JADAV NATH, H.No.-35, Vill/Town-KHAS SONAPUR, P.O.- 305 NHM/SNRS/0413 JONALI NATH JADAV NATH MARUWA CHAKI, P.S.-SIPAJHAR, Dist.-Darrang, State-ASSAM, 18.10.2016 Pin-784145 C/o-Mr. Deba Kumar Phukan, H.No.-House No 100, Vill/Town-Vill 306 NHM/SNRS/0092 JONMONI SAIKIA Late Ghatalu Saikia Mahimabari, P.O.-Mahimabari, P.S.-Titabor, Dist.-Jorhat, State- 18.10.2016 Assam, Pin-785630 C/o-KILAN HASA, H.No.-25, Vill/Town-HARIBOR DOLONI, P.O.- 307 NHM/SNRS/0010 JOSNA HASA KILAN HASA HARIBOR NAHORANI, P.S.-LALUK, Dist.-Lakhimpur, State- 18.10.2016 ASSAM, Pin-787027 C/o-BRAHMAJYOTI NATH, H.No.-258, Vill/Town- 308 NHM/SNRS/0252 JOYOSHREE NATH ANANTA NATH MUKTAVHERRA PART -IV, P.O.-UMEDNAGAR, P.S.-LALA, 18.10.2016 Dist.-Hailakandi, State-ASSAM, Pin-788163 C/o-ANGDONG LEIKHAN TARAO, H.No.-32, Vill/Town- JOYPHANI LEIKHAN ANGDONG 309 NHM/SNRS/0824 LEISHOKCHING, P.O.-PALLEL, P.S.-PALLEL, Dist.-CHANDEL, 18.10.2016 TARAO LEIKHAN TARAO State-MANIPUR, Pin-795135 C/o-BHATTA GOHAIN, H.No.-75, Vill/Town-ITAKHULI 310 NHM/SNRS/0924 JULI DAS PROBIN DAS VILLAGE, P.O.-ITAKHULI, P.S.-BORBORUAH, Dist.-Dibrugarh, 18.10.2016 State-ASSAM, Pin-786007 C/o-MR. PRANJAL BORO, H.No.-, Vill/Town-MICHAJAN, P.O.- UTTAM 311 NHM/SNRS/0434 JULI RAJKUMARI BORHAT, P.S.-BORHAT, Dist.-Sivasagar, State-ASSAM, Pin- 18.10.2016 RAJKONWAR 785693 C/o-HAREN DAIMARY, H.No.-59, Vill/Town-SHANTIPUR, P.O.- 312 NHM/SNRS/0478 JULY DAIMARY HAREN DAIMARY TUPATOLI, P.S.-KHETRI, Dist.-Kamrup Metro, State-ASSAM, Pin- 18.10.2016 782403

C/o-C/O ALTAF HUSSAIN, H.No.-STAFF NURES HOSTEL , 313 NHM/SNRS/0257 JUMI BEGUM MD ALTAF HUSSAIN GMCH, Vill/Town-BHANGAGARH, P.O.-INDRAPUR, P.S.- 18.10.2016 BHANGAGARH, Dist.-Kamrup Metro, State-ASSAM, Pin-781032

C/o-PRASANTA GOGOI, H.No.-, Vill/Town-POHUKHOWA 314 NHM/SNRS/0810 JUMI GOGOI PRASANTA GOGOI GAON, P.O.-BAM RAJABARI, P.S.-DEMOW, Dist.-Sivasagar, State- 18.10.2016 ASSAM, Pin-785671 C/o-ANOWAR HUSSAIN, H.No.-1, Vill/Town-RUPNAGAR, P.O.- TANU RAM 315 NHM/SNRS/1772 JUMI PHUKAN CINNAMARA, P.S.-CINNAMARA, Dist.-Jorhat, State-ASSAM, Pin- 18.10.2016 PHUKAN 785008 C/o-KULENDRA BARUAH, H.No.-56, Vill/Town-BASISTHA CHARIALI,NEAR GAMES VILLAGE ,BAIKUNTHAPUR, P.O.- 316 NHM/SNRS/0431 JUMI SARMA NAGEN SARMA 18.10.2016 BASISTHA, P.S.-BASISTHA, Dist.-Kamrup Metro, State-ASSAM, Pin-781029

C/o-DHIRESWAR DEORI, H.No.-SWAHID PATH, Vill/Town-DPI 317 NHM/SNRS/0404 JUNAK MONI DEORI SUBHAS DEORI KAHILIPARA GUWAHATI, P.O.-KHALIPARA, P.S.-DISPUR, Dist.- 18.10.2016 Kamrup Metro, State-ASSAM, Pin-781019

C/o-SANJIVANI DIAGNOSTIC HOSPITAL, H.No.-NIL, Vill/Town- 318 NHM/SNRS/0025 JUNALI DAS LATE JUGAI DAS PALTAN BAZAR, P.O.-JALAN NAGAR, P.S.-BORBARI, Dist.- 18.10.2016 Dibrugarh, State-ASSAM, Pin-786005 C/o-CHIRIL KHAKHA, H.No.-24, Vill/Town-SINGLIJAN TEA 319 NHM/SNRS/0686 JUNALI KHAKHA CHIRIL KHAKHA ESTATE, P.O.-LAHOWAL, P.S.-LAHOWAL, Dist.-Dibrugarh, State- 18.10.2016 ASSAM, Pin-786010 C/o-Mr Hemonta Dutta, H.No.-D 20,Namrup, Vill/Town-Assam Petro- 320 NHM/SNRS/0285 Junmoni Baruah Mr Phani Baruah Chemicals Ltd, P.O.-Parbatpur, P.S.-Namrup, Dist.-Dibrugarh, State- 18.10.2016 Assam, Pin-786623

C/o-Sri Chitanadra Chutia, H.No.-, Vill/Town-Khangia Chapari, P.O.- 321 NHM/SNRS/0291 Junmoni Chutia Sri Chitanadra Chutia 18.10.2016 Laguabora, P.S.-Dhemaji, Dist.-Dhemaji, State-Assam, Pin-787057

C/o-Sri Chitanadra Chutia, H.No.-, Vill/Town-Khangia Chapari, P.O.- 322 NHM/SNRS/0308 Junmoni Chutia Sri Chitanadra Chutia 18.10.2016 Laguabara, P.S.-Dhemaji, Dist.-Dhemaji, State-ASSAM, Pin-787057

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 17 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-MR MOHAN KUMAR PORIAR, H.No.-552, Vill/Town- MOHAN KUMAR 323 NHM/SNRS/1208 JUNMONI PORIAR BIHPURIA WARD NO-8, P.O.-BIHPURIA, P.S.-BIHPURIA, Dist.- 18.10.2016 PORIAR Lakhimpur, State-ASSAM, Pin-784161

C/o-MOHAN KUMAR PORIAR, H.No.-552, Vill/Town-BIHPURIA, MOHAN KUMAR 324 NHM/SNRS/1668 JUNMONI PORIAR WARD NO.8, P.O.-BIHPURIA, P.S.-BIHPURIA, Dist.-Lakhimpur, 18.10.2016 PORIAR State-ASSAM, Pin-784161 C/o-MR. ROSHESWAR DUTTA, H.No.-72, Vill/Town-MELENG MR. ROSHESWAR 325 NHM/SNRS/0053 JUNTI DUTTA PUZARI GAON, P.O.-CHAWKHAT, P.S.-JORHAT, Dist.-Jorhat, 18.10.2016 DUTTA State-ASSAM, Pin-785101 C/o-DIGANTA DAS, H.No.-191, Vill/Town-VILL KUJIDAH 326 NHM/SNRS/0182 JUNTI HIRA PREMESWAR HIRA KAMAR CHUK, P.O.-HITICHUNG, P.S.-JAJARI, Dist.-Nagaon, 18.10.2016 State-ASSAM, Pin-782142

C/o-BBCI CAMPUS, H.No.-NURSING HOSTEL, Vill/Town- LATE MAHENDRA 327 NHM/SNRS/1944 JUNU DAS GUWAHATI, P.O.-GOPINATH NAGAR, P.S.-PALTAN BAZAR, 18.10.2016 KALITA Dist.-Kamrup Metro, State-Assam, Pin-781016

C/o-Bhanu Kakati, H.No.-87, Vill/Town-Borbari, VIP Road, P.O.- 328 NHM/SNRS/0246 JURI DAS KHAGEBDRA DAS Hengerabari, P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin- 18.10.2016 781036 C/o-DEBEN KURMI, H.No.-231, Vill/Town-LIGIRI PUKHURI, P.O.- 329 NHM/SNRS/0068 JURI KURMI DEBEN KURMI LIGIRI PUKHURI, P.S.-NAZIRA, Dist.-Sivasagar, State-ASSAM, 18.10.2016 Pin-785685 C/o-RAMLAL DOLEY, H.No.-56, Vill/Town-RAJABARI PATHAR, 330 NHM/SNRS/0088 JURIKA DOLEY RAMLAL DOLEY P.O.-RAJABARI, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin- 18.10.2016 784168

C/o-PRASANNA DAS, H.No.-264, Vill/Town-KARDAIGURI, P.O.- 331 NHM/SNRS/0520 JURIMANI DAS PRASANNA DAS KARDAIGURI, P.S.-PATACHARKUCHI, Dist.-Barpeta, State- 18.10.2016 ASSAM, Pin-781318

C/o-KIMSON TAKRI, H.No.-EC41(1), Vill/Town-RANGPURIA 1 332 NHM/SNRS/0323 JURIMONI GOGOI SUNIL GOGOI NO. PATIAPATHER, P.O.-TINSUKIA, P.S.-TINSUKIA, Dist.- 18.10.2016 Tinsukia, State-ASSAM, Pin-786125

C/o-W/O JAMES DHAN, H.No.-, Vill/Town-BALIJAN NORTH T.E 333 NHM/SNRS/1669 JUSHILA PURTY paulus purty HOSPITAL STAFF , CHABUA, P.O.-CHABUA, P.S.-CHABUA, 18.10.2016 Dist.-Dibrugarh, State-ASSAM, Pin-786184

C/o-PULIN BORAH, H.No.-NEW CHILDREN PARK ROAD, 334 NHM/SNRS/0789 JUTIKA BORAH PULIN BORAH Vill/Town-WARD NO 5 DHEKIAJULI, P.O.-DHEKIAJULI, P.S.- 18.10.2016 DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, Pin-784110

C/o-SRMARYJOHN, H.No.-, Vill/Town-CHAPAGURI, P.O.- SARAJU KR 335 NHM/SNRS/0597 JUTIKA PATHAK CHAPAGURI, P.S.-DHALIGAON, Dist.-Chirang, State-ASSAM, Pin- 18.10.2016 PATHAK 783380 C/o-SIMIL BAGLARI, H.No.-45, Vill/Town-KADAMGURI, P.O.- JWNGTHIMA 336 NHM/SNRS/0921 SIMIL BAGLARI KABIRALI, P.S.-KALAIGAON, Dist.-Udalguri, State-ASSAM, Pin- 18.10.2016 BAGLARI 784525 C/o-MADAN BORAH, H.No.-27 (B), Vill/Town-PAHUKATA, P.O.- 337 NHM/SNRS/0843 JYOTI BORAH MADAN BORAH MAJIKUCHI, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin- 18.10.2016 784178

C/o-INDRA KUMAR PRADHAN, H.No.-196(KA), Vill/Town-VILL- INDRA KUMAR 338 NHM/SNRS/0540 JYOTI PRADHAM SEUJ NAGAR, P.O.-CHAPAKHOWA, P.S.-CHAPAKHOWA, Dist.- 18.10.2016 PRADHAN Tinsukia, State-ASSAM, Pin-786157

C/o-INDRA KUMAR PRADHAN, H.No.-42, Vill/Town-Vill-SEUJ INDRA KUMAR 339 NHM/SNRS/0459 JYOTI PRADHAN NAGAR, P.O.-CHAPAKHOWA, P.S.-CHAPAKHOWA, Dist.- 18.10.2016 PRADHAN Tinsukia, State-ASSAM, Pin-786157

C/o-LATE Gum Bahadur Sonar, H.No.-, Vill/Town-Duliajan LATE Gum Bahadur 340 NHM/SNRS/0580 Jyoti Sonar Majgaon, P.O.-Duliajan, P.S.-Duliajan, Dist.-Dibrugarh, State- 18.10.2016 Sonar ASSAM, Pin-786602

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 18 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-JAMES TIRKEY, H.No.-42, Vill/Town-TONGNA ERAGAON, 341 NHM/SNRS/1908 JYOTI TIRKEY JAMES TIRKEY P.O.-TONGNA BAZAR, P.S.-TONGNA, Dist.-Tinsukia, State- 18.10.2016 ASSAM, Pin-786152

C/o-KUNJALATA BANIYA, H.No.-3, Vill/Town-GUWAHATI, P.O.- 342 NHM/SNRS/1662 JYOTIMAY BANIA BRAJA BANIA FATASHIL AMBARI, P.S.-FATASHIL AMBARI, Dist.-Kamrup 18.10.2016 Metro, State-ASSAM, Pin-781025

C/o-Padumi Boro, H.No.-9, Vill/Town-GUWAHATI, P.O.- 343 NHM/SNRS/0255 JYOTSHNA BORO Late Karia Ram Boro INDRAPUR, P.S.-BHANGAGARH, Dist.-Kamrup Metro, State- 18.10.2016 ASSAM, Pin-781032 C/o-HEMANGA SARMA, H.No.-150, Vill/Town-TANGLA 344 NHM/SNRS/0322 JYOTSHNA DEVI MAHESH SARMA CHITRANAGAR W/N 04, P.O.-TANGLA, P.S.-TANGLA, Dist.- 18.10.2016 Udalguri, State-ASSAM, Pin-784521

C/o-Dey’s Nursing Clinic, Tinsukia, H.No.-S. DOHATIA ROAD, MR. DURGA DHAR 345 NHM/SNRS/0983 JYOTSNA GOGOI Vill/Town-TINSUKIA, P.O.-TINSUKIA, P.S.-TINSUKIA, Dist.- 18.10.2016 GOGOI Tinsukia, State-ASSAM, Pin-786125

C/o-K Kariuna Rongmei GNRC Hospital North Campus Guwahati, K Meiphangsong 346 NHM/SNRS/1504 K Kariuna Rongmei H.No.-, Vill/Town-Amingaon, P.O.-Amingaon, P.S.-Amingaon, Dist.- 18.10.2016 Rongmei Kamrup Rural, State-Assam, Pin-781030

C/o-MORTUJA AHMED BARBHUIYA, H.No.-673, Vill/Town- K. NIAMDAILIU 347 NHM/SNRS/1140 K.N. RONGMEI BANSKANDI, P.O.-BANSKANDI, P.S.-LAKHIPUR, Dist.-Cachar, 18.10.2016 RONGMEI State-ASSAM, Pin-788101 C/o-K. Kunjamohon Singha, H.No.-66, Vill/Town-Saint Ketharine, 348 NHM/SNRS/1127 K. Sunita Singha K. Kunjamohon Singha P.O.-Saint Ketharine, P.S.-Sonai, Dist.-Cachar, State-Assam, Pin- 18.10.2016 788099

C/o-H.S.NATH, H.No.-5, Vill/Town-CHRISTIANBASTI, SONALI 349 NHM/SNRS/0231 K.MANIA S.KASHISII SARANI, GMCH ROAD, ANANDA NAGAR, P.O.-DISPUR, P.S.- 18.10.2016 DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781005

C/o-Hemanta Baruah, H.No.-159, Vill/Town-Balisatra, P.O.-Balisatra, 350 NHM/SNRS/1781 Kabita Baruah Kehu Ram Baruah 18.10.2016 P.S.-Batadrava, Dist.-Nagaon, State-Assam, Pin-782122

C/o-DANDA BORO, H.No.-117, Vill/Town-NAGACHUBA, P.O.- 351 NHM/SNRS/0943 KABITA BORO DANDA BORO PASCHIMPATALA, P.S.-DIMAKUCHI, Dist.-Udalguri, State- 18.10.2016 ASSAM, Pin-784526 C/o-SUNIT RAM GOGOI, H.No.-234/II/A, Vill/Town-NAMRUP, 352 NHM/SNRS/1614 KABITA GOGOI SUNIT RAM GOGOI P.O.-PARBATPUR, P.S.-NAMRUP, Dist.-Dibrugarh, State-Assam, 18.10.2016 Pin-786623 C/o-DR.HABBEY TERON, H.No.-68, Vill/Town-RONGTHEANG 353 NHM/SNRS/0126 KABON BEYPI SARSING BEY DIPHU, P.O.-DIPHU, P.S.-DIPHU, Dist.-Karbi Anglong, State- 18.10.2016 ASSAM, Pin-782460 C/o-PHUL KUMARI BORAH, H.No.-203, Vill/Town-NUMBER 1 KABYASHREE KESHAB CHANDRA 354 NHM/SNRS/1485 NAHARANI, P.O.-DUBIA, P.S.-GOHPUR, Dist.-Sonitpur, State- 18.10.2016 BORAH BORAH ASSAM, Pin-784178 C/o-SWARSWATI GIRLS HOSTEL, JANAPRIYA PATH, H.No.-3B, LATE MANIKANTA 355 NHM/SNRS/0855 KAKALI SARMAH Vill/Town-GUWAHATI, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup 18.10.2016 SARMA Metro, State-ASSAM, Pin-781006 C/o-JAYKANTA NATH, H.No.-8, Vill/Town-BORPETA BORI, P.O.- 356 NHM/SNRS/1699 KALPANA DEVI JAYKANTA NATH HABIBARANGA BARI, P.S.-MIKIRBHETA, Dist.-Morigaon, State- 18.10.2016 ASSAM, Pin-782106 C/o-SRI BIJIT KURMI, H.No.-104, Vill/Town-CHAKIMUKH, P.O.- 357 NHM/SNRS/0428 KALPANA KURMI LATE GOBIN KURMI CHAKIMUKH, P.S.-NAZIRA, Dist.-Sivasagar, State-ASSAM, Pin- 18.10.2016 785685 C/o-SANKARDEV NATH, H.No.-593, Vill/Town-BISHNUPUR, 358 NHM/SNRS/0019 KALYANI BHUYAN RUDRA BHUYAN P.O.-RANGAPARA, P.S.-RANGAPARA, Dist.-Sonitpur, State- 18.10.2016 ASSAM, Pin-784505 C/o-UPEN CHUTIA, H.No.-39, Vill/Town-CHOWKHAMTING, P.O.- 359 NHM/SNRS/0204 KALYANI CHUTIA BIJOY CHUTIA SISSI BOR GOAN, P.S.-SILAPATHER, Dist.-Dhemaji, State- 18.10.2016 ASSAM, Pin-787110

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 19 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-DIMBESWAR NATH, H.No.-258, Vill/Town-HALDHA, P.O.- 360 NHM/SNRS/0375 KAMALA NATH DIMBESWAR NATH 18.10.2016 HALHA, P.S.-SIPAJHAR, Dist.-Darrang, State-ASAM, Pin-784145

C/o-RAJANI KALITA, H.No.-8, Vill/Town-CHRISTIAN BASTI KAMEI DISHING 361 NHM/SNRS/0778 KAMEI JEENA KABUI UDAYACHAL PATH, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup 19.10.2016 KABUI Metro, State-ASSAM, Pin-781005 C/o-JAYANTA KUMAR DAS, H.No.-, Vill/Town-BARTAPA, P.O.- 362 NHM/SNRS/1919 KANAK LATA ROY LT TRILOCHAN ROY SARUTAPA, P.S.-PATACHARKUCHI, Dist.-Barpeta, State-Assam, 19.10.2016 Pin-781352

C/o-Dhruba Kumar, H.No.-34, Vill/Town-Gotanagar, P.O.-Gotanagar, 363 NHM/SNRS/0353 Kanaklata Nath Girindra Narayan Nath 19.10.2016 P.S.-Jalukbari, Dist.-Kamrup Metro, State-Assam, Pin-781033

C/o-THAINGAMPOW RONGMAI, H.No.-63, Vill/Town-SHIBPUR, KANDUNLU THAINGAMPOW 364 NHM/SNRS/0636 P.O.-PAILAPOOL, P.S.-LAKHIPUR, Dist.-Cachar, State-ASSAM, 19.10.2016 ROMGMAI RONGMAI Pin-788098

C/o-SASANKA NATH, H.No.-196, Vill/Town-SARAIGHAT, P.O.- LATE DINESH 365 NHM/SNRS/0906 KANIKA KUMARI DUMUNICHOWKI, P.S.-BAIHATA CHARIALI, Dist.-Kamrup 19.10.2016 KUMAR Rural, State-ASSAM, Pin-781121

C/o-SARAT BEZBARUAH, H.No.-147, Vill/Town-SASTER 366 NHM/SNRS/1906 KARABI BEZBARUAH SARAT BEZBARUAH (RAMDIA), P.O.-MAJORKURI, P.S.-HAJO, Dist.-Kamrup Rural, 19.10.2016 State-ASSAM, Pin-781102 C/o-KANAK CH DEKA, H.No.-114, Vill/Town-BIRKUCHI, P.O.- 367 NHM/SNRS/1720 KARABI DEKA KANAK CH DEKA NARENGI, P.S.-NOONMATI, Dist.-Kamrup Metro, State-ASSAM, 19.10.2016 Pin-781026 C/o-Pradeep Paul, H.No.-CL 03, Vill/Town-Ghinai Village, P.O.- 368 NHM/SNRS/1141 KARABI PAUL PRADEEP PAUL Ghinai Via-Namrup, P.S.-Namrup, Dist.-Dibrugarh, State-ASSAM, 19.10.2016 Pin-786621 C/o-W/O- Chandan Roy, APRO training school., H.No.-, Vill/Town- 369 NHM/SNRS/1901 karabi Roy late, Sukchad Roy jalukbari, P.O.-jalukbari, P.S.-jalukbari, Dist.-Kamrup Metro, State- 19.10.2016 assam, Pin-781013 C/o-TARUN KUMAR NATH, H.No.-8, Vill/Town-BAM BESSERIA, TARUN KUMAR 370 NHM/SNRS/0435 KARISMITA DEVI P.O.-BESSERIA, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin- 19.10.2016 NATH 784150 C/o-Mr. Shyam Tanti, H.No.-121, Vill/Town-Gelapukhuri Chandmari 371 NHM/SNRS/1936 KAUSALYA TANTI Late Rameswar Tanti Tiniali, P.O.-Gelapukhuri, P.S.-Tinsukia, Dist.-Tinsukia, State-Assam, 19.10.2016 Pin-786125 C/o-SRI HARRENDRA NATH DAS, H.No.-9, Vill/Town-KUNDIL PATH RUKMINI NAGAR NEAR WIRELESS GUWAHATI, P.O.- 372 NHM/SNRS/1910 KH KATENI kholi 19.10.2016 DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin- 781006 C/o-RAJANI KALITA, H.No.-8, Vill/Town-CHRISTIAN BASTI LATE KH 373 NHM/SNRS/0721 KH RUTH AIMOL UDAYACHAL PATH, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup 19.10.2016 LIANEIWAR AIMOL Metro, State-ASSAM, Pin-781005

C/o-HITESH DEKA, H.No.-, Vill/Town-Sastra Para, P.O.-Sastra Para, 374 NHM/SNRS/0163 KHANJANA BARO Lt. CHIKAN BARO 19.10.2016 P.S.-Harisinga, Dist.-Udalguri, State-Assam, Pin-784510

C/o-pratiksha hospital, H.No.-132, Vill/Town-guwahati, P.O.- kharibam giridhari 375 NHM/SNRS/0087 kharibam rangila devi hengrabari, P.S.-dispur, Dist.-Kamrup Metro, State-assam, Pin- 19.10.2016 singh 781036

Khiang Shithang C/o-Milan Deb, H.No.-694, Vill/Town-Irongmara - III, P.O.- 376 NHM/SNRS/0662 Khiang Kipyui Chohte 19.10.2016 Chothe Irongmara, P.S.-Dholai, Dist.-Cachar, State-ASSAM, Pin-788011

C/o-Lungzeule Pame, H.No.-11, Vill/Town-BELTOLA TINIALI , 377 NHM/SNRS/1972 Kidimchule Nriame Keruteung Nriame BISHNURABHA PATH ,, P.O.-Beltola, P.S.-Baisistha, Dist.-Kamrup 19.10.2016 Metro, State-Assam, Pin-781028 C/o-Bijan Singh, H.No.-43, Vill/Town-Autonomous Council Colony, 378 NHM/SNRS/0891 Kieran Kerketta Theodor Kerketta P.O.-Haflong, P.S.-Haflong, Dist.-Dima Hasao, State-Assam, Pin- 19.10.2016 788819 C/o-SRI KAMAL PARJA, H.No.-361, Vill/Town- 379 NHM/SNRS/0681 KRISHNA PARJA SRI KAMAL PARJA BORKATHIABARI, P.O.-BORGANG, P.S.-BEHALI, Dist.-Sonitpur, 19.10.2016 State-ASSAM, Pin-784167

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 20 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Samuel Mushahari, H.No.-4th IRBN BHQ, Vill/Town-JULLY, Krishna Rani 380 NHM/SNRS/1873 Bisweswar Basumatary P.O.-R.K. Mission, P.S.-Itanagar, Dist.-Papum Pare, State-Arunachal 19.10.2016 Basumatary Pradesh, Pin-791111

C/o-MANIK CHETIA, H.No.-140, Vill/Town-MAGARAHAT 381 NHM/SNRS/0813 KRISHNALI CHETIA MANIK CHETIA CHETIA GAON, P.O.-MAGARAHAT, P.S.-SIVASAGAR, Dist.- 19.10.2016 Sivasagar, State-ASSAM, Pin-785666

C/o-LIMGUI RONGMEI, H.No.-57, Vill/Town-KALABIL, P.O.- 382 NHM/SNRS/0830 KUMARI RONGMEI LIMGUI RONGMEI SIBPUR PART II, P.S.-LAKHIPUR, Dist.-Cachar, State-ASSAM, Pin- 19.10.2016 788098

C/o-BIDHAN ROY, H.No.-4, Vill/Town-BIPINPAUL ROAD (BYE 383 NHM/SNRS/0389 KUMKUM DAS GAUTAM DAS LANE), P.O.-KARIMGANJ BAZAR, P.S.-KARIMGANJ, Dist.- 19.10.2016 Karimganj, State-ASSAM, Pin-788711

C/o-NIANKHANNIANG, H.No.-, Vill/Town-PEARSONMUN, P.O.- 384 NHM/SNRS/1110 KUNGTHIANCHING GINTHANG CHURACHANDPUR, P.S.-CHURACHANDPUR, Dist.- 19.10.2016 CHURACHANDPUR, State-MANIPUR, Pin-795128

C/o-MR. RITU KURMI, H.No.-244, Vill/Town-KHUMTAI TEA 385 NHM/SNRS/0340 KUNTI KURMI PARESH KURMI ESTATE, P.O.-BADULIPAR, P.S.-KAMARGAON, Dist.-Golaghat, 19.10.2016 State-ASSAM, Pin-785611

C/o-MR. CHANDRA KANTA GOSWAMI, H.No.-3, Vill/Town-2 386 NHM/SNRS/1163 KUSUM SAHU ALOC CHAND SAHU NO. BARUABARI, P.O.-SONAPUR, P.S.-SONAPUR, Dist.-Kamrup 19.10.2016 Metro, State-ASSAM, Pin-782402

C/o-L. RABINDRA SINGHA, H.No.-450, Vill/Town-BIBIRGRAM, LT L. KESHOBABU 387 NHM/SNRS/0627 L. SAPANA DEVI P.O.-KAPTANPUR PT 18, P.S.-LAKHIPUR, Dist.-Cachar, State- 19.10.2016 SINGHA ASSAM, Pin-788119 C/o-RAM SASHONI, H.No.-932, Vill/Town-GANDHI NAGAR, P.O.- KAMALA KANTA 388 NHM/SNRS/1205 LABONYA URANG DIBRUGARH, P.S.-DIBRUGARH, Dist.-Dibrugarh, State-ASSAM, 19.10.2016 URANG Pin-786001

C/o-SARMANANDA SARMA, H.No.-90, Vill/Town-PANDU BARA LAISHRAM BILANI L. BIRENDRA 389 NHM/SNRS/0128 BAZAR AT ROAD, P.O.-PANDU, P.S.-JALUKBARI, Dist.-Kamrup 19.10.2016 CHANU MEETEI Metro, State-ASSAM, Pin-781012

LAITA C/o-KH RANGAMLIAN AIMOL, H.No.-133, Vill/Town-MAIKHULI 390 NHM/SNRS/0800 LAITA NAOMI AIMOL CHUNGNEIJIR PILLANGKATA, P.O.-BASISTHA, P.S.-BASISTHA, Dist.-Kamrup 19.10.2016 AIMOL Metro, State-ASSAM, Pin-781029

C/o-AJIT BORGOHAIN, H.No.-QTR-35, Vill/Town-B.V.F.C.L. LATE BAIDYA 391 NHM/SNRS/1727 LAKHI HAZARIKA COLONY NAMRUP.QTR-35/III/B, P.O.-PARBATPUR, P.S.- 19.10.2016 NATH HAZARIKA NAMRUP, Dist.-Dibrugarh, State-ASSAM, Pin-786623

C/o-BIREN DOLEY, H.No.-0, Vill/Town-BISHNUPUR, 392 NHM/SNRS/1113 LAKHIMAI DOLEY BIREN DOLEY CINNAMORA, P.O.-CINNAMORA, P.S.-CINNAMORA, Dist.- 19.10.2016 Jorhat, State-ASSAM, Pin-785008 C/o-DULU DAS, H.No.-WARD NO 8, Vill/Town-BHATIAPAR, P.O.- 393 NHM/SNRS/1209 LAKHIMI DAS DULU DAS BHATIAPAR, P.S.-JOYSAGAR, Dist.-Sivasagar, State-ASSAM, Pin- 19.10.2016 785667 C/o-TAPAN SAIKIA, H.No.-127, Vill/Town-EAST LATE GANGESWAR GABHARUPATHAR KANOI COLLEGE BOYS HOTAL ROAD, 394 NHM/SNRS/0209 LAKHIMI DUTTA 19.10.2016 DUTTA P.O.-DIBRUGARH, P.S.-GABHARUPATHAR, Dist.-Dibrugarh, State-ASSAM, Pin-786001 C/o-Soilen Uzir, H.No.-271, Vill/Town-Borbari VIP Road Hengrabari 395 NHM/SNRS/1808 Lakhipriya Devi KH Lukeshar Singha 36, P.O.-Hengrabari 36, P.S.-Hengrabari, Dist.-Kamrup Metro, State- 19.10.2016 ASSAM, Pin-781036 C/o-PRABODH BORAH, H.No.-61, Vill/Town-AUNIATI, P.O.- 396 NHM/SNRS/1126 LAKSHMI BORAH PRABODH BORAH PURANIGUDAM, P.S.-SADAR, Dist.-Nagaon, State-ASSAM, Pin- 19.10.2016 782141 C/o-DARNEITHANG JOUTE, H.No.-32, Vill/Town-VILL LALHRIETZING DARNEITHANG 397 NHM/SNRS/0313 MUOLHOI, P.O.-HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao, 19.10.2016 JOUTE JOUTE State-ASSAM, Pin-788819 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 21 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Baptist christian hospital, H.No.-girls hostel room no. 17, 398 NHM/SNRS/0329 lalnunmawi (L) k.zathuam Vill/Town-Mission chariali, P.O.-ketekibari, P.S.-tezpur, Dist.- 19.10.2016 Sonitpur, State-Assam, Pin-784001

C/o-LALZUITHANG, H.No.-O/O THE CGMT, BSNL, ASSAM 399 NHM/SNRS/1074 LALRAMPAR HRANGKAPLIEN CIRCLE,4Th FLOOR, Vill/Town-Guwahati, P.O.-PAN BAZAR, P.S.- 19.10.2016 PAN BAZAR, Dist.-Kamrup Metro, State-Assam, Pin-781001

C/o-LILIMA SINGH, H.No.-MANIPURIPARA ITKHOLA, LALRAWNKIM 400 NHM/SNRS/0660 L. HMINGLIEN Vill/Town-SILCHAR, P.O.-SILCHAR, P.S.-SILCHAR, Dist.-Cachar, 19.10.2016 CHONZIK State-ASSAM, Pin-788002 C/o-LALTHANLIEN PAKHUMATE, H.No.-0, Vill/Town- LALREMSIEM LALTHANLIEN 401 NHM/SNRS/0278 MUOLHOI, P.O.-HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao, 19.10.2016 PAKHUMATE PAKHUMATE State-ASSAM, Pin-788819

C/o-BAJENGDOBA PHC, H.No.-, Vill/Town-BAJENGDOBA, P.O.- SHRI 402 NHM/SNRS/1691 LALRINGMAWI BAJENGDOBA, P.S.-BAJENGDOBA, Dist.-NORTH GARO HILLS, 19.10.2016 PHIRNEITHANG State-MEGHALAYA, Pin-794002

C/o-LALZUITHANG, H.No.-0, Vill/Town-BSNL BUILDING 4TH 403 NHM/SNRS/1294 LALTHAMAWI LALHRILLIEN FLOOR, P.O.-PAN BAZAR, P.S.-PAN BAZAR, Dist.-Kamrup Metro, 19.10.2016 State-ASSAM, Pin-781001 C/o-LALZUITHANG, H.No.-0, Vill/Town-BSNL BUILDING 4TH 404 NHM/SNRS/1286 LALTHAZUOL LT. LALNEIMAWI FLOOR, P.O.-PAN BAZAR, P.S.-PAN BAZAR, Dist.-Kamrup Metro, 19.10.2016 State-ASSAM, Pin-781001 C/o-MORTUJA AHMED BARBHUIYA, H.No.-673, Vill/Town- 405 NHM/SNRS/1136 LAMNEIHAT KIPGEN TONGSAT KIPGEN BANSKANDI, P.O.-BANSKANDI, P.S.-LAKHIPUR, Dist.-Cachar, 19.10.2016 State-ASSAM, Pin-788101 C/o-NAGENDRA KUMAR NATH, H.No.-118, Vill/Town-DAKHIN NAGENDRA KUMAR 406 NHM/SNRS/0408 LEEMA NATH JANGALPARA, P.O.-PALAHGARH, P.S.-TANGLA, Dist.-Udalguri, 19.10.2016 NATH State-ASSAM, Pin-784521 C/o-MANORANJAN SARMAH, H.No.-, Vill/Town-No.1 MANORANJAN 407 NHM/SNRS/0290 LEENA SARMAH JHARGAON, P.O.-ROWTA CHARIALI, P.S.-ROWTA, Dist.- 19.10.2016 SARMAH Udalguri, State-ASSAM, Pin-784508 C/o-Rk Rani Devi, H.No.-153, Vill/Town-Khumbong Bazar, P.O.- 408 NHM/SNRS/1119 Leitanthem Indira Devi L Shohodeva Singh Langjing, P.S.-Patsoi, Dist.-Imphal West District, State-Manipur, Pin- 19.10.2016 795113

C/o-METRON OFFICE GMCH, H.No.-GMC ROAD, Vill/Town- LHAINEITHEM 409 NHM/SNRS/0781 HAOSEI HAOKIP BHANGAGARH, P.O.-INDRAPUR, P.S.-BHANGAGARH, Dist.- 19.10.2016 HAOKIP Kamrup Metro, State-ASSAM, Pin-781032

C/o-SEIGIN KIPGEN, H.No.-5, Vill/Town-UPPER CACHAL VIP LHINGHOINENG 410 NHM/SNRS/0655 SEIGIN KIPGEN ROAD, P.O.-KHANAPARA, P.S.-DISPUR, Dist.-Kamrup Rural, 19.10.2016 KIPGEN State-ASSAM, Pin-781022 C/o-HELLLAM CHONGLOI, H.No.-5, Vill/Town-GUWAHATI, P.O.- LHINGKHOKIM HELLLAM 411 NHM/SNRS/0651 KHANAPARA, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, 19.10.2016 CHONGLOI CHONGLOI Pin-781022 C/o-Mr. Nondalal Murmu, H.No.-, Vill/Town-Rangoliting Tea Esate, 412 NHM/SNRS/1070 Lily Murmu Mr. Nondalal Murmu P.O.-Rongamati, P.S.-Dergaon, Dist.-Golaghat, State-Assam, Pin- 19.10.2016 785614 C/o-ROBIN SARMAH, H.No.-56, Vill/Town-GOWALGAON, P.O.- 413 NHM/SNRS/0994 LIPI DEVI ROBIN SARMAH GOWAL CHAPARI, P.S.-DHEMAJI, Dist.-Dhemaji, State-ASSAM, 19.10.2016 Pin-787057 C/o-PRAFULLA DEMTA, H.No.-183, Vill/Town-MIKIRGAON, P.O.- 414 NHM/SNRS/1744 LIVINGSTONE DEMTA PRAFULLA DEMTA UDMARI, P.S.-SAMAGURI, Dist.-Nagaon, State-ASSAM, Pin- 19.10.2016 782140 C/o-TILOK GOGOI, H.No.-0, Vill/Town-RANGAGARAH VILLAGE ANANDA 415 NHM/SNRS/1757 LIZA KHONIKAR ,NAMRUP, P.O.-PARBATPUR, P.S.-NAMRUP, Dist.-Dibrugarh, 19.10.2016 KHONIKAR State-ASSAM, Pin-786623 C/o-A.G.NURSING HOME,JORHAT, H.No.-NA, Vill/Town- 416 NHM/SNRS/1044 LOHE ATSIINI LOHE JORHAT, P.O.-JOTHAT, P.S.-JORHAT, Dist.-Jorhat, State-ASSAM, 19.10.2016 Pin-785001

C/o-D LOKHO, H.No.-NILL, Vill/Town-KATAFII, P.O.-TADUBI, 417 NHM/SNRS/0484 LOKHO LIVIS D LOKHO 19.10.2016 P.S.-TADUBI, Dist.-SENAPATI, State-MANIPUR, Pin-795106 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 22 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-MATRON, SILCHAR MDICAL COLLEGE AND HOSPITAL, LONGJAM LONGJAM H.No.-CENTRAL ICU, S. SANATOMBI CHANU. GNM STAFF 418 NHM/SNRS/0138 19.10.2016 AMITKUMAR SINGH IBOMCHA SINGH UNDER NRHM, Vill/Town-SILCHAR, P.O.-SMCH, P.S.- GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin-788014

C/o-LINA NAG KERKETTA, H.No.-15, Vill/Town-KAKOJAN TEA 419 NHM/SNRS/1805 LUISEN KERKETTA BINOY KERKETTA ESTATE, P.O.-NAKACHARI, P.S.-TEOK, Dist.-Jorhat, State- 19.10.2016 ASSAM, Pin-785635

C/o-LATE. DR. S. N. GOGOI, H.No.-7, Vill/Town-SEUJI PATH, LUKRAM ROMABATI LUKRAM 420 NHM/SNRS/0694 HATIGOAN MAIN ROAD, P.O.-KAMRUP, P.S.-HATIGOAN, Dist.- 19.10.2016 DEVI BRAJABABU SINGH Kamrup Metro, State-Assam, Pin-781038

C/o-KARUNA KANTA DEKA, H.No.-196, Vill/Town-SARAGAON, KARUNA KANTA 421 NHM/SNRS/0201 LUKU MONI DEKA P.O.-SARAGAON, P.S.-RAHA, Dist.-Nagaon, State-ASSAM, Pin- 19.10.2016 DEKA 782103 C/o-SOUTH CITY HOSPITAL, H.No.-, Vill/Town-SILCHAR, P.O.- LUNGLAILIU BUIBUANPOU 422 NHM/SNRS/0819 MEHERPUR, P.S.-SILCHAR, Dist.-Cachar, State-ASSAM, Pin- 19.10.2016 PHAOMEI PHAOMEI 788015 C/o-M VENLAITON KOM, H.No.-, Vill/Town-SAGANG VILLAGE, 423 NHM/SNRS/1082 M VEVILA KOM M VENLAITON KOM P.O.-MOIRANG, P.S.-KUMBI, Dist.-CHURACHANDPUR, State- 19.10.2016 MANIPUR, Pin-795133

C/o-Rama Krishna Mission Hospital Complex, H.No.-Type II, Block Mutum Suranjoy 424 NHM/SNRS/1586 M. Pinky Chanu IV A, Vill/Town-Itanagar, P.O.-RK Mission, P.S.-Itanagar, Dist.- 19.10.2016 Meitei Papum Pare, State-Arunachal Pradesh, Pin-791113

C/o-CHOTRAI MURMU, H.No.-2, Vill/Town-BHAIRIGURI, P.O.- 425 NHM/SNRS/1758 M. SIMPE M. SAMA HARAPUTA, P.S.-GOSSAIGAON, Dist.-Kokrajhar, State-ASSAM, 19.10.2016 Pin-783361 C/o-RAJANI KALITA, H.No.-8, Vill/Town-CHRISTIAN BASTI LATE MACHIRI 426 NHM/SNRS/0718 MACHIRI PHILAYUI UDAYACHAL PATH, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup 19.10.2016 SAMSON Metro, State-ASSAM, Pin-781005 C/o-GEETA HAJWARY, H.No.-N/A, Vill/Town-GUABARI, P.O.- LATE SANTOSH 427 NHM/SNRS/1798 MADHABI HAJWARY PATGAON, P.S.-SERFANGURI, Dist.-Kokrajhar, State-ASSAM, Pin- 19.10.2016 HAJWARY 783346 C/o-INDRESWAR BANGTHAI, H.No.-34, Vill/Town-NABAHATIA, LATE RAMAKANTA 428 NHM/SNRS/1768 MADHAN BANGTHAI P.O.-BARKULOI, P.S.-JAGIROAD, Dist.-Morigaon, State-ASSAM, 19.10.2016 BANGTHAI Pin-784211 C/o-METRON, H.No.-0, Vill/Town-GHUNGOOR, P.O.- PROBAL KUMAR 429 NHM/SNRS/0487 MADHUMITA DAS GHUNGOOR, P.S.-GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin- 19.10.2016 DAS 788014

C/o-SIDANANDA BORAH, H.No.-157, Vill/Town- SIDANANDA 430 NHM/SNRS/0515 MADHURIMA BORAH RANGOLIPATHAR, P.O.-RANGOLIPATHAR, P.S.- 19.10.2016 BORAH NAHARKATIA, Dist.-Dibrugarh, State-ASSAM, Pin-786610

C/o-ANIMA KAKOTY, H.No.-KHEMDOI KAKOTY GAON, MADHUSMITA LATE DEUTI Vill/Town-KHEMDOI KAKOTY GAON, P.O.-KHEMDOI 431 NHM/SNRS/0342 19.10.2016 KAKOTY KAOKOTI PUKHURI, P.S.-AMGURI, Dist.-Sivasagar, State-ASSAM, Pin- 785666 C/o-St. Luke's Hospital, H.No.-, Vill/Town-Tinsukia, P.O.- 432 NHM/SNRS/0256 Magrita Kerketta Late Deonish Kerketta Sukhanpukhri, P.S.-Tinsukia, Dist.-Tinsukia, State-Assam, Pin- 19.10.2016 786125

C/o-AMAR PATHAK, H.No.-1, Vill/Town-GUWAHATI,BISHNU LATE MAKUNDA 433 NHM/SNRS/0236 MAHAMAYA PATHAK RABHA NAGAR,SERABBHATI, P.O.-GOPINATH NAGAR, P.S.- 19.10.2016 PATHAK PALTAN BAZAR, Dist.-Kamrup Metro, State-ASSAM, Pin-781016

C/o-NOOR ALOM, H.No.-203, Vill/Town-BATADRAVA 434 NHM/SNRS/0519 MAHMUDA AHMED MOHAMMAD ALI BORBHETI, P.O.-BORBHETI, P.S.-BATADRAVA, Dist.-Nagaon, 19.10.2016 State-ASSAM, Pin-782122 C/o-ABDUR ROUF, H.No.-58, Vill/Town-BURIKHAMAR, P.O.- 435 NHM/SNRS/0248 MAHMUDA ALAM ABDUR ROUF BURIKHAMAR, P.S.-SARTHEBARI, Dist.-Barpeta, State-ASSAM, 19.10.2016 Pin-789311

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 23 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Jamini Singh, H.No.-43,Lt. dharma sharma path, Vill/Town- 436 NHM/SNRS/1886 Maibam Baby Devi M.Gandha Singh Birubari, P.O.-Gopinath Nagar, P.S.-Birubari under Paltan Bazar, 19.10.2016 Dist.-Kamrup Metro, State-Assam, Pin-781016

C/o-MARWARI HOSPITAL & RECEARCH CENTRE, H.No.- MAIMOM CHANU MAIMOM CHAOBA 437 NHM/SNRS/1175 S.J.ROAD, Vill/Town-GUWAHATI, P.O.-BHARALUMUKH, P.S.- 19.10.2016 ANURADHA MEETEI BHARALUMUKH, Dist.-Kamrup Metro, State-ASSAM, Pin-781001

C/o-BAPAN DEY, H.No.-, Vill/Town-JALAN NAGAR, DIBRUJAN BHUPEN 438 NHM/SNRS/0426 MAINEE CHANGMAI COLONEY,LANE-E1, P.O.-JALAN NAGAR, P.S.-BARBARI, Dist.- 19.10.2016 CHANGMAI Dibrugarh, State-ASSAM, Pin-786005

C/o-STANISH GURIA, H.No.-NILMONI TEA ESTATE, Vill/Town- 439 NHM/SNRS/1063 MAINU GURIA STANISH GURIA NILMONI TEA ESTATE, P.O.-NILMONI TEA ESTATE, P.S.- 19.10.2016 TINGKHONG, Dist.-Dibrugarh, State-ASSAM, Pin-786612

C/o-JIHUSUA MAHANTI, H.No.-1, Vill/Town-HOUTLEY, P.O.- 440 NHM/SNRS/0988 MAINU MAHANTI JIHUSUA MAHANTI HOUTLEY, P.S.-KOMARGAON, Dist.-Golaghat, State-ASSAM, Pin- 19.10.2016 785621

C/o-JOHN BIKRAM SURIN, H.No.-NO, Vill/Town-BAPIST 441 NHM/SNRS/1064 MALOBIKA TOPNO FRANKLIN TOPNO CHRISTIAN HOSPITAL MISSION CHARIALI, P.O.-TEZPUR, P.S.- 19.10.2016 TEZPUIR, Dist.-Sonitpur, State-ASSAM, Pin-784001

C/o-METRON, H.No.-0, Vill/Town-GHUNGOOR, P.O.- 442 NHM/SNRS/0483 MAMAN PAUL ASIT PAUL GHUNGOOR, P.S.-GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin- 19.10.2016 788014 C/o-CHAMPALAL PANIKA, H.No.-155, Vill/Town-THALIGRAM CHAMPALAL 443 NHM/SNRS/0199 MAMATA PANIKA T.E., P.O.-THALIGRAM T.E., P.S.-UDHARBOND, Dist.-Cachar, 19.10.2016 PANIKA State-ASSAM, Pin-788031

C/o-ASWINI RABHA, H.No.-, Vill/Town-KALABAKARA, P.O.- KHAR SING 444 NHM/SNRS/0215 MANAI TERAGNPI CHOUDHURYKHAT, P.S.-CHAYGAON, Dist.-Kamrup Rural, State- 19.10.2016 TERANG ASSAM, Pin-781022

C/o-HARA KANTA KOCH, H.No.-195, Vill/Town-SORU HARA KANTA 445 NHM/SNRS/0310 MANALISHIA KOCH PATGAON, P.O.-GHORAMARI, P.S.-TEZPUR, Dist.-Sonitpur, State- 19.10.2016 KOCH ASSAM, Pin-784105 C/o-REBA BHUYAN, H.No.-118, Vill/Town-NO 1 KALABARI, P.O.- 446 NHM/SNRS/0604 MANASHI BHUYAN REBA BHUYAN KALABARI, P.S.-GOHPUR, Dist.-Sonitpur, State-Assam, Pin- 19.10.2016 784178

C/o-JOGESWAR DAS, H.No.-102, Vill/Town-JONAKI NAGAR, 447 NHM/SNRS/0127 MANASHI DAS JOGESWAR DAS BARBARI, VIP ROAD, GUWAHATI, P.O.-HENGRABARI, P.S.- 19.10.2016 DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781036

C/o-MR KAMAL CK. BORUAH, H.No.-B2/05 SBI COLONY, MR. DIMBESWAR 448 NHM/SNRS/0312 MANASHI GOGOI Vill/Town-DULIAJAN SBI, P.O.-DULIAJAN, P.S.-DULIAJAN, Dist.- 19.10.2016 GOGOI Dibrugarh, State-ASSAM, Pin-786602

C/o-BHABEN PHUKAN, H.No.-14, Vill/Town-RENGONIJAR, 449 NHM/SNRS/1677 MANDIKA PHUKAN BHABEN PHUKAN TEZPUR, P.O.-SALONIBARI, P.S.-TEZPUR, Dist.-Sonitpur, State- 19.10.2016 ASSAM, Pin-784104 C/o-CHITRA GOYARY, H.No.-9, Vill/Town-JANAKI MANGSATABAM MANGSATABAM 450 NHM/SNRS/1296 PATH,GANESHGURI, GUWAHATI., P.O.-DISPUR, P.S.-DISPUR, 19.10.2016 SANGEETA DEVI IMOCHOUBA SINGH Dist.-Kamrup Metro, State-ASSAM, Pin-781006

C/o-Kan Medhi, H.No.-588, Vill/Town-Bijni W/No-3, Thakurbari 451 NHM/SNRS/0997 Manika Medhi Dhiren Ch. Medhi 19.10.2016 Road, P.O.-Bijni, P.S.-Bijni, Dist.-Chirang, State-Assam, Pin-783390

C/o-Makhan Lal Roy, H.No.-556, Vill/Town-Shivalik Park, Lane R-1, 452 NHM/SNRS/0026 MANISHA ROY MAKHAN LAL ROY Uttarkrishnapur Part-1, P.O.-Meherpur, P.S.-Silchar, Dist.-Cachar, 19.10.2016 State-Assam, Pin-788015 C/o-MD ABDUL MANNAS, H.No.-205, Vill/Town-1 NO BHATIA MD ABDUL 453 NHM/SNRS/1265 MANJILA BEGUM KHALI, P.O.-KATHPARA, P.S.-RUPAHI HAT, Dist.-Nagaon, State- 19.10.2016 MANNAS ASSAM, Pin-782120

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 24 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-J.C DAS, H.No.-42, Vill/Town- 454 NHM/SNRS/0185 MANTHIAN MAWI (L) PAUGO THANG SONALIPATH,KUSHALNAGAR, P.O.-BAMUNIMAIDAN, P.S.- 19.10.2016 BAMUNIMAIDAN, Dist.-Kamrup Metro, State-ASSAM, Pin-781021

C/o-Ratul Deka, H.No.-, Vill/Town-Sarukuchijar, P.O.-Niz-Namati, 455 NHM/SNRS/0466 MARAMI DEKA MADAN DEKA 19.10.2016 P.S.-Tihu, Dist.-Baksa, State-Assam, Pin-781355

C/o-Gobinda Daimari, H.No.-68, Vill/Town-Bhergaon, P.O.- 456 NHM/SNRS/0823 Marina Daimari Gobinda Daimari 19.10.2016 panerihat, P.S.-paneri, Dist.-Udalguri, State-assam, Pin-784523

C/o-WELSON BHENGRA, H.No.-5, Vill/Town-RONGPANGBONG 457 NHM/SNRS/0040 MARIYAM BHENGRA WELSON BHENGRA GAON, P.O.-DIPHU, P.S.-DIPHU, Dist.-Karbi Anglong, State- 19.10.2016 ASSAM, Pin-782460

C/o-AMULYA BARUAH, H.No.-NA, Vill/Town-TINGRAI, P.O.- 458 NHM/SNRS/0270 MARRY GOGOI JUGEN GOGOI 19.10.2016 TINGRAI, P.S.-DIGBOI, Dist.-Tinsukia, State-ASSAM, Pin-786171

C/o-SULTAN ALAM, H.No.-1, Vill/Town-TENGABASTI, P.O.- 459 NHM/SNRS/0454 MARSIA MURMU KAEN MURMU PANCHMILE, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin- 19.10.2016 784025 C/o-GEORGE SONAR, H.No.-193, Vill/Town-LOTABARI T.E., P.O.- 460 NHM/SNRS/0286 MARTINA SONAR GEORGE SONAR BOKAKHAT, P.S.-BOKAKHAT, Dist.-Golaghat, State-ASSAM, Pin- 19.10.2016 785612 C/o-George Minj, H.No.-107 (B) (KHO), Vill/Town-NEW MARKET 461 NHM/SNRS/0880 Mary Bell Delar George Minj NEAR BUNIYADI SCHOOL, P.O.-HOJAI, P.S.-HOJAI, Dist.- 19.10.2016 Nagaon, State-ASSAM, Pin-782435 C/o-ARYA NURSING COLLEGE, H.No.--, Vill/Town-NIJ MARY CHINGTULDIM SINDHURI GHOPA CHOWKIGATE CHANGSARI, P.O.- 462 NHM/SNRS/1825 ABRAHAM DOULIN 19.10.2016 ZOU CHANGSARI, P.S.-CHANGSARI, Dist.-Kamrup Rural, State- ASSAM, Pin-781101 C/o-SULEMAN DAHANGA, H.No.-46, Vill/Town-GAHORISUA SULEMAN 463 NHM/SNRS/0044 MARY DAHANGA GAON, P.O.-RAJABARI BORHULLA, P.S.-BORHULLA, Dist.- 19.10.2016 DAHANGA Jorhat, State-ASSAM, Pin-785631 C/o-M.N Taimur building, H.No.-29, Vill/Town-chandmari, navagiri 464 NHM/SNRS/1307 Mary Lalthangmawi Rosanglien road, P.O.-Chandmari, P.S.-Chandmari, Dist.-Kamrup Metro, State- 19.10.2016 Assam, Pin-781003

C/o-PALLABI KALLITA, H.No.-14, Vill/Town-RUKMINIGOAN MATHANGMANEI 465 NHM/SNRS/0825 M.MEKUN TARAO CHINAKI PATH BYELANE NO.1 GUWAHATI, P.O.-DISPUR, P.S.- 19.10.2016 JILKA TARAO DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-22

C/o-NRIPESH CHANDRA NATH, H.No.-, Vill/Town-SILCHAR, NRIPESH CHANDRA 466 NHM/SNRS/0809 MAUMITA NATH P.O.-SILCHAR, P.S.-SILCHAR, Dist.-Cachar, State-ASSAM, Pin- 19.10.2016 NATH 788001

C/o-BORBARI, VIP ROAD, NEAR PRATIKSHA HOSPITAL, H.No.- , Vill/Town-BORBARI VIP ROAD, NEAR PRATIKSHA 467 NHM/SNRS/1214 MAYA MAJHI ARJUN MAJHI 19.10.2016 HOSPITAL, P.O.-HENGRABARI, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781036

C/o-Hemanta Das, H.No.-82, Vill/Town-Rangagora Ghat, P.O.- 468 NHM/SNRS/0961 MAYASREE DUTTA Kushal Dutta Rangagora Ghat, P.S.-Kamargaon, Dist.-Golaghat, State-Assam, Pin- 19.10.2016 785611

C/o-PHULESWAR BORAH, H.No.-WARD NO-04, Vill/Town- PHULESWAR 469 NHM/SNRS/1817 MAYURI BORAH TOWN TINIALI, P.O.-DHAKUAKHANA, P.S.-DHAKUAKHANA, 19.10.2016 BORAH Dist.-Lakhimpur, State-ASSAM, Pin-787055

C/o-DROPATI SHAHI, H.No.-0, Vill/Town-LOKRA NEAR SHYAM BAHADUR 470 NHM/SNRS/0321 MEENA TAMANG NAMANI GAON, P.O.-LOKRA, P.S.-LOKRA, Dist.-Sonitpur, State- 19.10.2016 TAMANG Assam, Pin-784102 C/o-RAJEN NAG, H.No.-, Vill/Town-SUGUNI BARI 471 NHM/SNRS/0594 MEGHALI PEGU PADMDHAR PEGU PUKHURIPAR, P.O.-BORBARI (AMCH), P.S.-BORBARI (AMCH), 19.10.2016 Dist.-Dibrugarh, State-ASSAM, Pin-786002 C/o-SATISH NARZARY, H.No.-268, Vill/Town-ANGRAJULI, P.O.- 472 NHM/SNRS/0885 MERLIN NARZARI SATISH NARZARI BHAIRABKUNDA, P.S.-UDALGURI, Dist.-Udalguri, State-ASSAM, 19.10.2016 Pin-784513

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 25 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-BAPTISH CHRISTISN HOSPITAL, H.No.-, Vill/Town- 473 NHM/SNRS/1743 MINATI HORO LATE SIMION HORO MISSION CHARIALI, P.O.-KETEKIBARI, P.S.-TEZPUR, Dist.- 19.10.2016 Sonitpur, State-ASSAM, Pin-784154

C/o-Mr J P Boruah, H.No.-Puberun Appartment 4B-1, Vill/Town- Late Mohendra Nath 474 NHM/SNRS/1210 Minati Tamuly Ghoramora Charali,Bhetapara, P.O.-Beltola, P.S.-Bakhistha, Dist.- 19.10.2016 Tamuly Kamrup Metro, State-Assam, Pin-781028

C/o-C.KITNYA, H.No.-YANKANG, Vill/Town-YANKANG, P.O.- LATE THUNGWANG 475 NHM/SNRS/0644 MINMIN HANGSIK CHANGLANG, P.S.-CHANGLANG, Dist.-CHANGLANG, State- 19.10.2016 HANGISK ARUNACHAL PRADESH, Pin-792120

C/o-BAPTIST CHRISTIAN HOSPITAL, H.No.-, Vill/Town- 476 NHM/SNRS/1106 MINOTI HORO LATE SIMION HORO MISSION CHARIALI, P.O.-KETEKIBARI, P.S.-TEZPUR, Dist.- 19.10.2016 Sonitpur, State-ASSAM, Pin-784154 C/o-NANI GOPAL DAS, H.No.-427, Vill/Town-RONGUR PART IV 477 NHM/SNRS/0494 MINTI RANI DAS NANI GOPAL DAS (ANGARZUR), P.O.-RONGPUR, P.S.-SILCHAR SADAR, Dist.- 19.10.2016 Cachar, State-ASSAM, Pin-788009

C/o-Mizanur rahman, H.No.-145, Vill/Town-Gumi, P.O.-Ag gumi, 478 NHM/SNRS/1152 Minuti kurbah Shandra rajbansi 19.10.2016 P.S.-Chhaygaon, Dist.-Kamrup Rural, State-Assam, Pin-781137

C/o-Sri Ratneswar Bagh, H.No.-44, Vill/Town-Bhojkhowa Sapori, 479 NHM/SNRS/1893 Mira Bagh Sri Ratneswar Bagh P.O.-Bhojkhowa Sapori, P.S.-Tezpur, Dist.-Sonitpur, State-Assam, 19.10.2016 Pin-784027

C/o-Eshahak Toppo, H.No.-79, Vill/Town-Bordol, P.O.-Udmari, P.S.- 480 NHM/SNRS/0775 Mirita Toppo Eshahak Toppo 19.10.2016 Samaguri, Dist.-Nagaon, State-Assam, Pin-782140

C/o-LILA DEKA, H.No.-NA, Vill/Town-DIGBOI, P.O.-DIGBOI, P.S.- 481 NHM/SNRS/0131 MITALI GOGOI UPEN GOGOI 19.10.2016 DIGBOI, Dist.-Tinsukia, State-ASSAM, Pin-786171

C/o-Karuna Kalita, H.No.-7, Vill/Town-Pacharia, P.O.-Pacharia, P.S.- 482 NHM/SNRS/0742 Mitali Kalita Karuna Kalita 19.10.2016 Hajo, Dist.-Kamrup Rural, State-Assam, Pin-781104

C/o-DEBAJIT PHUKAN, H.No.-NIL, Vill/Town-VILLAGE DARIKA 483 NHM/SNRS/0512 MITALI ROVI KUKHESWAR ROVI PAR KHATOPATHAR, P.O.-NAMTIAL PATHAR, P.S.- 19.10.2016 SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785640

C/o-MATIKURUDDIN AHMED, H.No.-, Vill/Town-KHANDIKAR, MATIKURUDDIN 484 NHM/SNRS/1056 MITUMANI YESMIN P.O.-DEULKUCHI, P.S.-TAMULPUR, Dist.-Baksa, State-ASSAM, 19.10.2016 AHMED Pin-781354 C/o-METRON, H.No.-0, Vill/Town-GHUNGOOR, P.O.- 485 NHM/SNRS/0493 MOMEE SHILL DAKSHINA SHILL GHUNGOOR, P.S.-GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin- 19.10.2016 788014 C/o-TILESWAR GOGOI, H.No.-0, Vill/Town-KAPAHERA, P.O.- 486 NHM/SNRS/0320 MOMI GOGOI TILESWAR GOGOI KAPAHERA, P.S.-MIKIRBHETA, Dist.-Morigaon, State-ASSAM, 19.10.2016 Pin-782103 C/o-DALURAM PEGU, H.No.-38, Vill/Town-WARD NO 3, NEAR 487 NHM/SNRS/1213 MOMI PADUN UMESH PADUN F.C.I., P.O.-DHEMAJI, P.S.-DHEMAJI, Dist.-Dhemaji, State- 19.10.2016 ASSAM, Pin-787057

C/o-LUCHIFA BEGAM, H.No.-3, Vill/Town-FAKIRAGRAM, P.O.- LATE MOZAHAR 488 NHM/SNRS/1804 MOMOTAZ BEGUM FAKIRAGRAM, P.S.-FAKIRAGRAM, Dist.-Kokrajhar, State- 19.10.2016 ALI SHEIKH ASSAM, Pin-783345

C/o-md roshid ali, H.No.-, Vill/Town-dhuliagaon, P.O.-morangi, P.S.- 489 NHM/SNRS/0254 momtaj begum md roshid ali 19.10.2016 golaghat, Dist.-Golaghat, State-assam, Pin-785621

C/o-SURYA PD KALINDI, H.No.-42, Vill/Town-BOKAKHAT TE, 490 NHM/SNRS/1656 MONALISA KALINDI SURYA PD KALINDI P.O.-BOKAKHAT, P.S.-BOKAKHAT, Dist.-Golaghat, State- 19.10.2016 ASSAM, Pin-785612 C/o-GOPAL KANDULNA, H.No.-, Vill/Town-KETEKIBARI, P.O.- LATE ESTIPHAN 491 NHM/SNRS/1109 MONI KUMAR KETEKIBARI, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin- 19.10.2016 KUMAR 784154

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 26 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-SUJIT GOGOI, H.No.-22, Vill/Town-METEKA LAI MEKURI 492 NHM/SNRS/1019 MONIDIPA GOGOI SUJIT GOGOI GAON, P.O.-METEKA, P.S.-JOYSAGAR, Dist.-Sivasagar, State- 19.10.2016 ASSAM, Pin-785640

C/o-LATE DIPAK RANJAN NATH, H.No.-8, Vill/Town- LATE DIPAK 493 NHM/SNRS/0929 MONIDIPA NATH CHAMELA, P.O.-CHAMELA BAZAR, P.S.-RAMKRISHNA 19.10.2016 RANJAN NATH NAGAR, Dist.-Karimganj, State-ASSAM, Pin-788166

C/o-KOMBLESWAR BASUMATARY, H.No.-N/A, Vill/Town- MONIKA KOMBLESWAR 494 NHM/SNRS/0195 MOTHAMBIL, P.O.-RAIMONA, P.S.-GOSSAIGAON, Dist.- 19.10.2016 BASUMATARY BASUMATARY Kokrajhar, State-ASSAM, Pin-783350

C/o-Jatin Chandra Borah, H.No.-, Vill/Town-Madhupur, P.O.- 495 NHM/SNRS/0533 Monika Borah Jatin Chandra Borah 19.10.2016 Madhupur, P.S.-Bihpuria, Dist.-Lakhimpur, State-Assam, Pin-787033

C/o-TARUN CHANDRA BORUAH, H.No.-, Vill/Town- TARUN CHANDRA 496 NHM/SNRS/0815 MONIKA BORUAH NITAIPUKHURI, P.O.-NITAIPUKHURI, P.S.-DEMOW, Dist.- 19.10.2016 BORUAH Sivasagar, State-ASSAM, Pin-785671

C/o-IOCl Hospital, H.No.-NSG Hostal B'low 41, Vill/Town-Digboi, 497 NHM/SNRS/0338 MONIKA KATWAL Kul Bahadur Katwal 19.10.2016 P.O.-Digboi, P.S.-Digboi, Dist.-Tinsukia, State-Assam, Pin-786171

C/o-Dr.Lakshya Jyoti Bairagi, H.No.-8, Vill/Town-Survey, Ajanta 498 NHM/SNRS/0001 Monimala Sarmah Rupen Sarmah Path, Bye lane1, P.O.-Beltola, P.S.-Hatigaon, Dist.-Kamrup Metro, 19.10.2016 State-Assam, Pin-781028 C/o-BHIM BAHARUR THAKURI, H.No.-, Vill/Town- BHIM BAHARUR 499 NHM/SNRS/0948 MONISHA THAKURI NAHARBARI, P.O.-UPPERLANGTHA, P.S.-BARPATHER, Dist.- 19.10.2016 THAKURI Golaghat, State-ASSAM, Pin-785602

C/o-ASWINI KONWAR, H.No.-, Vill/Town-HALAKHBARI 500 NHM/SNRS/0678 MONITA KONWAR ASWINI KONWAR AADARSHA GAON, P.O.-GERUKAMUKH, P.S.-GOGAMUKH, 19.10.2016 Dist.-Dhemaji, State-Assam, Pin-787035

C/o-SAMEL SANGA, H.No.-140, Vill/Town-DESAM TEA ESTATE, 501 NHM/SNRS/0833 MONJULINA SANGA SAMEL SANGA P.O.-NAHARKATIA, P.S.-NAHARKATIA, Dist.-Dibrugarh, State- 19.10.2016 ASSAM, Pin-786610

C/o-BIJOY SHANKAR GOGOI, H.No.-29, Vill/Town-BORPATHER MOONMI DUTTA 502 NHM/SNRS/0661 MUKTA DUTTA RANGI GAON, P.O.-P.O KOMAR GAON, P.S.-BARBARUAH, 19.10.2016 GOGOI Dist.-Dibrugarh, State-ASSAM, Pin-786003

C/o-KRISHNA KANTA RAJKONWAR, H.No.-7, Vill/Town- KRISHNA KANTA 503 NHM/SNRS/0925 MOONMI RAJKUMARI SUNPURA GOHAIN GAON, P.O.-NAGA GAON, P.S.- 19.10.2016 RAJKONWAR SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785701

C/o-SURJIT BORGOHAIN, H.No.-295, Vill/Town-LESSENKA MOONMOON 504 NHM/SNRS/0917 SURJIT BORGOHAIN BONGALI, P.O.-MAKUM JUNCTION, P.S.-MAKUM, Dist.- 19.10.2016 BORGOHAIN Tinsukia, State-ASSAM, Pin-786170 C/o-KUMUD SAIKIA, H.No.-44, Vill/Town-CHETIA HANDIQUE 505 NHM/SNRS/0881 MOUCHUMI SAIKIA KUMUD SAIKIA GAON, P.O.-SILASAKU, P.S.-SIMALUGURI, Dist.-Sivasagar, State- 19.10.2016 ASSAM, Pin-785686

C/o-LATE NIRESH CH. DEY, H.No.-205, Vill/Town-NAYABARI LATE NIRESH 506 NHM/SNRS/0276 MOUMITA DEY ROAD, P.O.-TILABAZAR, P.S.-KARIMGANJ, Dist.-Karimganj, 19.10.2016 CHANDRA DEY State-ASSAM, Pin-788709

C/o-RAJESH BORAH, H.No.-0, Vill/Town-BHABALI CHUCK, P.O.- MOUSUMI SUBHASH 507 NHM/SNRS/0416 GOROKHIA DOLE, P.S.-JORHAT, Dist.-Jorhat, State-ASSAM, Pin- 19.10.2016 BURAGOHAIN BURAGOHAIN 785015 C/o-LATE GOPIKA RANJAN DEY, H.No.-95, Vill/Town- LATE GOPIKA 508 NHM/SNRS/0042 MOUSUMI DEY PATELNAGAR, P.O.-KANISHAIL, P.S.-KARIMGANJ, Dist.- 19.10.2016 RANJAN DEY Karimganj, State-ASSAM, Pin-788001

C/o-TRAILUKYA HAZARIKA, H.No.-HAPJAN PURBAT TE MOUSUMI DUTTA 509 NHM/SNRS/0009 KAMAL DUTTA COMPLEX, Vill/Town-HAPJAN, P.O.-PARBATPUR, P.S.- 19.10.2016 HAZARIKA NAMRUP, Dist.-Dibrugarh, State-ASSAM, Pin-786623

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 27 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-KRITI GOGOI, H.No.-25, Vill/Town-KHOWANG BETONI MAJ 510 NHM/SNRS/0504 MOUSUMI GOGOI KRITI GOGOI GAON, P.O.-BURI KHOWANG, P.S.-KHOWANG, Dist.-Dibrugarh, 19.10.2016 State-ASSAM, Pin-785675 C/o-PARAG GOGOI, H.No.-NA, Vill/Town-NO. 1 KAPAHUWA, 511 NHM/SNRS/0048 MOUSUMI GOGOI PARAG GOGOI P.O.-LAKHIPATHAR, P.S.-DIGBOI, Dist.-Tinsukia, State-ASSAM, 19.10.2016 Pin-786171 C/o-Sanjiv Handique, H.No.-, Vill/Town-Bamkalakhowa, P.O.- 512 NHM/SNRS/0590 Mousumi Handique Sanjiv Handique Bamkalakhowa, P.S.-Borboruah, Dist.-Dibrugarh, State-ASSAM, Pin- 19.10.2016 786007 C/o-ROHIT CHANDRA KURMI, H.No.-52, Vill/Town-BEDETI ROHIT CHANDRA 513 NHM/SNRS/1620 MOUSUMI KURMI PATHAR, P.O.-BEDETI, P.S.-BEHALI, Dist.-Sonitpur, State- 19.10.2016 KURMI ASSAM, Pin-784179 C/o-ROBIN TOPNO, H.No.-, Vill/Town-HALMARI T E, P.O.- 514 NHM/SNRS/1647 MOUSUMI NAND JOYSWAR NAND KHOWANG, P.S.-KHOWANG, Dist.-Dibrugarh, State-Assam, Pin- 19.10.2016 785675 C/o-MR. GOPAL PHUKAN, H.No.-1 NO. DOOMER DOLLONG, MRIDU MOLOYA Vill/Town-1 NO. DOOMER DOLLONG, P.O.- 515 NHM/SNRS/1111 JAMES CHETRI 19.10.2016 CHETRI DOOMERDOLLOMG, P.S.-MORAN, Dist.-Dibrugarh, State- ASSAM, Pin-786613 C/o-KAMESH DAS, H.No.-28, Vill/Town-VILL-THAIKARAKUCHI, 516 NHM/SNRS/0175 MRIDULA DAS KAMESH DAS P.O.-PO-SATHISAMUKA, P.S.-BARAMA, Dist.-Baksa, State- 19.10.2016 ASSAM, Pin-781355 C/o-NAKUL NATH, H.No.-, Vill/Town-DURAMARI, P.O.- 517 NHM/SNRS/0600 MRIDULA NATH NAKUL NATH LALMATI, P.S.-ABHAYAPURI, Dist.-Bongaigaon, State-Assam, Pin- 19.10.2016 783384 C/o-NAKUL NATH, H.No.-, Vill/Town-DURAMARI, P.O.- 518 NHM/SNRS/0501 MRIDULA NATH NAKUL NATH LALMATI, P.S.-ABHAYAPURI, Dist.-Bongaigaon, State-Assam, Pin- 19.10.2016 783384

Late Hemanta Kr C/o-Anu Das, H.No.-, Vill/Town-Kamari Gaon, P.O.-Balipara, P.S.- 519 NHM/SNRS/0190 Mrinali Konwar 19.10.2016 Konwar Charduar, Dist.-Sonitpur, State-Assam, Pin-784101

C/o-Mr. Dinesh Borah, H.No.-91, Vill/Town-Amarawati, P.O.- 520 NHM/SNRS/0782 Munmi Borah Mr. Dinesh Borah 19.10.2016 Tetelisara, P.S.-Kampur, Dist.-Nagaon, State-Assam, Pin-782426

C/o-NAGEN BORAH, H.No.-5, Vill/Town-VILL MERBILL GAON, 521 NHM/SNRS/1067 MUNMI BORAH NAGEN BORAH P.O.-SUKAN PUKHURI, P.S.-SIVASAGAR, Dist.-Sivasagar, State- 19.10.2016 ASSAM, Pin-785640 C/o-THANURAM DEHINGIA, H.No.-10, Vill/Town-2 NO THANURAM 522 NHM/SNRS/0339 MUNMI DEHINGIA SILLPUTA, P.O.-SILPUTA, P.S.-KHOWANG GHAT, Dist.- 19.10.2016 DEHINGIA Dibrugarh, State-ASSAM, Pin-785676

C/o-RUPA SENSUA, H.No.-QUARTER NO-5, Vill/Town-NEAR 523 NHM/SNRS/0762 MUNMUN SENSUA DILIP SENSUA COMMERCE COLLEGE(JAIL ROAD), P.O.-SIVASAGAR, P.S.- 19.10.2016 SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785640

C/o-GUNADHAR GOSAI, H.No.-123, Vill/Town-MORAN 524 NHM/SNRS/1154 MUNNI GOSAI GUNADHAR GOSAI KHATKHATI, P.O.-MORAN, P.S.-MORANHAT, Dist.-Sivasagar, 19.10.2016 State-ASSAM, Pin-785669 C/o-Late Monuprasad Pegu, H.No.-, Vill/Town-Telam Gamchuk, P.O.- 525 NHM/SNRS/0302 Munomi Pegu Late Monuprasad Pegu Telam, P.S.-Simen Chapari, Dist.-Dhemaji, State-ASSAM, Pin- 19.10.2016 787061 C/o-N. HEMOLOTA SINGHA, H.No.-238, Vill/Town- LATE N. BRAJA 526 NHM/SNRS/0499 N. NOMITA SINGH PALLARBOND, P.O.-PALLARBOND, P.S.-LAKHIPUR, Dist.- 19.10.2016 BIHARI SINGH Cachar, State-ASSAM, Pin-788101 C/o-BIPIN CH BAISHYA, H.No.-779, Vill/Town-HENGRABARI 527 NHM/SNRS/0639 NABANITA BAISHYA BIPIN CH BAISHYA UJJAL NAGAR, P.O.-HENGRABARI, P.S.-DISPUR, Dist.-Kamrup 19.10.2016 Metro, State-ASSAM, Pin-781036 C/o-Mr Gobin saikia, H.No.-B-1, Vill/Town-nirjuli power gride 528 NHM/SNRS/1315 NABANITA SAIKIA Gobin saikia collony, P.O.-nirjuli, P.S.-nirjuli, Dist.-papumpare, State-Arunachal 19.10.2016 Pradesh, Pin-791109

C/o-Sujit Kurmi, H.No.-234, Vill/Town-Lunpuria Bomgali Gaon, P.O.- 529 NHM/SNRS/1013 Nageswari Kurmi Deocharan Kurmi 19.10.2016 Panitola, P.S.-Panitola, Dist.-Tinsukia, State-Assam, Pin-786183

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 28 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-NAZIR UDDIN LASKAR, H.No.-282, Vill/Town-RONGPUR PT- NAHID PARBIN NAZIR UDDIN 530 NHM/SNRS/0110 II, P.O.-RONGPUR, P.S.-SILCHAR SADAR, Dist.-Cachar, State- 19.10.2016 LASKAR LASKAR ASSAM, Pin-788009 C/o-INDRA PRASAD BORA, H.No.-RONGMIRDAN, Vill/Town- INDRA PRASAD 531 NHM/SNRS/0481 NAINA BORA DIPHU KARBI ANGLONG, P.O.-DIPHU, P.S.-DIPHU, Dist.-Karbi 19.10.2016 BORA Anglong, State-ASSAM, Pin-782460 C/o-JAYA PRADHAN, H.No.-287, Vill/Town-BORBARI VIP 532 NHM/SNRS/1281 NAINA PRADHAN KUMAR PRADHAN ROAD, P.O.-HENGRABARI, P.S.-DISPUR, Dist.-Kamrup Metro, 19.10.2016 State-ASSAM, Pin-781036 C/o-GAUTAM DAS, H.No.-25, Vill/Town-NAYANPUR, P.O.- LATE ASHWINI 533 NHM/SNRS/1963 NALINA PAUL DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin- 19.10.2016 KUMAR PAUL 781006 C/o-ADITYA BASUMATARY, H.No.-199, Vill/Town-DHANUKA, NAMITA ADITYA 534 NHM/SNRS/0692 P.O.-PANITEMA, P.S.-HAJO, Dist.-Kamrup Rural, State-ASSAM, 19.10.2016 BASUMATARY BASUMATARY Pin-781101 C/o-BHUMUK BASUMATARY, H.No.-139, Vill/Town-NATUN NAMITA BHUMUK 535 NHM/SNRS/1027 SIRAJULI, P.O.-NATUN SIRAJULI, P.S.-DHEKIAJULI, Dist.- 19.10.2016 BASUMATARY BASUMATARY Sonitpur, State-ASSAM, Pin-784110 C/o-DHARANI KAKATI, H.No.-327, Vill/Town-ALIPUB, P.O.- 536 NHM/SNRS/0574 NAMITA KAKATI DHARANI KAKATI BAIHATA CHARIALI, P.S.-BAIHATA CHARIALI, Dist.-Kamrup 19.10.2016 Rural, State-ASSAM, Pin-781381 C/o-DILIP KUMAR BANIA, H.No.-13, Vill/Town- 537 NHM/SNRS/0091 NANDITA BANIA BANTI RAM BANIA PUNIA,BARKUMAR PARA, P.O.-RANGAMATI, P.S.- 19.10.2016 MANGALDAI, Dist.-Darrang, State-Assam, Pin-784125

C/o-SWAPAN PAUL, H.No.-, Vill/Town-NAVAPALLY WARD 538 NHM/SNRS/0696 NANDITA PAUL SWAPAN PAUL NO.2 LONGAI ROAD, P.O.-SETTLEMENT ROAD, P.S.- 19.10.2016 KARIMGANJ, Dist.-Karimganj, State-ASSAM, Pin-788712

C/o-NGOUSHA CHAWSONG, H.No.-4, Vill/Town-POWAI MUKH, NANG HOM NGOUSHA 539 NHM/SNRS/1462 P.O.-MAKUM KILLA, P.S.-MARGHERITA, Dist.-Tinsukia, State- 19.10.2016 CHAWSONG CHAWSONG ASSAM, Pin-786181

C/o-PHANI SHYAM, H.No.-, Vill/Town-BORPATHER, P.O.- NANG SING SONG 540 NHM/SNRS/1185 PHANI SHYAM KHOWANG, P.S.-KHOWANG, Dist.-Dibrugarh, State-ASSAM, Pin- 19.10.2016 SHYAM 785676 C/o-PABAN KUMAR SAHARIA, H.No.-, Vill/Town-PACHIM PABAN KUMAR 541 NHM/SNRS/1271 NANI SAHARIAH CHUBA, P.O.-SIPAJHAR, P.S.-SIPAJHAR, Dist.-Darrang, State- 20.10.2016 SAHARIA ASSAM, Pin-784145 C/o-Pragati Paying Guest, H.No.-6, Vill/Town-Katiram Medhi Path, Naomi Gainithuiliu 542 NHM/SNRS/0612 Lt. Angam Kamei Rukmini Nagar, P.O.-Hengarabari, P.S.-Dispur, Dist.-Kamrup Metro, 20.10.2016 Kamei State-Assam, Pin-781006 C/o-OINAM AWANG LEIKAI, H.No.-, Vill/Town-OINAM, P.O.- NAOREM BEMBEM NAOREM BIREN 543 NHM/SNRS/1729 NAMBOL, P.S.-NAMBOL, Dist.-BISHNUPUR, State-Manipur, Pin- 20.10.2016 DEVI SINGH 795134

C/o-AMINUR ISLAM, H.No.-83, Vill/Town-CHALANTAPARA, 544 NHM/SNRS/1232 NARJI KHANOM LATE JOHAR ALI P.O.-CHALANTAPARA, P.S.-JOGIGHOPA, Dist.-Bongaigaon, State- 20.10.2016 ASSAM, Pin-783388

C/o-LATE CHENIRAM BARUAH, H.No.-, Vill/Town-KAKAJAN T LATE CHENIRAM 545 NHM/SNRS/1934 NAVANITA BARUAH E STAFF QUARTER, P.O.-NAKACHARI, P.S.-MARIANI, Dist.- 20.10.2016 BARUAH Jorhat, State-ASSAM, Pin-785635 C/o-GAUTAM GOGOI, H.No.-61/B/III, Vill/Town-BVFCL NAYANMONI RUHONI KUMAR 546 NHM/SNRS/0947 TOWNSHIP, P.O.-PARBATPUR, P.S.-NAMRUP, Dist.-Dibrugarh, 20.10.2016 BURAGOHAIN GOGOI BURAGOHAIN State-ASSAM, Pin-786623 C/o-GHANASHYAM DAS, H.No.-62, Vill/Town-BISHNUPUR 547 NHM/SNRS/0463 NAYANTARA DAS BHAGABAN DAS (KHAT), WARD NO-12, P.O.-NALBARI, P.S.-NALBARI, Dist.- 20.10.2016 Nalbari, State-ASSAM, Pin-781335 C/o-ALAMGIR AHMED, H.No.-203, Vill/Town-DOMONI, P.O.- HIKMAT ALI 548 NHM/SNRS/0372 NAZEEN AHMED KHAIRABARI, P.S.-BARPETA ROAD, Dist.-Barpeta, State- 20.10.2016 AHMED ASSAM, Pin-781315 C/o-HADAYAT ALI, H.No.-0, Vill/Town-MOLLAPARA, P.O.- 549 NHM/SNRS/1881 NAZIMA BEGUM HADAYAT ALI HOWLY MOHANPUR, P.S.-MANGALDAI, Dist.-Darrang, State- 20.10.2016 ASSAM, Pin-784125 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 29 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-NOZIR AHMED BARBHUIYA, H.No.-902, Vill/Town- NAZIRA BEGUM LEAKATH ALI 550 NHM/SNRS/1630 BURIBAIL PART-III, P.O.-BURIBAIL PART-III, P.S.-BARKHALA, 20.10.2016 LASKAR LASKAR Dist.-Cachar, State-ASSAM, Pin-788025 C/o-MD NASIRUDDIN AHMED, H.No.-97, Vill/Town-DEORAJA, MD NASIRUDDIN 551 NHM/SNRS/0490 NAZLIN ARA BEGUM P.O.-DEORAJA, P.S.-AMGURI, Dist.-Sivasagar, State-ASSAM, Pin- 20.10.2016 AHMED 785680 C/o-ALAMGIR AHMED, H.No.-303, Vill/Town-DOMONI, P.O.- HIKMAT ALI 552 NHM/SNRS/0387 NAZNEEN AHMED KHAIRABARI, P.S.-BARPETA ROAD, Dist.-Barpeta, State- 20.10.2016 AHMED ASSAM, Pin-781315

C/o-MAWROH WEST KHASI HILLS, H.No.-32, Vill/Town- NEBAKIRIS DRASTERLY 553 NHM/SNRS/1144 MAWROH, P.O.-NONGSTOIN, P.S.-NONGSTOIN, Dist.-Outside 20.10.2016 LYNGDOH SOHSHANG State, State-MEGHALAYA, Pin-793119

C/o-SATYA NATH DAS, H.No.-0, Vill/Town-BORI, P.O.-BORI, P.S.- 554 NHM/SNRS/0882 NEETA RANI DAS SATYA NATH DAS 20.10.2016 BELSOR, Dist.-Nalbari, State-ASSAM, Pin-781338

C/o-THAMBAL SINGHA, H.No.-HOUSE NO-21, Vill/Town- 555 NHM/SNRS/0114 NEETU SINGHA THAMBAL SINGHA BHABANIPUR SALBARI, P.O.-NOONMATI, P.S.-NOONMATI, 20.10.2016 Dist.-Kamrup Metro, State-ASSAM, Pin-781020

C/o-Jogesh Das, H.No.-House no.7, Bylane•5, Nayanpur Road, 556 NHM/SNRS/1000 Neimanvung G. Vialchin Vill/Town-Ganeshguri, P.O.-Japorigog, P.S.-Dispur, Dist.-Kamrup 20.10.2016 Metro, State-Assam, Pin-781005 C/o-DHANI RAM SAIKIA, H.No.-NA, Vill/Town-UJANI 557 NHM/SNRS/0022 NELEE SAIKIA DHANI RAM SAIKIA NAMDANG, P.O.-CHAHARIKATA, P.S.-MORAN, Dist.-Dibrugarh, 20.10.2016 State-ASSAM, Pin-785675

C/o-SR. TERESA, H.No.-62, Vill/Town-GUWHATI, P.O.-DISPUR, 558 NHM/SNRS/0344 NEPUNI HRIIZIINI NEPUNI 20.10.2016 P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781005

C/o-NG NINGNINGWAR MONSANG, H.No.-1, Vill/Town- NG NINGNINGWAR NG JOYKUMAR 559 NHM/SNRS/0894 JORHAT CHRISTIAN MEDICAL CENTRE, P.O.-BARBHETA, P.S.- 20.10.2016 MONSANG MONSANG JORHAT, Dist.-Jorhat, State-ASSAM, Pin-785004

C/o-Baptist Christian Hospital, H.No.-B6, Vill/Town-mission chariali, Ngoruw .Tharningsha Ngoruw Ronishing 560 NHM/SNRS/0720 P.O.-Ketekibari, P.S.-Tezpur, Dist.-Sonitpur, State-Assam, Pin- 20.10.2016 Moyon Moyon 784001 C/o-Baptist Christian Hospital, H.No.-B6, Vill/Town-Mission Ngoruw. Tharningsha Ngoruw Ronishing 561 NHM/SNRS/0719 Chariali, P.O.-Ketekibari, P.S.-Tezpur, Dist.-Sonitpur, State-Assam, 20.10.2016 Moyon Moyon Pin-784001

C/o-LATE PROBIN BORPATRA GOHAIN, H.No.-NO, Vill/Town- NIBEDITA BORPATRA LATE PROBIN 562 NHM/SNRS/0761 KENDUGURI GOHAIN GAON, P.O.-KENDUGURI, P.S.- 20.10.2016 GOHAIN BORPATRA GOHAIN SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785697

C/o-Mr Kusha Borah, H.No.-New SAP - 2226, Near Daily Bazar, 563 NHM/SNRS/0304 NIBHA JYOTI GOGOI Deben Gogoi Vill/Town-Duliajan, P.O.-Duliajan, P.S.-Duliajan, Dist.-Dibrugarh, 20.10.2016 State-ASSAM, Pin-786602

C/o-DHIREN HAZARIKA, H.No.-QTR. NO. 185 TYPE 2 SECTOR 564 NHM/SNRS/1165 NIHARIKA HAZARIKA DHIREN HAZARIKA A, Vill/Town-FERTILIZER, NAMRUP, P.O.-NAMRUP, P.S.- 20.10.2016 NAMRUP, Dist.-Dibrugarh, State-ASSAM, Pin-786623

C/o-AG NURSING HOME, H.No.-0, Vill/Town-JORHAT, P.O.- 565 NHM/SNRS/0985 NIING SUAN CING L ZAMKHAWSUAN 20.10.2016 JORHAT, P.S.-JORHAT, Dist.-Jorhat, State-ASSAM, Pin-785001

C/o-DEBEN BORA, H.No.-2, Vill/Town-NOWKATA, P.O.- 566 NHM/SNRS/0196 NIKUMONI BORA DEBEN BORA DOLOICHUBA, P.S.-MORIGAON, Dist.-Morigaon, State-ASSAM, 20.10.2016 Pin-782105

C/o-NAYANMONI NALBORIA, H.No.-NIL, Vill/Town-KOLIAPANI 567 NHM/SNRS/0008 NIKUMONI GOGOI PUTUL GOGOI TAIRAI GAON, P.O.-KOLIAPANI, P.S.-NAHARKATIA, Dist.- 20.10.2016 Dibrugarh, State-ASSAM, Pin-786610

C/o-Milaram Deuri, H.No.-112, Vill/Town-Uddeshyapur, P.O.- 568 NHM/SNRS/0382 Nilakhi Deuri Milaram Deuri Raidongia, P.S.-Narayanpur, Dist.-Lakhimpur, State-Assam, Pin- 20.10.2016 784164 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 30 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-LAKSHI KANTA BARMAN, H.No.-, Vill/Town-KHAS LAKSHI KANTA 569 NHM/SNRS/0690 NILIMA BARMAN BOKRAJHAR, P.O.-TENGABARI, P.S.-KALAIGAON, Dist.- 20.10.2016 BARMAN Udalguri, State-ASSAM, Pin-784525 C/o-ARIFUZZAMAN SHEIKH, H.No.-125, Vill/Town- MD ABUL KASHEM 570 NHM/SNRS/0283 NILIMA BEGUM DAKUAMARI, P.O.-SUKCHAR, P.S.-SUKCHAR, Dist.-Dhubri, 20.10.2016 SK State-ASSAM, Pin-783128 C/o-TAIMUR ALI SARKAR, H.No.-26, Vill/Town-VILL 571 NHM/SNRS/0386 NILUFA BEGUM DELBOR ALI CHITALKATA PART V, P.O.-ALAMGANJ, P.S.-GAURIPUR, Dist.- 20.10.2016 Dhubri, State-ASSAM, Pin-783339 C/o-DHURBAJYOTI SAIKIA, H.No.-171, Vill/Town- LATE NAGESWAR 572 NHM/SNRS/0164 NIMI SAIKIA CHOWKHAMTING GAON, P.O.-SISSI BORGAON, P.S.- 20.10.2016 SAIKIA SILAPATHAR, Dist.-Dhemaji, State-ASSAM, Pin-787110 C/o-NINGOMBAM PURNA SINGH, H.No.-8, Vill/Town-DIBONG NINGOMBAM NINGOMBAM 573 NHM/SNRS/0294 WARD NO- 10, P.O.-JIRIBAM, P.S.-JIRIBAM, Dist.-IMPHAL 20.10.2016 SANGEETA CHANU PURNA SINGH EAST, State-MANIPUR, Pin-795116 C/o-MAHESWAR BASUMATARY, H.No.-72, Vill/Town-VILL- NIRMOLA MAHESWAR 574 NHM/SNRS/0098 AULAGURI, P.O.-P.O.- BANARGAON, P.S.-DOTMA, Dist.- 20.10.2016 BASUMATARY BASUMATARY Kokrajhar, State-ASSAM, Pin-783347 C/o-JIHUSUWA TANI, H.No.-101, Vill/Town-BEBEJIA GAON, 575 NHM/SNRS/0035 NIRODA TANI JIHUSUWA TANI P.O.-TENGABARI, P.S.-SARUPATHAR, Dist.-Golaghat, State- 20.10.2016 ASSAM, Pin-785601 C/o-MRS NIRUMA DOLEY, H.No.-DOORIA TE, Vill/Town- 576 NHM/SNRS/1503 NIRUMA DOLEY LATE DHON DOLEY DOORIA TE, P.O.-GOLAGHAT, P.S.-GOLAGHAT, Dist.-Golaghat, 20.10.2016 State-ASSAM, Pin-785621 C/o-RAMESH KUMAR NEWAR, H.No.-37, Vill/Town- RAMESH KUMAR 577 NHM/SNRS/0791 NISHA NEWAR LABARGHARI, P.O.-LOKRA, P.S.-CHARIDUAR, Dist.-Sonitpur, 20.10.2016 NEWAR State-ASSAM, Pin-784102 C/o-PRONAY DEORI, H.No.-7, Vill/Town-KAHILIPARA, P.O.- 578 NHM/SNRS/0930 NITU DEORI PRONAY DEORI KAHILIPARA, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, 20.10.2016 Pin-781034 C/o-GAKUL DUTTA, H.No.-, Vill/Town-2 NO. PADUMONI, P.O.- 579 NHM/SNRS/1844 NITU MONI DUTTA GAKUL DUTTA NITAIPUKHURI, P.S.-DEMOW, Dist.-Sivasagar, State-Assam, Pin- 20.10.2016 785671

C/o-R.C. Agarwal Memorial Hospital & Research Centre, H.No.-, 580 NHM/SNRS/0073 Nitumoni Gogoi Cheniram Gogoi Vill/Town-Makum Road,Near Thermal Gate,Udyog Nagar, P.O.- 20.10.2016 Tinsukia, P.S.-Tinsukia, Dist.-Tinsukia, State-Assam, Pin-786146

C/o-RAM CH. CHHARIYA, H.No.-23, Vill/Town-JORHAT NIVA RANI RAM CH. 581 NHM/SNRS/0118 ENGINEERING COLLEGE CAMPUS, P.O.-GARAMUR, P.S.- 20.10.2016 CHHARIYA CHHARIYA JORHAT, Dist.-Jorhat, State-ASSAM, Pin-785007

C/o-LOHIT KALITA, H.No.-, Vill/Town-VILL- SINGIMARI, P.O.- 582 NHM/SNRS/0475 NIYATI KALITA LOHIT KALITA KERPAVITHA, P.S.-GORESWAR, Dist.-Baksa, State-ASSAM, Pin- 20.10.2016 781366 C/o-Keisam Bibekananda Singha, H.No.-61, Vill/Town-Dakshin Nongthombam Nongthombam 583 NHM/SNRS/1014 Mohanpur Part III, P.O.-joragul, P.S.-Sonai, Dist.-Cachar, State- 20.10.2016 Tamphamani Devi Budhachandra Singh Assam, Pin-788119 C/o-SOUTH CITY HOSPITAL, H.No.-NIL, Vill/Town-MEHERPUR, OINAM AMITA O CHANDRAMANI 584 NHM/SNRS/0808 P.O.-MEHERPUR, P.S.-SILCHAR, Dist.-Cachar, State-ASSAM, Pin- 20.10.2016 CHANU SINGH 788015 C/o-NAGENDRA CHANDRA DAS, H.No.-84, Vill/Town- OINAM YAIMA 585 NHM/SNRS/1010 OINAM CHITRA DEVI BARNIRPAR PART-I, P.O.-SALCHAPRA, P.S.-SILCHAR, Dist.- 20.10.2016 SINGH Cachar, State-ASSAM, Pin-788801

C/o-DR. CH PRATIMA DEVI, H.No.-3, Vill/Town-KHAWANG OKRAM GOBINDRO OKRAM KUNJA 586 NHM/SNRS/1131 BRANCH PRIMARY HEALTH CENTRE, P.O.-KHAWANG GHAT, 20.10.2016 SINGH SINGH P.S.-KHWANG GHAT, Dist.-Dibrugarh, State-ASSAM, Pin-785676

C/o-SAIDUL ISLAM LASKAR, H.No.-552, Vill/Town- OLIMA AKTAR SAIDUL ISLAM 587 NHM/SNRS/0078 TULARGRAM PT I, P.O.-SONIMUKH, P.S.-SONAI, Dist.-Cachar, 20.10.2016 LASKAR LASKAR State-ASSAM, Pin-788119

C/o-TH.PUNI, H.No.-, Vill/Town-Tezpur, P.O.-Ketekibari, P.S.- 588 NHM/SNRS/1066 P.KAISA TH.PUNI 20.10.2016 Kacharigaon, Dist.-Senapati, State-Assam, Pin-784001 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 31 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-MR MANAS PRATIM DAS, H.No.-248, Vill/Town- MR DHARAM RAJ 589 NHM/SNRS/1149 PADMA GURUNG DAS BURAGAON (DHEKERI DUB), P.O.-LOKRA, P.S.- 20.10.2016 GURUNG CHARIDUWAR, Dist.-Sonitpur, State-ASSAM, Pin-784102

C/o-Pakmichon Varah, H.No.-M-10, Bishnu Rabha Path, Odalbakra, 590 NHM/SNRS/1263 Pakmichon Varah V.R. Luckychance Lal Ganesh, Vill/Town-Guwahati, P.O.-Lal Ganesh, P.S.-Lal Ganesh, 20.10.2016 Dist.-Kamrup Metro, State-Assam, Pin-781034

C/o-Naren Phukan, H.No.-Habi Ram Bora Road, Vill/Town-Habi 591 NHM/SNRS/1506 Pallabee Phukan Naren Phukan Ram, P.O.-Sivasagar, P.S.-Sivasagar, Dist.-Sivasagar, State-assam, 20.10.2016 Pin-785640

C/o-Benu Dhar Chetia, H.No.-75, Vill/Town-Dehajan Habi, N.C.C 592 NHM/SNRS/1207 Pallabi Chetia Benu Chetia Road, Near Junior Commerce College, Demow, P.O.-Dehajan, P.S.- 20.10.2016 Demow, Dist.-Sivasagar, State-Assam, Pin-785662

C/o-MOHESWAR DOLEY, H.No.-15, Vill/Town-JENGRAI 593 NHM/SNRS/1845 PALLABI DOLEY MOHESWAR DOLEY CHAPORI, P.O.-JENGRAI CHAPORI, P.S.-JENGRAIMUKH, Dist.- 20.10.2016 Jorhat, State-ASSAM, Pin-785105 C/o-ANIL GOGOI, H.No.-65, Vill/Town-PUTHINODI, P.O.- 594 NHM/SNRS/1031 PALLABI GOGOI ANIL GOGOI CHUNGILAHING, P.S.-MORIANI, Dist.-Jorhat, State-ASSAM, Pin- 20.10.2016 785635 C/o-KHAGEN CH KALITA, H.No.-103, Vill/Town-SUNDARISAL, KHAGEN CH 595 NHM/SNRS/0242 PALLABI KALITA P.O.-SONESWAR, P.S.-KAMALPUR, Dist.-Kamrup Rural, State- 20.10.2016 KALITA Assam, Pin-781382 C/o-NOREN PHUKAN, H.No.-0, Vill/Town-HABIRAM BORA 596 NHM/SNRS/1065 PALLABI PHUKAN NOREN PHUKAN ROAD, P.O.-SIVSAGAR, P.S.-SIVASAGAR, Dist.-Sivasagar, State- 20.10.2016 ASSAM, Pin-785640

C/o-Ananta Kr Sarmah, H.No.-, Vill/Town-Geruah, P.O.-Geruah, P.S.- 597 NHM/SNRS/0534 Pallabi Sarmah Ananta Kr Sarmah 20.10.2016 Hajo, Dist.-Kamrup Rural, State-Assam, Pin-781102

C/o-MILAN PHUKON, H.No.-NA, Vill/Town-BAILUNG GAON, 598 NHM/SNRS/0034 PALLAVI PHUKON MILAN PHUKON P.O.-TAMULICHIGA, P.S.-GAURISAGAR, Dist.-Sivasagar, State- 20.10.2016 ASSAM, Pin-785682 C/o-PRATIKSHA HOSPITAL, H.No.-, Vill/Town-BARBARI VIP BHUPEN CHANDRA 599 NHM/SNRS/1268 PAMPI MEDHI ROAD, P.O.-HENGRABARI, P.S.-DISPUR, Dist.-Kamrup Metro, 20.10.2016 MEDHI State-ASSAM, Pin-781036

(Late)Pampuinath C/o-Anisuz Zaman, H.No.-35, Vill/Town-guwahati, P.O.-Pan Bazar, 600 NHM/SNRS/1228 Pampuinath Omega 20.10.2016 Ngoulong P.S.-Pan Bazar, Dist.-Kamrup Metro, State-Assam, Pin-781001

C/o-BHADRESWAR SONOWAL, H.No.-A59, Vill/Town- BHADRESWAR 601 NHM/SNRS/0497 PAPORI SONOWAL NAHARKATIA RAILWAY COLONY, P.O.-NAHARKATIA, P.S.- 20.10.2016 SONOWAL NAHARKATIA, Dist.-Dibrugarh, State-ASSAM, Pin-786610

C/o-MUZAFAR ALI, H.No.-13, Vill/Town-FAKIR PARA, P.O.-NO 1 602 NHM/SNRS/0274 PARBIN SULTANA MUZAFAR ALI PUNIA, P.S.-KHARUPETIA, Dist.-Darrang, State-ASSAM, Pin- 20.10.2016 784115 C/o-EKRAMUL HAQUE, H.No.-133, Vill/Town-KUBAIKATA, P.O.- 603 NHM/SNRS/1459 PARBIN SULTANA JALAL UDDIN DHANIABHETI, P.S.-BATADRAVA, Dist.-Nagaon, State-ASSAM, 20.10.2016 Pin-782122 C/o-HIRAN SAIKIA, H.No.-233, Vill/Town-SIMLITOLA, P.O.- 604 NHM/SNRS/1674 PARUL SAIKIA HIRAN SAIKIA SIMLITOLA, P.S.-RANGJULI, Dist.-Goalpara, State-ASSAM, Pin- 20.10.2016 783130

C/o-PARUL THAPA, H.No.-, Vill/Town-BAPTIST CHRISTIAN BISHNU KUMAR 605 NHM/SNRS/1068 PARUL THAPA HOSPITAL MISSION CHARIALI, P.O.-KETEKIBARI, P.S.- 20.10.2016 THAPA KACHARI GAON, Dist.-Sonitpur, State-ASSAM, Pin-784001

C/o-Baptis Christian Hosptal, H.No.-, Vill/Town-Tezpur, P.O.-Tezpur, 606 NHM/SNRS/1955 perani Kongari Let. Thomas Kongari 20.10.2016 P.S.-Sonitpur, Dist.-Sonitpur, State-Assam, Pin-784001

C/o-Sr TERESA, H.No.-62, Vill/Town-GUWAHATI, P.O.-DISPUR, 607 NHM/SNRS/0337 PFOKRELO LESHIINI PFOKRELO 20.10.2016 P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781005

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 32 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

PHALCHUNG PHALCHUNG C/o-Rev Thangkhomang, H.No.-58, Vill/Town-Hmarkhawlien, P.O.- 608 NHM/SNRS/1100 SATKHOTINPAO 20.10.2016 NIENIENG GANGTE Hmarkhawlien, P.S.-Lakhipur, Dist.-Cachar, State-Assam, Pin-788106 GANGTE

C/o-Mr. Dilip Goswami, H.No.-QTR NO. C24/3 Paper mill colony, 609 NHM/SNRS/1318 Phul jyoti Konwar Lt. Cheni ram Konwar Vill/Town-Jagiroad, P.O.-Kagaj nagar, P.S.-Jagiraod Police Station, 20.10.2016 Dist.-Morigaon, State-Assam, Pin-782413

C/o-DAMODAR CHOUDHURY, H.No.-, Vill/Town-BARBANG, PHULMANI DAMODAR 610 NHM/SNRS/0836 P.O.-CHOUKHUTY, P.S.-PATACHARKUCHI, Dist.-Barpeta, State- 20.10.2016 CHOUDHURY CHOUDHURY ASSAM, Pin-781325

C/o-RIJU BAISHYA, H.No.-25, Vill/Town-MATHURANAGAR SRI NARAYAN CH. 611 NHM/SNRS/1096 PINA MALAKAR ASOMI PATH, P.O.-ASSAM SACHIVALAYA, P.S.-DISPUR, Dist.- 20.10.2016 MALAKAR Kamrup Metro, State-ASSAM, Pin-781006

C/o-UMA KANTA GOGOI, H.No.-14, Vill/Town-JONAKI NAGAR 612 NHM/SNRS/0790 PINAKSHI GOGOI UMA KANTA GOGOI TINI ALI, P.O.-GOLAGHAT, P.S.-GOLAGHAT, Dist.-Golaghat, 20.10.2016 State-ASSAM, Pin-785621 C/o-AMRIT SAIKIA, H.No.-, Vill/Town-3 No. Kakopather, P.O.- 613 NHM/SNRS/0774 PINJUMONI SAIKIA AMRIT SAIKIA Kakopather, P.S.-Kakopather, Dist.-Tinsukia, State-Assam, Pin- 20.10.2016 786152

C/o-MALABYA DAS, H.No.-2, Vill/Town-BAIKUNTHAPUR, 614 NHM/SNRS/0217 PINKI DAS MALABYA DAS BATAHGHULI, PANJABARI, P.O.-PANJABARI, P.S.-SATGOAN, 20.10.2016 Dist.-Kamrup Metro, State-ASSAM, Pin-781037

C/o-GHANASHYAM KURMI, H.No.-NA, Vill/Town-FETABOSTI, GHANASHYAM 615 NHM/SNRS/0052 PINKI KURMI P.O.-NEGHERITING, P.S.-DERGAON, Dist.-Golaghat, State- 20.10.2016 KURMI ASSAM, Pin-785614 C/o-BVFCL NAMRUP, H.No.-Q NO 427/iii/A, Vill/Town-NAMRUP, 616 NHM/SNRS/0230 PINKI MONI DAS UMAKANTA DAS P.O.-PARBATPUR, P.S.-NAMRUP, Dist.-Dibrugarh, State-ASSAM, 20.10.2016 Pin-786623

C/o-ISWAR PRASSANNA DAS, H.No.-2, Vill/Town-JAIL ROAD THANESWAR 617 NHM/SNRS/0626 PINKI SAIKIA JORHAT NEAR BARUAH SURGICAL CENTRE, P.O.-JORHAT, 20.10.2016 SAIKIA P.S.-JORHAT, Dist.-Jorhat, State-ASSAM, Pin-785001

C/o-Mr. Uma Kanta Das, H.No.-B.V.F.C.L.Colony Namrup.Sec- 618 NHM/SNRS/0436 Pinkimoni Das Mr.Uma Kanta Das A/III/427, Vill/Town-Namrup, P.O.-Parbatpur, P.S.-Namrup, Dist.- 20.10.2016 Dibrugarh, State-Assam, Pin-786623

C/o-DHARMA NATH KALITA, H.No.-VILL- BAIRAGI, Vill/Town- DHARMA NATH 619 NHM/SNRS/0347 PINKU MANI KALITA BAIRAGI, P.O.-PATACHARKUCHI, P.S.-PATACHARKUCHI, 20.10.2016 KALITA Dist.-Barpeta, State-ASSAM, Pin-781326

C/o-KALIA KANTA NATH, H.No.-MATHAR BORI, Vill/Town- KALIA KANTA 620 NHM/SNRS/0473 PINKUMONI DEVI MATHAR BORI, P.O.-RAMJANGATI, P.S.-RAHA, Dist.-Nagaon, 20.10.2016 NATH State-ASSAM, Pin-782103

C/o-Chabilal Bhumij, H.No.-12, Vill/Town-Milgaon, P.O.-Chungi 621 NHM/SNRS/1622 Pinky Bhumij Chabilal Bhumij 20.10.2016 Lahing, P.S.-Mariani, Dist.-Jorhat, State-Assam, Pin-785635

C/o-BHASKAR KAKOTY, H.No.-, Vill/Town-CHEREPAJAN, P.O.- 622 NHM/SNRS/0041 PINKY BORA HEMA BORA NAHARKATIA, P.S.-JOYPUR, Dist.-Dibrugarh, State-ASSAM, Pin- 20.10.2016 786610 C/o-MARCY HOSPITAL, H.No.-22, Vill/Town-ISLAMPATTY, P.O.- LATE. KOROLUS 623 NHM/SNRS/0583 PIODA KURBAH HAIBARGAON, P.S.-SADAR, Dist.-Nagaon, State-ASSAM, Pin- 20.10.2016 KHARKRANG 782002

C/o-Benu Dhar Chetia, H.No.-75, Vill/Town-Dehajan Habi, N.C.C 624 NHM/SNRS/1199 Plabita Chetia Benu Chetia Road, Near Junior Commerce College Demow, P.O.-Dehajan, P.S.- 20.10.2016 Demow, Dist.-Sivasagar, State-Assam, Pin-785662

C/o-LATE NOGEN DUTTA, H.No.-97, Vill/Town-BORTING LATE NOGEN 625 NHM/SNRS/0121 POLEE DUTTA NOWSOLIA, P.O.-BORTING NOWSOLIA, P.S.-GOLGHAT, Dist.- 20.10.2016 DUTTA Golaghat, State-ASSAM, Pin-785626 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 33 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-DEBESWAR CHETIA, H.No.-NA, Vill/Town- PHUKANARKHAT(RAHMARIA), P.O.-PHUKANARKHAT 626 NHM/SNRS/0018 POLI CHETIA DEBESWAR CHETIA 20.10.2016 (DIKOM), P.S.-RAHMARIA, Dist.-Dibrugarh, State-ASSAM, Pin- 786101

C/o-RUPAM JYOTI DAS, H.No.-WARD NO 10, Vill/Town- LATE MUNINDRA 627 NHM/SNRS/1203 POLY MECH DHULIPAR JUNAKI NAGAR, P.O.-SIVASAGAR, P.S.- 20.10.2016 MECH SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785640

C/o-BALO SONOWAL, H.No.-45, Vill/Town-NAGAMATI 628 NHM/SNRS/0531 POMPA SONOWAL BALO SONOWAL KHEREMIA GAON, P.O.-PARBATPUR, P.S.-NAMRUP, Dist.- 20.10.2016 Dibrugarh, State-ASSAM, Pin-786623

C/o-NIPAN DEKA, H.No.-65, Vill/Town-TARANI KALBARI, P.O.- 629 NHM/SNRS/0324 POMPI BORDOLOI MILIK BORDOLOI BAGHARA, P.S.-MORIGAON, Dist.-Morigaon, State-ASSAM, Pin- 20.10.2016 782105 C/o-BIREN DUTTA, H.No.-2, Vill/Town-DICHOINAGAR, P.O.- 630 NHM/SNRS/0124 POMPI DUTTA BIREN DUTTA DICHOINAGAR, P.S.-BHUGDOI OUTPOST, Dist.-Jorhat, State- 20.10.2016 ASSAM, Pin-785015 C/o-PAULA SANGA, H.No.-, Vill/Town-B C HOSPITAL MISSION 631 NHM/SNRS/0588 POONAM SANGA PAULUS SANGA CHARIALI, P.O.-KETEKI BARI, P.S.-TEZPUR, Dist.-Sonitpur, State- 20.10.2016 ASSAM, Pin-784001

C/o-INTERNATIONAL HOSPITAL, H.No.-, Vill/Town- 632 NHM/SNRS/0051 PORI BORUAH RAJEN BORUAH GUWAHATI,LOTUS TOWER,G.S. ROAD, P.O.-GUWAHATI, P.S.- 20.10.2016 DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781005

C/o-Madhab Ozah, H.No.-101, Vill/Town-Mekheli Gaon, P.O.- 633 NHM/SNRS/1471 Porinita Ozah Madhab Ozah 20.10.2016 Bongaon, P.S.-Bongaon, Dist.-Jorhat, State-Assam, Pin-785110

C/o-Hiten Bhorali, H.No.-16, Vill/Town-Dikhowmukh Krishnschiga 634 NHM/SNRS/1193 Porishmita Bhorali Mr.Hiten Bhorali Gaon, P.O.-Bharalua Tiniali, P.S.-Gaurisagar, Dist.-Sivasagar, State- 20.10.2016 Assam, Pin-785664 C/o-SUBENDRA BASUMATARY, H.No.-, Vill/Town- PRABHABINI SUBENDRA 635 NHM/SNRS/1321 BAGARIGURI, P.O.-UDALGURI, P.S.-UDALGURI, Dist.-Udalguri, 20.10.2016 BASUMATARY BASUMATARY State-assam, Pin-784509

C/o-MANABENDRA DAS, H.No.-7 (SEVEN), Vill/Town-VIDYA 636 NHM/SNRS/0764 PRANALI DAS AMRIT LAL DAS SAGAR SORANI , SHREERAM PALLEY, SILCHAR, P.O.- 20.10.2016 SILCHAR, P.S.-SILCHAR, Dist.-Cachar, State-ASSAM, Pin-788005

C/o-GARGA RAM BHARALI, H.No.-373, Vill/Town- GARGA RAM 637 NHM/SNRS/0727 PRANITA BHARALI BHAWANIPUR MAHTALI, P.O.-BHAWANIPUR, P.S.-BARPETA, 20.10.2016 BHARALI Dist.-Barpeta, State-ASSAM, Pin-781352 C/o-GOPAL KUMAR, H.No.-124, Vill/Town-MIRZA BISHNUPUR, 638 NHM/SNRS/0299 PRANITA KUMARI GOPAL KUMAR P.O.-MIRZA, P.S.-PALASBARI, Dist.-Kamrup Rural, State-ASSAM, 20.10.2016 Pin-781125 C/o-SIMANTA TALUKDAR, H.No.-27, Vill/Town-ANIL NAGAR, 639 NHM/SNRS/0193 PRANITA KUMARI PARESH KUMAR P.O.-ULUBARI, P.S.-BHANGGHAR, Dist.-Kamrup Metro, State- 20.10.2016 ASSAM, Pin-781005 C/o-PRONOB KUMAR DUTTA, H.No.-SAP-1709, Vill/Town- PRONOB KUMAR 640 NHM/SNRS/0028 PRARTHANA DUTTA DULIAJAN, P.O.-DULIAJAN, P.S.-DULIAJAN, Dist.-Dibrugarh, 20.10.2016 DUTTA State-ASSAM, Pin-786602 C/o-Samar Baishya, H.No.-613, Vill/Town-Morowa Near Sankardev 641 NHM/SNRS/1854 Pratim Garh Rajen Garh Sishu Niketon, P.O.-Morowa, P.S.-Nalbari, Dist.-Nalbari, State- 20.10.2016 Assam, Pin-781348

C/o-SAMAR BAISHYA, H.No.-613, Vill/Town-MOROWA NEAR 642 NHM/SNRS/0755 PRATIMA GARH RAJEN GARH SHANKAR DEV SISHU NIKETON, P.O.-MOROWA, P.S.- 20.10.2016 NALBARI, Dist.-Nalbari, State-ASSAM, Pin-781348

C/o-Padumi Kalita (Rajbongshi), H.No.-, Vill/Town-Palasbari, P.O.- late Prafulla 643 NHM/SNRS/0676 Pratima Rajbongshi Palasbari, P.S.-Palasbari, Dist.-Kamrup Metro, State-Assam, Pin- 20.10.2016 Rajbongshi 781128 C/o-CORNALIUS LAKRA, H.No.-CEN 23, Vill/Town-BETHANY, PRECILLA ANNA 644 NHM/SNRS/1709 CORNALIUS LAKRA P.O.-HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao, State-ASSAM, 20.10.2016 LAKRA Pin-788819 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 34 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-ABANI DUTTA, H.No.-HOUSE NO 113, Vill/Town-VILLAGE PREETI SMRITI 645 NHM/SNRS/0492 ABANI DUTTA KARIGAON, P.O.-KONWERPUR, P.S.-SIVASAGAR, Dist.- 20.10.2016 DUTTA Sivasagar, State-ASSAM, Pin-785667

C/o-SRI MINU PATHAK, H.No.-47, Vill/Town-SHILA, P.O.- 646 NHM/SNRS/0002 PREETIMA PATHAK LT RABEN PATHAK 20.10.2016 BHELLA, P.S.-BARPETA, Dist.-Barpeta, State-ASSAM, Pin-781309

C/o-SANIRAM BRAHMA, H.No.-89, Vill/Town-BANARGAON, PRINU BALA 647 NHM/SNRS/0097 SANIRAM BRAHMA P.O.-BANARGAON, P.S.-DOTMA, Dist.-Kokrajhar, State-ASSAM, 20.10.2016 BRAHMA Pin-783347 C/o-UDAI GURUNG, H.No.-130, Vill/Town-SONAI NEAPLI, P.O.- 648 NHM/SNRS/1289 PRITI GURUNG UDAI GURUNG LOKRA, P.S.-CHARDUAR, Dist.-Sonitpur, State-ASSAM, Pin- 20.10.2016 784102 C/o-RUMANUSH DAIMARY, H.No.-, Vill/Town-NATUN RUMANUSH 649 NHM/SNRS/0909 PRITINA DOIMARI SIRAJULY, P.O.-NATUN SIRAJULY, P.S.-DHEKIAJULI, Dist.- 20.10.2016 DAIMARY Sonitpur, State-ASSAM, Pin-784110 C/o-Willam Minj, H.No.-183, Vill/Town-No 1. Sonajuli, P.O.- 650 NHM/SNRS/0216 Prity Minj Willam Minj Dimakuchi, P.S.-Dimakuchi, Dist.-Udalguri, State-ASSAM, Pin- 20.10.2016 784524

C/o-Mr. Bipin Das, H.No.-99, Vill/Town-Demow Raisai Gaon, P.O.- 651 NHM/SNRS/0247 PRIYA DAS Mr. Bipin Das 20.10.2016 Demow, P.S.-Demow, Dist.-Sivasagar, State-Assam, Pin-785662

C/o-MR. PRANAB BORAH, H.No.-, Vill/Town-DIKSHAM BLOCK, MR. NALIRAM 652 NHM/SNRS/0748 PRIYADA SONOWAL P.O.-OUPHULIA CHARIALI, P.S.-BAMUNBARI, Dist.-Dibrugarh, 20.10.2016 SONOWAL State-ASSAM, Pin-786613

C/o-Madan Bharali, H.No.-112, Vill/Town-Bongalgaon, P.O.-Banipur, 653 NHM/SNRS/1859 Priyanka Bharali Madan Bharali 20.10.2016 P.S.-Dibrugarh, Dist.-Dibrugarh, State-Assam, Pin-786003

C/o-Mr. Naren Borah, H.No.-, Vill/Town-Damurichuk Gaon, Pulibor, 654 NHM/SNRS/1508 PRIYANKA BORA MR. NAREN BORA 20.10.2016 P.O.-R.R.L., P.S.-Pulibor, Dist.-Jorhat, State-Assam, Pin-785006

C/o-RAJ KUMAR SHAMMI, H.No.-, Vill/Town- 655 NHM/SNRS/0867 PRIYANKA DAS RAM HARI DAS BENGENAKHOWA GRANT, P.O.-GOLAGHAT, P.S.- 20.10.2016 GOLAGHAT, Dist.-Golaghat, State-ASSAM, Pin-785621

C/o-SAJAL KUMAR DEB, H.No.-NAHARKATIA MORAN ROAD, 656 NHM/SNRS/0476 PRIYANKA DEB SAJAL KUMAR DEB Vill/Town-NAHARKATIA, P.O.-NAHARKATIA, P.S.- 20.10.2016 NAHARKATIA, Dist.-Dibrugarh, State-ASSAM, Pin-786610

C/o-MANUJ SONOWAL, H.No.-JAMIRAH TEPOR GAON, PRIYANKA BRIKUDAR 657 NHM/SNRS/1108 Vill/Town-JAMIRAH TEPOR GAON, P.O.-DHOMAL GAON, P.S.- 20.10.2016 HAZARIKA HAZARIKA BORBORUAH, Dist.-Dibrugarh, State-ASSAM, Pin-786004

C/o-HORENDRA NATH PEGU, H.No.-220, Vill/Town-LAKHIMI, HORENDRA NATH 658 NHM/SNRS/0227 PRIYANKA PEGU P.O.-JENGRAIMUKH, MAJULI, P.S.-JENGRAIMUKH, Dist.-Jorhat, 20.10.2016 PEGU State-Assam, Pin-785105

C/o-MUKUL GOGOI, H.No.-6, Vill/Town-MATHURA NAGAR, LATE BHOGESWAR 659 NHM/SNRS/0352 PRIYANKA SAIKIA GIRIDHAR SARMA PATH, P.O.-ASSAM SACHIVALAYA, P.S.- 20.10.2016 SAIKIA DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781006

C/o-KIRON GOGOI, H.No.-26, Vill/Town-NATUN NIRMALI 660 NHM/SNRS/1162 PROMI SAIKIA TROILUKYA SAIKIA GAON, P.O.-CR BUILDING, P.S.-DIBRUGARH, Dist.-Dibrugarh, 20.10.2016 State-ASSAM, Pin-786001 C/o-MD. SAMIN LASKAR, H.No.-110, Vill/Town-DHANDRA SIX 661 NHM/SNRS/1059 PROMILA BEGUM MD.NAWAD ALI MILE, P.O.-KHANAPARA, P.S.-DISPUR, Dist.-Kamrup Rural, State- 20.10.2016 ASSAM, Pin-781022 C/o-METRON, H.No.-0, Vill/Town-GHUNGOOR, P.O.- 662 NHM/SNRS/0506 PROMITA DHAR BIRENDRA DHAR GHUNGOOR, P.S.-GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin- 20.10.2016 788014 C/o-JITUL KUMAR GOGOI, H.No.-91-B, Vill/Town-TARAJAN 663 NHM/SNRS/0221 PRONAMI SHYAM BALLAV SHYAM GAYAN GAON, P.O.-JORHAT, P.S.-JORHAT, Dist.-Jorhat, State- 20.10.2016 ASSAM, Pin-785001

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 35 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-ms. sastri tandia, H.No.-, Vill/Town-staff nurses hostel,gmch, 664 NHM/SNRS/0409 pronita barik danial barik P.O.-indrapur, P.S.-gmch,bhangagarh, Dist.-Kamrup Metro, State- 20.10.2016 assam, Pin-781032 C/o-CHANA SINGH, H.No.-31, Vill/Town-HAHCHARA 665 NHM/SNRS/0007 PRONITA DEVI CHANA SINGH MANIPURI GAON, P.O.-HAHCHARA, P.S.-SIVSAGAR, Dist.- 20.10.2016 Sivasagar, State-ASSAM, Pin-785640 C/o-AMCH, DIBRUGARH, H.No.-AMCH HOSTEL, Vill/Town- 666 NHM/SNRS/0854 PRONOTI GOGOI BHADRA KT. GOGOI DIBRUGARH, P.O.-BARBARI, P.S.-BARBARI, Dist.-Dibrugarh, 20.10.2016 State-Assam, Pin-786002 C/o-KAMAL BAILUNG, H.No.-1 NO DULIAJAN, Vill/Town- 667 NHM/SNRS/0640 PROTHAMA BAILUNG KAMAL BAILUNG DULIAJAN, P.O.-DULIAJAN, P.S.-DULIAJAN, Dist.-Dibrugarh, 20.10.2016 State-ASSAM, Pin-786602 C/o-INDRA KUMAR GOGOI, H.No.-, Vill/Town-LAIMCHIGA INDRA KUMAR 668 NHM/SNRS/0807 PUBALI GOGOI GAON, P.O.-LAIMCHIGA, P.S.-AMGURI, Dist.-Sivasagar, State- 20.10.2016 GOGOI ASSAM, Pin-785680 C/o-Mr. Prasanta Chetia, H.No.-, Vill/Town-Moran Gaon, P.O.- 669 NHM/SNRS/0407 Puja Chetia Prasanta Chetia Moranchiga, P.S.-Gaurisagar, Dist.-Sivasagar, State-Assam, Pin- 20.10.2016 785683

C/o-Michael Paik, H.No.-256, Vill/Town-Sessa T.E.(Line no.12), P.O.- 670 NHM/SNRS/1953 Puja Paik Michael Paik 20.10.2016 Thakurbari, P.S.-Salonibari, Dist.-Sonitpur, State-Assam, Pin-784503

C/o-SOLACE HOSPITAL & RCS (P) LTD, H.No.-B.O.C, Vill/Town- 671 NHM/SNRS/0417 PUNJIMA MARAK CHIYA SINGH B.O.C, P.O.-BALADMARI, P.S.-GOALPARA, Dist.-Goalpara, State- 20.10.2016 ASSAM, Pin-783121

C/o-NARESWAR BHUYAN, H.No.-58, Vill/Town-SUKDAL PUNYA PRAVA NARESWAR 672 NHM/SNRS/1172 BORBORI, P.O.-SUKDAL SARUBORI, P.S.-MIKIRBHETA, Dist.- 20.10.2016 BHUYAN BHUYAN Morigaon, State-ASSAM, Pin-782104

C/o-Mrs. Manjula Hazarika, H.No.-40, Vill/Town-Down Town, P.O.- 673 NHM/SNRS/0380 Punya Prava Devi Late. Guleswar Nath 20.10.2016 Dispur, P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781006

C/o-PREM KAMAL TOPPO, H.No.-19, Vill/Town-HABICHARAI PREM KAMAL 674 NHM/SNRS/1495 PUSHPANJALI TOPPO SUNGI GAON, P.O.-RONGCHONGI, P.S.-TENGAKHAT, Dist.- 20.10.2016 TOPPO Dibrugarh, State-ASSAM, Pin-786184

C/o-Soilen Uzir, H.No.-271, Vill/Town-Borbari VIP Road Hengrabari, 675 NHM/SNRS/1799 Pushpita Sinha Kalasena Sinha P.O.-Hengrabari 36, P.S.-Hengrabari, Dist.-Kamrup Metro, State- 20.10.2016 ASSAM, Pin-781036

C/o-BABUL THAKURIA, H.No.-19, Vill/Town-HENGRABARI LATE MAHENDRA 676 NHM/SNRS/1812 PUSPA DEORI FORESTGATE ARUNODOI PATH, P.O.-HENGRABARI, P.S.- 20.10.2016 DEORI DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781036

Late Munindra Nath C/o-Mrs. Shanti Das, H.No.-House no 10, Vill/Town-lakhi nagar, P.O.- 677 NHM/SNRS/1826 Puspa Sonowal 20.10.2016 Sonowal Dispur, P.S.-Dispur, Dist.-Kamrup Metro, State-assam, Pin-781005

C/o-Sada Baishya, H.No.-, Vill/Town-Sualkuchi,Napara, P.O.- 678 NHM/SNRS/0271 QUEEN. BAISHYA Mr Sada Baishya Sualkuchi, P.S.-Sualkuchi, Dist.-Kamrup Rural, State-Assam, Pin- 20.10.2016 781103 C/o-RAJANI KALITA, H.No.-8, Vill/Town-CHRISTIAN BASTI 679 NHM/SNRS/0832 R. LUNGPUILU R. GAIHOULUNG UDAYACHAL PATH, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup 20.10.2016 Metro, State-ASSAM, Pin-781005

C/o-SAFIRAT ALI, H.No.-9, Vill/Town-FAKIR TOLA HAJO, P.O.- 680 NHM/SNRS/1710 RABIA BEGUM SAFIRAT ALI 20.10.2016 HAJO, P.S.-HAJO, Dist.-Kamrup Rural, State-ASSAM, Pin-781102

C/o-SANJIB KR DEURY, H.No.-114, Vill/Town-JAMGURI, P.O.- 681 NHM/SNRS/0260 RADALI BORO GANESH BORO AMDAH, P.S.-SARTHEBARI, Dist.-Barpeta, State-Assam, Pin- 20.10.2016 781325

C/o-NAZRUL ISLAM KHAN, H.No.-397, Vill/Town- 682 NHM/SNRS/0174 RAHELA BEGAM YEASIN ALI BANDARKUNA, P.O.-ERALIGOOL, P.S.-PATHARKANDI, Dist.- 20.10.2016 Karimganj, State-ASSAM, Pin-788723

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 36 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-SAHAB UDDIN, H.No.-41, Vill/Town-KUBAIKATA, P.O.- MD.ABDUL 683 NHM/SNRS/1896 RAHIMA KHATUN DHANIABHETI, P.S.-BATADRABA, Dist.-Nagaon, State-ASSAM, 20.10.2016 MANNAS Pin-782122 C/o-BISWAJIT MORAN, H.No.-BLOCK NO 9(C), Vill/Town- 684 NHM/SNRS/0287 RAJASHREE MORAN BISWAJIT MORAN DIBRUGARH, P.O.-DIBRUGARH, P.S.-DIBRUGARH, Dist.- 20.10.2016 Dibrugarh, State-ASSAM, Pin-786001

C/o-Satyendra Pathak, H.No.-14, Vill/Town-Lakhimi Nagar, P.O.- 685 NHM/SNRS/0111 Rajashree Pathak Satyendra Pathak 20.10.2016 Hatigaon, P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781006

C/o-DIPAK PHUKON, H.No.-6, Vill/Town-2 NO CHUNGAJAN, 686 NHM/SNRS/0633 RAJASHRI PHUKON DIPAK PHUKON P.O.-CHUNGAJAN, P.S.-CHUNGAJAN, Dist.-Golaghat, State- 20.10.2016 ASSAM, Pin-785601 C/o-THOMAS BOSUMATARY, H.No.-59, Vill/Town-JOYSIDDI, RAJIKA THOMAS 687 NHM/SNRS/0570 P.O.-BALIJULI, P.S.-SOOTEA, Dist.-Sonitpur, State-ASSAM, Pin- 20.10.2016 BOSUMATARY BOSUMATARY 784182

C/o-KONTHOUJAM GOVINDAS SINGH, H.No.-25, Vill/Town- RAJKUMARI REBINA 688 NHM/SNRS/1133 R K SANAYAIMA RAJGHAR GUWAHATI, P.O.-RAJGHAR, P.S.-Bhangagarh, Dist.- 20.10.2016 DEVI Kamrup Metro, State-ASSAM, Pin-786611

C/o-NURSING SUPERINTENDENT, H.No.-AMCH CAMPUS, 689 NHM/SNRS/0841 RAJSHREE GOGOI MANIK GOGOI Vill/Town-GNM NURSES HOSTEL, P.O.-BORBARI, P.S.- 20.10.2016 BORBARI, Dist.-Dibrugarh, State-Assam, Pin-786002

C/o-NARJIMA BEGUM, H.No.-BARAGARAI, Vill/Town- 690 NHM/SNRS/0266 RAJUMA BEGUM ABDUR RAHMAN BARAGARAI, P.O.-BARKANDA, P.S.-BILASIPARA, Dist.-Dhubri, 20.10.2016 State-ASSAM, Pin-783348

C/o-Dr.Rupankar Nath, H.No.-42, Vill/Town-Jhalupara, P.O.-Silchar, 691 NHM/SNRS/0448 Rakhi Sharma Pulin Bihari Sharma 20.10.2016 P.S.-Sadar, Dist.-Cachar, State-Assam, Pin-788004

C/o-LATE CHANDRA DEORI, H.No.-0, Vill/Town-SONAPUR, P.O.- LATE CHANDRA 692 NHM/SNRS/0319 RAKHU DEORI BHOGPUR CHARIALI, P.S.-BIHPURIA, Dist.-Lakhimpur, State- 20.10.2016 DEORI Assam, Pin-787033 C/o-Ramdinthar, H.No.-Swagat Super Speciality Institute & NH, Vill/Town-Dinesh Goswami Path, Gate No 4 Maligaon, P.O.- 693 NHM/SNRS/0772 Ramdinthar Rothlenglien 20.10.2016 Maligaon At Road, P.S.-Adabari, Dist.-Kamrup Metro, State-Assam, Pin-781009

C/o-BIRESWAR GOGOI, H.No.-HOUSE NO. 10, Vill/Town- 694 NHM/SNRS/0890 RANJITA GOGOI BIRESWAR GOGOI KHAGARIHULA, P.O.-BANHPARA, P.S.-DHAKUAKHANA, Dist.- 20.10.2016 Lakhimpur, State-ASSAM, Pin-787055

C/o-RAJMOHAN RAY, H.No.-257, Vill/Town-NORTH SALMARA, 695 NHM/SNRS/0584 RANJITA RAY RAJMOHAN RAY P.O.-NORTH SALMARA, P.S.-ABHAYAPURI, Dist.-Bongaigaon, 20.10.2016 State-ASSAM, Pin-783383

C/o-DULAL BORAH, H.No.-, Vill/Town-AZARGURI, P.O.- 696 NHM/SNRS/1287 RANJULA HAZARIKA KAMON HAZARIKA 20.10.2016 KAWOIMARI, P.S.-TEOK, Dist.-Jorhat, State-ASSAM, Pin-785683

C/o-AMIRUL ISLAM, H.No.-, Vill/Town-DEHAR KALAKUCHI, 697 NHM/SNRS/0425 RANJUMA BEGUM MATIN ALI P.O.-DEHAR KALAKUCHI, P.S.-MUKALMUWA, Dist.-Nalbari, 20.10.2016 State-ASSAM, Pin-781310

C/o-MAHIBUDDIN AHMED, H.No.-173, Vill/Town-GAKHIR MAHIBUDDIN 698 NHM/SNRS/0704 RANU ARA BEGUM KHOWA PARA, P.O.-JANARAM CHOWKA, P.S.-MANGALDAI, 20.10.2016 AHMED Dist.-Darrang, State-Assam, Pin-784529

C/o-INTERNATIONAL HOSPITAL, H.No.-LOTUS TOWER, GANESH PRASAD Vill/Town-G S ROAD, CHRISTAINBASTI GUWAHATI, P.O.- 699 NHM/SNRS/1150 RASHMI CHETRY 20.10.2016 CHETRY DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin- 781005 C/o-SRI AMITABH CHOWDHURY, H.No.-141, Vill/Town- 700 NHM/SNRS/0722 RASHMI RANI SAIKIA SRI KHIROD SAIKIA MORANGAON, P.O.-BORGANG, P.S.-BEHALI, Dist.-Sonitpur, 20.10.2016 State-ASSAM, Pin-784167

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 37 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-DIBYAJYOTI NEOG, H.No.-29, Vill/Town-LEHETIE GAON, LATE INDRESWAR 701 NHM/SNRS/0062 RASHMITA NEOG P.O.-TILIKIAM, P.S.-PULIBOR, Dist.-Jorhat, State-ASSAM, Pin- 20.10.2016 NEOG 785006 C/o-NAZIR ALI, H.No.-N/A, Vill/Town-GOG, P.O.-BARAPALAHA, 702 NHM/SNRS/1715 RASIDA BEGUM NAZIR ALI P.S.-BAIHATA CHARI ALI, Dist.-Kamrup Rural, State-ASSAM, Pin- 20.10.2016 781121

C/o-HIREN KUMAR LASKAR, H.No.-3, Vill/Town- RASMI REKHA DEURI 703 NHM/SNRS/1898 MONI RAM BORA KRISHNAPUR,GARH ALI, P.O.-BELTOLA, P.S.-BASISTHA, Dist.- 20.10.2016 (Nee-BORA) Kamrup Metro, State-ASSAM, Pin-781028

C/o-KRIHNA HAZARIKA, H.No.-15, Vill/Town-SOLAL GAON, KRISHNA 704 NHM/SNRS/0680 RASNA HAZARIKA P.O.-SOOTEA, P.S.-SOOTEA, Dist.-Sonitpur, State-ASSAM, Pin- 20.10.2016 HAZARIKA 784175 C/o-ABUL KASHEM MIAH, H.No.-HOUSE NO-217, Vill/Town- RAUSHANARA ABUL KASHEM 705 NHM/SNRS/0159 SONAPUR, P.O.-KADONG, P.S.-KALGACHIA, Dist.-Barpeta, State- 20.10.2016 KHATUN MIAH Assam, Pin-781314 C/o-Evan Richard Sungte, H.No.-B-103A,Ground Floor, Vill/Town- 706 NHM/SNRS/1779 Rebecca Sungte DK Rema Sector -57, P.O.-Sector - 45, P.S.-Sector -56, Dist.-Gurgaon, State- 20.10.2016 Haryana, Pin-122011

C/o-SANIKA SANGA, H.No.-NEAR DELBARI HIGH SCHOOL, 707 NHM/SNRS/0349 REBICA SANGA SANIKA SANGA Vill/Town-DEOBIL, P.O.-DIGHALIA, P.S.-TENGAKHAT, Dist.- 20.10.2016 Dibrugarh, State-ASSAM, Pin-786101

C/o-Pratiksha Hospital, H.No.-Pratiksha hospital, Vill/Town-Borbari Thounaojam Maglem 708 NHM/SNRS/1326 Reena Thounaojam V.I.P Road, P.O.-Hengrabari, P.S.-Dispur, Dist.-Kamrup Metro, State- 20.10.2016 singh Assam, Pin-781036

C/o-Ajit Chowdhery, H.No.-98, Vill/Town-Dilip Hazuri Path, P.O.- 709 NHM/SNRS/0956 Rejenrish Ronghangpi robinson Ronghang 20.10.2016 Dispur, P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781006

C/o-RINKU DAS, NIGHTINGALE HOSPITAL, GANESHGURI, Lt. DALBAHADUR KACHARI BASTI, H.No.-70, Vill/Town-GUWAHATI, P.O.- 710 NHM/SNRS/0936 REKHA CHHETRY 20.10.2016 CHHETRY DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin- 781005 C/o-SR. MARYJOHN, H.No.-, Vill/Town-CHAPAGURI, P.O.- LATE MADHAB CH 711 NHM/SNRS/0578 REKHAMONI DAS CHAPAGURI, P.S.-DHALIGAON, Dist.-Chirang, State-ASSAM, Pin- 20.10.2016 DAS 783380 C/o-RANA GOGOI, H.No.-128, Vill/Town-BORBARI VIP ROAD, RENUBALA NGANGOM KHOMEI 712 NHM/SNRS/0117 P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin- 20.10.2016 NGANGOM SINGH 781036 C/o-MD HABIBUR RAHMAN, H.No.-66, Vill/Town-PUB MD HABIBUR 713 NHM/SNRS/1724 REZUANA SULTANA SINGIMARI, P.O.-SINGIMARI, P.S.-RUPAHI HAT, Dist.-Nagaon, 20.10.2016 RAHMAN State-ASSAM, Pin-782125

C/o-RIJU MONI BORAH, H.No.-0, Vill/Town-B.V.F.C.L. COLONY LATE BIRENDRA 714 NHM/SNRS/1818 RIJU MONI BORAH NAMRUP.QTR-133,134/II/B, P.O.-PARBATPUR, P.S.-NAMRUP, 20.10.2016 NATH BORAH Dist.-Dibrugarh, State-ASSAM, Pin-786623

C/o-CHANDRIKA SHARMA, H.No.-452, Vill/Town- CHANDRIKA 715 NHM/SNRS/0751 RIJU SHARMA KHANGKHALABARI, P.O.-UDALGURI, P.S.-UDALGURI, Dist.- 20.10.2016 SHARMA Udalguri, State-ASSAM, Pin-784509

C/o-Biren Borah, H.No.-40, Vill/Town-Karatigaon, P.O.-Sootea, P.S.- 716 NHM/SNRS/0666 Rima Borah Biren Borah 20.10.2016 Sootea, Dist.-Sonitpur, State-ASSAM, Pin-784175

C/o-RANJAN DAIMARI, H.No.-174, Vill/Town-DUWAMOKHA, 717 NHM/SNRS/0187 RIMI DAIMARI RANJAN DAIMARI P.O.-BORIGAON, P.S.-UDALGURI, Dist.-Udalguri, State-ASSAM, 20.10.2016 Pin-784510 C/o-KUKHESWAR GOGOI, H.No.-, Vill/Town-BHATIAPAR, P.O.- KUKHESWAR 718 NHM/SNRS/0816 RIMJHIM GOGOI BHATIAPAR, P.S.-SIVASAGAR, Dist.-Sivasagar, State-ASSAM, 20.10.2016 GOGOI Pin-785667 C/o-CHANDRA BARUAH, H.No.-29, Vill/Town-BASUDAVE 719 NHM/SNRS/0315 RIMJIM BARUAH CHANDRA BARUAH THAN, P.O.-JAMUGURIHAT, P.S.-JAMUGURI, Dist.-Sonitpur, 20.10.2016 State-ASSAM, Pin-784180

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 38 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-ADHIR DAS, H.No.-89, Vill/Town-BHOJO TIOK GAON, P.O.- 720 NHM/SNRS/0673 RIMPI DAS ADHIR DAS 20.10.2016 BHOJO, P.S.-SONARI, Dist.-Sivasagar, State-ASSAM, Pin-785691

C/o-Kangsha Ram Das, H.No.-4, Vill/Town-Bye Lane 1, P.O.- 721 NHM/SNRS/1316 Rinkumoni Devi Hemeswar Nath Bamunimaidam, P.S.-Noonmati, Dist.-Kamrup Metro, State-Assam, 21.10.2016 Pin-781021 C/o-Mr.Khandeswar Phukan, H.No.-, Vill/Town-saru pather n.c. Mr.Khandeswar 722 NHM/SNRS/0663 RITA PHUKAN village, P.O.-Duliajan, P.S.-Duliajan, Dist.-Dibrugarh, State-Assam, 21.10.2016 Phukan Pin-786602 C/o-BIJAY TANTI, H.No.-3 NO. LINE, Vill/Town-LENGRAI T.E., 723 NHM/SNRS/0703 RITU SOBAR TANTI JATIN SOBAR P.O.-LENGRAI, P.S.-TENGAKHAT, Dist.-Dibrugarh, State-ASSAM, 21.10.2016 Pin-786103 C/o-MR. KAMAL CHANDRA DAS, H.No.-CTS-1316, Vill/Town-1 MR. UMAKANTA NO KOTHIA KHUNDA, SAPAKHATI,AMIT NAGAR, P.O.- 724 NHM/SNRS/1712 RITUMONI DAS 21.10.2016 DAS SAPAKHATI, P.S.-SAPAKHATI, Dist.-Sivasagar, State-ASSAM, Pin- 785692 C/o-NURUL HOQUE TALUKDAR, H.No.-410, Vill/Town-WEST RIZWANA BEGUM NURUL HOQUE 725 NHM/SNRS/0317 TONGIBARI, P.O.-RATABARI, P.S.-RATABARI, Dist.-Karimganj, 21.10.2016 TALUKDAR TALUKDAR State-ASSAM, Pin-788735 C/o-BAKUL BARO, H.No.-35, Vill/Town-NO 2 SUAGPUR, P.O.- SARBESWAR 726 NHM/SNRS/1291 RNGKI BASUMATARY SUAGPUR, P.S.-GORESWAR, Dist.-Baksa, State-ASSAM, Pin- 21.10.2016 BASUMATARY 781364 C/o-TAJUL ISLAM, H.No.-4, Vill/Town-VIP ROAD, SIX LATE PAONAN 727 NHM/SNRS/1314 ROJILA PAONAN MILE,GHY-22, P.O.-KHANAPARA, P.S.-DISPUR, Dist.-Kamrup 21.10.2016 RAJMANI Metro, State-ASSAM, Pin-781022 C/o-PADMA KANTA DOLEY, H.No.-1, Vill/Town-NA-ALI GAON, PADMA KANTA 728 NHM/SNRS/1897 RONJITA DOLEY P.O.-NA-ALI, P.S.-PANI GAON, Dist.-Lakhimpur, State-ASSAM, 21.10.2016 DOLEY Pin-787052 C/o-Renu Phulari, H.No.-117, Vill/Town-Mulukubasa, P.O.- 729 NHM/SNRS/1832 Rose Rita Barla Nag Lt. Dilip Barla Boiragimoth, P.S.-Gabharupathar, Dist.-Dibrugarh, State-Assam, Pin- 21.10.2016 786003

C/o-SHAMLAL RANGSHA, H.No.-94 (3A), Vill/Town-FAA PATH, BANTI RAM 730 NHM/SNRS/1125 ROSELIN RANGSHA PURANABASTI, SIXMILE-781022 ASSAM, P.O.-KHANAPARA, 21.10.2016 RANGSHA P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781022

C/o-VANLALSUNG DARNGAWN, H.No.-103, Vill/Town- ROSELYN LILY VANLALSUNG 731 NHM/SNRS/1122 HMARKHAWLIEN, P.O.-FULERTAL, P.S.-LAKHIPUR, Dist.- 21.10.2016 PARMAWI DARNGAWN Cachar, State-ASSAM, Pin-788106 C/o-Pratiksha Hostel, H.No.-292, Vill/Town-Barbari vip road, P.O.- (L) Yendrembam 732 NHM/SNRS/0657 Roshni Yendrembam Hengrabari, P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin- 21.10.2016 Chandrashekhar Singh 781036 C/o-BABUL KURMI, H.No.-1, Vill/Town-PHUTAHOLA GAON, LATE JAYTOM 733 NHM/SNRS/0731 RUBI KURMI P.O.-PHUTAHOLA (LAHOWAL), P.S.-LAHOWAL, Dist.- 21.10.2016 KURMI Dibrugarh, State-ASSAM, Pin-786010

C/o-MATRON OFFICE SMCH, H.No.-NURSES STAFF HOSTEL MANARANJAN 734 NHM/SNRS/0397 RUBI PAUL ROMM NO. 1, Vill/Town-GHUNGOOR, P.O.-GHUNGOOR, P.S.- 21.10.2016 PAUL GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin-788014

C/o-BENU CHETIA, H.No.-52, Vill/Town-PODUMPATHER GUNESWAR 735 NHM/SNRS/1912 RUBI PHUKAN BIJULIBON, P.O.-PHILLOBARI (ARUNUDOI ), P.S.- 21.10.2016 PHUKAN PHILLOBARI, Dist.-Tinsukia, State-ASSAM, Pin-786160

C/o-METRON GNM NURSING HOSTEL SILCHAR MEDICAL RUBIA BEGOM LT-MAKABBIR ALI COLLEGE & HOSPITAL, H.No.-GNM NURSING HOSTEL ROOM 736 NHM/SNRS/0355 21.10.2016 BARBHUIYA BARBHUIYA NO-24, Vill/Town-GHUNGOOR, P.O.-GHUNGOOR, P.S.- GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin-788014

C/o-LILA BORAH, H.No.-163, Vill/Town-BHIR GAON, P.O.- 737 NHM/SNRS/0544 RUBY BORAH LILA BORAH PANIBHARAL, P.S.-BISWANATH CHARIALI, Dist.-Sonitpur, State- 21.10.2016 ASSAM, Pin-784176 C/o-BALEN CH. RAY, H.No.-55, Vill/Town-TILAPARA, P.O.- 738 NHM/SNRS/0432 RUBY RAY BALEN CH. RAY NORTH SALMARA, P.S.-ABHYAPURI, Dist.-Bongaigaon, State- 21.10.2016 ASSAM, Pin-783383 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 39 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-KARTIK CHOUDHURY, H.No.-216, Vill/Town-HAILAKANDI, LT. KANU 739 NHM/SNRS/0200 RUMA CHOUDHURY P.O.-HAILAKANDI, P.S.-HAILAKANDI, Dist.-Hailakandi, State- 21.10.2016 CHOUDHURY ASSAM, Pin-788151

C/o-ANJU DAS, H.No.-, Vill/Town-PACHIM BORAGAON BAKUL 740 NHM/SNRS/0884 RUMI DAS LATE JYOTISH DAS NAGAR, P.O.-GARCHUK, P.S.-GARCHUK, Dist.-Kamrup Metro, 21.10.2016 State-ASSAM, Pin-781035 C/o-DINESH DEKA, H.No.-97, Vill/Town-NO. 1 CHANGAPARA, 741 NHM/SNRS/1795 RUMI DEKA DINESH DEKA P.O.-PATHARIGHAT, P.S.-SIPAJHAR, Dist.-Darrang, State- 21.10.2016 ASSAM, Pin-784144

C/o-late H bharali, H.No.-21, Vill/Town-sotai, P.O.-chengali gaon, 742 NHM/SNRS/0999 RUMI KONWAR late hireswar bharali 21.10.2016 P.S.-jorhat, Dist.-Jorhat, State-assam, Pin-785010

C/o-INTERNATIONAL HOSPITAL, H.No.-, Vill/Town-GUWAHATI RUNJUN RIKHESWAR 743 NHM/SNRS/0038 ,LOTUS TOWER ,G.S.ROAD, P.O.-GUWAHATI, P.S.-DISPUR, 21.10.2016 BURAGOHAIN BURAGOHAIN Dist.-Kamrup Metro, State-ASSAM, Pin-781005

C/o-KANAKESWAR SAIKIA, H.No.-44, Vill/Town- KANAKESWAR 744 NHM/SNRS/0005 RUNJUN SAIKIA MOHIMABARI,TITABOR, P.O.-MOHIMABARI, P.S.-TITABOR, 21.10.2016 SAIKIA Dist.-Jorhat, State-ASSAM, Pin-785630 C/o-TARANI DAIMARY, H.No.-34, Vill/Town-VILL- NO. 1 LT. BHARAT CH 745 NHM/SNRS/0756 RUNUMI DAIMARY BALAPARA, P.O.-GOLIBANDHA, P.S.-SARTHERBARI, Dist.- 21.10.2016 DAIMARY Barpeta, State-Assam, Pin-781375 C/o-BITUPAN DAS, H.No.-, Vill/Town-DOWARPAR GAON, P.O.- 746 NHM/SNRS/0993 RUPA DAS GANDHI RAM DAS NARA GAON, P.S.-PANIGAON, Dist.-Lakhimpur, State-ASSAM, 21.10.2016 Pin-787052 C/o-RJIB HAZARIKA, H.No.-NIL, Vill/Town-1 NO LATE BUPAIKON 747 NHM/SNRS/1128 RUPA MONI BORAH BORPUKHURIPAR GAON, P.O.-MUDOI GAON, P.S.-DERGAON, 21.10.2016 BORAH Dist.-Golaghat, State-ASSAM, Pin-785614 C/o-DHARMA KANTA DAS, H.No.-93, Vill/Town-UJANPARA, DHARMA KANTA 748 NHM/SNRS/1139 RUPA MONI DAS P.O.-SRIJANGRAM, P.S.-ABHAYAPURI, Dist.-Bongaigaon, State- 21.10.2016 DAS ASSAM, Pin-783386 C/o-Sri Sunaram Rovi, H.No.-76, Vill/Town-Tamulipukhuri Gaon, 749 NHM/SNRS/0684 RUPA ROVI Sri Sunaram Rovi P.O.-Sivasagar, P.S.-Sivasagar, Dist.-Sivasagar, State-ASSAM, Pin- 21.10.2016 785640 C/o-KANAK CH DUTTA, H.No.-1, Vill/Town-JERENGA NAGAR, LT JONARAM 750 NHM/SNRS/0913 RUPA SAIKIA DUTTA P.O.-JOYSAGAR, P.S.-SIVSAGAR, Dist.-Sivasagar, State-ASSAM, 21.10.2016 SAIKIA Pin-785665 C/o-JOYSINGH ROY, H.No.-461, Vill/Town-BASUGAON, P.O.- 751 NHM/SNRS/0847 RUPALI ROY JOYSINGH ROY BASUGAON, P.S.-BASUGAON, Dist.-Chirang, State-ASSAM, Pin- 21.10.2016 783372 C/o-NARENDRA BONIA, H.No.-CHAMAGURI BONIA GAON, Vill/Town-CHAMAGURI BONIA GAON, P.O.-BONGOAN 752 NHM/SNRS/0043 RUPAMONI BONIA NARENDRA BOBNIA 21.10.2016 (MAJULI), P.S.-KAMALABARI, Dist.-Jorhat, State-ASSAM, Pin- 785110 C/o-TRIDIP BARUAH, H.No.-NA, Vill/Town-AMGURI, P.O.- 753 NHM/SNRS/0093 RUPANJALI CHUTIA LOLIT CHUTIA BORDIRAK, P.S.-KAKOPATHER, Dist.-Tinsukia, State-ASSAM, 21.10.2016 Pin-786152 C/o-MD BUL SEIKH, H.No.-0, Vill/Town-BORCHAKABAHA, P.O.- 754 NHM/SNRS/0277 RUPJAN BEGUM MD BUL SEIKH JALUGUTI, P.S.-MORIGAON, Dist.-Morigaon, State-ASSAM, Pin- 21.10.2016 782104 C/o-NIRGUN KUMAR CHOUHAN, H.No.-23, Vill/Town- 755 NHM/SNRS/0094 RUPREKHA BORA DEURAM BORA BHURAGAON, P.O.-BHURAGAON, P.S.-BHURAGAON, Dist.- 21.10.2016 Morigaon, State-ASSAM, Pin-782121 C/o-Mr. N. Choudhury, H.No.-5, Vill/Town-Giridhar Sarma Path, 756 NHM/SNRS/0647 Ruprekha Kurmi Mr. Phuleswar Kurmi P.O.-Assam Sachivalaya, P.S.-Dispur, Dist.-Kamrup Metro, State- 21.10.2016 Assam, Pin-781006 C/o-KRISHNA PAIK, H.No.-, Vill/Town-JALAN NAGAR P.T LINE 757 NHM/SNRS/1201 RUSMA PANIKA SUNIL PANIKA (ALUBARI), P.O.-JALAN NAGAR, P.S.-BORBARI, Dist.- 21.10.2016 Dibrugarh, State-ASSAM, Pin-786002 C/o-Administrator, H.No.-, Vill/Town-Convey Road, P.O.- 758 NHM/SNRS/0419 Ruth Billung Mr.Gabriel Billung Boiragimoth, P.S.-Dibrugarh, Dist.-Dibrugarh, State-Assam, Pin- 21.10.2016 786001 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 40 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Mr.Ajit Daimari, H.No.-130, Vill/Town- 759 NHM/SNRS/0912 Rwirup Daimari Mr.Ajit Daimari Vill:Ambagaon,P.O:Ambagaon,Udalguri,Assam, P.O.-Ambagaon, 21.10.2016 P.S.-Harisinga, Dist.-Udalguri, State-Assam, Pin-784510

C/o-MATRON OFFICE, NURSES HOSTEL, SMCH, SILCHAR-14, S CHINGLEMBI LALMOHAN 760 NHM/SNRS/0021 H.No.-, Vill/Town-GHUNGOOR, P.O.-GHUNGOOR, P.S.- 21.10.2016 CHANU SINGHA GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin-788014

C/o-DEEPTI KAKATI, H.No.-11, Vill/Town-KACHARI BASTI S DONGUIBUI 761 NHM/SNRS/1129 S STEPHEN GUWAHATI, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, 21.10.2016 THANGAL State-ASSAM, Pin-781005 C/o-ABDUL MATLIB, H.No.-0, Vill/Town-KENDUGURI, P.O.- 762 NHM/SNRS/1624 SABINA YASMIN ABDUL MATLIB KENDUGURI, P.S.-SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin- 21.10.2016 784148

C/o-SAMS UDDIN MAZUMDER, H.No.-89, Vill/Town-VILL- SABINA YEASMIN SAMS UDDIN 763 NHM/SNRS/0601 KANCHANPUR PT-II, P.O.-KANCHANPUR, P.S.-HAILAKANDI, 21.10.2016 MAZUMDER MAZUMDER Dist.-Hailakandi, State-ASSAM, Pin-788152

LATE LAKSHMAN C/o-SANDIP BHUMIJ, H.No.-211, Vill/Town-LATAKU GAON, P.O.- 764 NHM/SNRS/0063 SABITA BHUMIJ 21.10.2016 BHUMIJ TETABOR, P.S.-JETABOR, Dist.-Jorhat, State-ASSAM, Pin-785630

C/o-UTPAL DAS, H.No.-, Vill/Town-MAIZGRAM, P.O.- 765 NHM/SNRS/0203 SABITA DAS UTPAL DAS MAIZGRAM, P.S.-KARIMGANJ, Dist.-Karimganj, State-ASSAM, 21.10.2016 Pin-788712

C/o-BIJOY GOALA, H.No.-371, Vill/Town-BUNDOOKMARA T.E, 766 NHM/SNRS/0211 SABITA GOALA BIJOY GOALA P.O.-SAMARIKUNA, P.S.-HAILAKANDI, Dist.-Hailakandi, State- 21.10.2016 ASSAM, Pin-788151

C/o-SUDARSHAN FULMALI, H.No.-451, Vill/Town-VILL. SUDARSHAN 767 NHM/SNRS/0717 SAFU FULMALI TULARGRAM PT-I, P.O.-SONAIMUKH, P.S.-SONAI, Dist.-Cachar, 21.10.2016 FULMALI State-ASSAM, Pin-788119 C/o-BINOY DAIMARI, H.No.-283, Vill/Town-GOLONDI HABI, SAHEBA RANI 768 NHM/SNRS/0795 BINOY DAIMARI P.O.-UDALGURI, P.S.-UDALGURI, Dist.-Udalguri, State-ASSAM, 21.10.2016 DAIMARI Pin-784509 C/o-Mr. N. Choudhury, H.No.-5, Vill/Town-Giridhar Sarma Path, 769 NHM/SNRS/0645 Sahida Yesmin Mr. S. Ahmed P.O.-Assam Sachivalaya, P.S.-Dispur, Dist.-Kamrup Metro, State- 21.10.2016 Assam, Pin-781006 C/o-C/o - Rinku Das, H.No.-129, Vill/Town-Borbari, VIP Road, P.O.- SAIKHOM ABITA S. SHYAMKISHORE 770 NHM/SNRS/1925 Hengerabari, P.S.-Dispur, Dist.-Kamrup Metro, State-ASSAM, Pin- 21.10.2016 DEVI SINGH 781036 C/o-AKADDAS ALI BARBHUIYA, H.No.-, Vill/Town-SOUTH SAKARA BEGUM AKADDAS ALI 771 NHM/SNRS/0161 KRISHNAPUR, P.O.-SONABARIGHAT, P.S.-SILCHAR, Dist.- 21.10.2016 BARBHUIYA BARBHUIYA Cachar, State-ASSAM, Pin-788013

C/o-Moinul Choudhury, H.No.-63, Vill/Town-Karara, P.O.-Karara, 772 NHM/SNRS/1293 Salma Choudhury Joynul Choudhury 21.10.2016 P.S.-Baihata Chariali, Dist.-Kamrup Rural, State-Assam, Pin-781381

C/o-PETRUS INDWAR, H.No.-362, Vill/Town-WARD NO 1, P.O.- 773 NHM/SNRS/0723 SALOMI INDWAR FRANCIS INDWAR DHEKIAJULI, P.S.-DHEKIAJULI, Dist.-Sonitpur, State-Assam, Pin- 21.10.2016 784110

C/o-Anwar Hussain Laskar, H.No.-, Vill/Town-Kazidahar Pt I, P.O.- 774 NHM/SNRS/0292 Samina Aktar Laskar Bilal Uddin Laskar 21.10.2016 Kazidahar, P.S.-Sonai, Dist.-Cachar, State-Assam, Pin-788115

C/o-GIAS UDDIN LASKAR, H.No.-44, Vill/Town-SAYEDBOND PT- SAMSIA BEGUM LATE MUSABBIR 775 NHM/SNRS/0194 III, P.O.-KALIBARI BAZAR, P.S.-HAILKANDI, Dist.-Hailakandi, 21.10.2016 BARBHUIYA ALI BARBHUIYA State-ASSAM, Pin-788150

C/o-Mr Madan Gopal Boro, H.No.-Uttarayan Heights, Flt No. 501, SANDHYA DEEP Vill/Town-Chandan Nagar, Bhetapara, Bishnu Rabha Path,, P.O.- 776 NHM/SNRS/1239 Mr Heramba Saikia 21.10.2016 SAIKIA Beltola, P.S.-Hatigaon, Dist.-Kamrup Metro, State-Assam, Pin- 781028

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 41 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

LATE SUNIL C/o-SAMARESH MALAKAR, H.No.-291, Vill/Town-RANGABAK 777 NHM/SNRS/0160 SANDIPA MALAKAR CHANDRA PART II, P.O.-KATLICHERRA, P.S.-KATLICHERRA, Dist.- 21.10.2016 MALAKAR Hailakandi, State-ASSAM, Pin-788161

C/o-AKSHAY KUMAR DAS, H.No.-HOUSE NO. 172, Vill/Town- AKSHAY KUMAR 778 NHM/SNRS/0071 SANGEETA DAS SRIGOURI, P.O.-SRIGOURI, P.S.-BADARPUR, Dist.-Karimganj, 21.10.2016 DAS State-Assam, Pin-788806 C/o-DHANANJAY BARMAN, H.No.-52, Vill/Town-NORTH Mr. PRANESWAR 779 NHM/SNRS/0447 SANGEETA DAS BALLAMGURI, P.O.-BALLAMGURI, P.S.-BIJNI, Dist.-Chirang, 21.10.2016 DAS State-ASSAM, Pin-783393 C/o-CHENIRAM KURMI, H.No.-51, Vill/Town-NIZ MODERKHAT 780 NHM/SNRS/0076 SANGEETA KURMI CHENIRAM KURMI GAON, P.O.-ALIMUR DIKOM, P.S.-LAHOWAL, Dist.-Dibrugarh, 21.10.2016 State-ASSAM, Pin-786010

C/o-ABINASH BHOWMICK, H.No.-BHADOI PANCHALI, ABINASH 781 NHM/SNRS/0524 SANGITA BHOWMICK Vill/Town-3 NO CHAPATOLI, P.O.-BHADOI PANCHALI, P.S.- 21.10.2016 BHOWMICK DULIAJAN, Dist.-Dibrugarh, State-ASSAM, Pin-786191

C/o-PRAMUD DUARAH, H.No.-SIVASAGAR, Vill/Town- KHARAGARH GHURACHOWA GAON, P.O.-KHEMDOI 782 NHM/SNRS/0817 SANGITA DUARAH PRAMUD DUARAH 21.10.2016 PUKHURI, P.S.-AMGURI, Dist.-Sivasagar, State-ASSAM, Pin- 785666 C/o-PRINCE TAMULI, H.No.-5B, Vill/Town-GUWAHATI, P.O.- SANGITA GOHAIN 783 NHM/SNRS/0792 LT.LOLIT GOHAIN KHANAPARA, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, 21.10.2016 TAMULI Pin-781022 C/o-DHARMA HATIBORUAH, H.No.-24, Vill/Town-DIKSHU SANGITA DHARMA 784 NHM/SNRS/1054 MOUT GAON, P.O.-DIKSHU, P.S.-AMGURI, Dist.-Sivasagar, State- 21.10.2016 HATIBORUAH HATIBORUAH ASSAM, Pin-785684 C/o-SANKARDEV KALITA, H.No.-101, Vill/Town-HEKRA, P.O.- SANKARDEV 785 NHM/SNRS/0212 SANGITA KALITA HEKRA, P.S.-BOKO, Dist.-Kamrup Rural, State-ASSAM, Pin- 21.10.2016 KALITA 781127 C/o-BOLURAM KURMI, H.No.-, Vill/Town-MACKEYPORE TEA 786 NHM/SNRS/0229 SANGITA KURMI BOLURAM KURMI ESTATE, P.O.-MACKEYPORE, P.S.-NAZIRA, Dist.-Sivasagar, State- 21.10.2016 ASSAM, Pin-785685 C/o-ATUL KUMAR KALITA, H.No.-22, Vill/Town- 787 NHM/SNRS/0649 SANGITA SAHARIA MADAN SAHARIA GOPALNAGAR, P.O.-NOONMATI, P.S.-NOONMATI, Dist.- 21.10.2016 Kamrup Metro, State-ASSAM, Pin-781020

C/o-Dilip Borah, H.No.-NA, Vill/Town-Jogduwar Bamun gaon, P.O.- 788 NHM/SNRS/1821 Santana Borah Dilip Borah 21.10.2016 Jogduwar, P.S.-Teok, Dist.-Jorhat, State-ASSAM, Pin-785683

C/o-DEBESWAR SAIKIA, H.No.-26, Vill/Town-SATIBHETI, P.O.- 789 NHM/SNRS/0439 SANTANA SAIKIA DEBESWAR SAIKIA RAJAMAYONG, P.S.-MAYONG, Dist.-Morigaon, State-ASSAM, 21.10.2016 Pin-782411 C/o-Mr. Radh G. Singha, H.No.-6, Vill/Town-Shanti Path, Near down 790 NHM/SNRS/0928 Santi Das Mr. Badan Das town hospital, P.O.-Dispur, P.S.-Dispur, Dist.-Kamrup Metro, State- 21.10.2016 Assam, Pin-781006 C/o-KHAGEN NARZARY, H.No.-16, Vill/Town-KATRIBARI, P.O.- 791 NHM/SNRS/0556 SANTI NARZARY KHAGEN NARZARY RUNIKHATA, P.S.-RUNIKHATA, Dist.-Chirang, State-ASSAM, Pin- 21.10.2016 783375

C/o-RAM LAL HAZRA, H.No.-168, Vill/Town-NO.1 BHETAGAON, 792 NHM/SNRS/0225 SANTU HAZRA RAM LAL HAZRA 21.10.2016 P.O.-BIJNI, P.S.-BIJNI, Dist.-Chirang, State-ASSAM, Pin-783390

C/o-NAGESWAR KURMI, H.No.-, Vill/Town-RAJAH ALI TEA 793 NHM/SNRS/0423 SAPNA KURMI NAGESWAR KURMI ESTATE, P.O.-HOOGRIJAN, P.S.-DULIAJAN, Dist.-Dibrugarh, 21.10.2016 State-ASSAM, Pin-786601 C/o-NAGESWAR KURMI, H.No.-NIL, Vill/Town-RAJAH ALI TEA 794 NHM/SNRS/1547 SAPNA KURMI NAGESWAR KURMI ESTATE, P.O.-HOOGRIJAN, P.S.-DULIAJAN, Dist.-Dibrugarh, 21.10.2016 State-ASSAM, Pin-786601 C/o-JOHN KULLU, H.No.-240, Vill/Town-BORPUKHURI T.E., P.O.- 795 NHM/SNRS/0399 SARA KULLU JOHN KULLU KUNWARI, P.S.-BISWANATH CHARIALI, Dist.-Sonitpur, State- 21.10.2016 ASSAM, Pin-784176

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 42 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-PRADEEP BORO, H.No.-47, Vill/Town-PACHEEM KRISHNA 796 NHM/SNRS/1083 SARADA BORO DWIPEN BORO KANTA HANDIQUE NAGAR, P.O.-KAHILIPARA, P.S.-DISPUR, 21.10.2016 Dist.-Kamrup Metro, State-ASSAM, Pin-781019

C/o-Mr. Lucas Toppo, H.No.-3, Vill/Town-Rongtheang Bishop 797 NHM/SNRS/0154 Sarita Toppo Mr. Lucas Toppo House/Diphu, P.O.-Diphu, P.S.-Diphu, Dist.-Karbi Anglong, State- 21.10.2016 Assam, Pin-782460 C/o-SM Mobile clinic , Near Mouchak Hotel, H.No.-526, Vill/Town- 798 NHM/SNRS/0179 SARUJ THAKUR Rabindra Thakur Sarupathar, P.O.-Sarupathar, P.S.-Sarupathar, Dist.-Golaghat, State- 21.10.2016 ASSAM, Pin-785601 C/o-LATE RONOBIR KUMAR DAS, H.No.-H-1230, Vill/Town- LATE RONOBIR 799 NHM/SNRS/0206 SATARUPA DAS MIRJAPUR, P.O.-MIRJAPUR, P.S.-BADARPUR, Dist.-Karimganj, 21.10.2016 KUMAR DAS State-ASSAM, Pin-788701

C/o-KUNJALATA BANIYA, H.No.-3, Vill/Town-GUWAHATI, P.O.- SATYAJIT GANESH CHANDRA 800 NHM/SNRS/1655 FATASHIL AMBARI, P.S.-FATASHIL AMBARI, Dist.-Kamrup 21.10.2016 BHATTACHARJEE BHATTACHARJEE Metro, State-ASSAM, Pin-781025

C/o-SYED NZIMUDDIN AHMED, H.No.-8, Vill/Town-GOG, P.O.- SAYEDA MAKONI SYED NAZIMUDDIN 801 NHM/SNRS/1550 BORPALAHA, P.S.-BAIHATA CHARIALI, Dist.-Kamrup Rural, 21.10.2016 AHMED AHMED State-ASSAM, Pin-781121 C/o-BAPTIST CHRISTIAN HOSPITAL, H.No.-N/A, Vill/Town- LATE PAULUS 802 NHM/SNRS/1035 SEEMA BHENGRA MISSION CHARIALI, P.O.-TEZPUR, P.S.-TEZPUR, Dist.-Sonitpur, 21.10.2016 BHENGRA State-ASSAM, Pin-784001

C/o-K K AIMOL, H.No.-1B, CITY VIEW APARTMENT, Vill/Town- 803 NHM/SNRS/1246 SH CHONGBOI AIMOL SH RUINEISUA GUWAHATI, P.O.-KHARGULI, P.S.-PAN BAZAAR PS, Dist.- 21.10.2016 Kamrup Metro, State-ASSAM, Pin-781004

C/o-DUTTARAM PEGU, H.No.-78, Vill/Town-HABICHUK 804 NHM/SNRS/0579 SH ELIZABETH KOM SH MANGPU KOM KOMOLABARIA, P.O.-JORHAT, P.S.-LICHUBARI, Dist.-Jorhat, 21.10.2016 State-ASSAM, Pin-785001 C/o-Mr. Radh G. Singha, H.No.-6, Vill/Town-Shanti Path, Near down 805 NHM/SNRS/0932 Shamila Lyngdoh Mr. Kin Pohchen town hospital, P.O.-Dispur, P.S.-Dispur, Dist.-Kamrup Metro, State- 21.10.2016 Assam, Pin-781006

Orius Lyngdoh C/o-St Augustine Hospital, H.No.-, Vill/Town-Chapaguri, P.O.- 806 NHM/SNRS/0543 Shanti Mary Nonglang 21.10.2016 Marshillong Chapaguri, P.S.-Dhaligaon, Dist.-Chirang, State-Assam, Pin-783380

C/o-Baptist christian hospital, H.No.-3, Vill/Town-Mission chariali, 807 NHM/SNRS/0328 Sharon Nemkholam Mr.Thangtinmawi 21.10.2016 P.O.-ketekabri, P.S.-Tezpur, Dist.-Sonitpur, State-Assam, Pin-784001

C/o-SWAGHAT HOSPITAL, H.No.-12, Vill/Town-NORTH SHARUBAM BEM 808 NHM/SNRS/1544 SH.KRITI SINGH BONGAIGAON, P.O.-BONGAIGAON, P.S.-BONGAIGAON, Dist.- 21.10.2016 BEM DEVI Bongaigaon, State-ASSAM, Pin-783380

C/o-ANJALI GOGOI, H.No.-300, Vill/Town-LEZAI, P.O.-LEZAI, 809 NHM/SNRS/0617 SHIKHAMONI GOGOI MALBHUG GOGOI 21.10.2016 P.S.-BORBARUAH, Dist.-Dibrugarh, State-ASSAM, Pin-786054

C/o-PULIN SAIKIA, H.No.-SIVASAGAR, Vill/Town-DICIAL 810 NHM/SNRS/0826 SHIKHAMONI SAIKIA PULIN SAIKIA GAON, P.O.-DHULIAPAR, P.S.-JOYSAGAR, Dist.-Sivasagar, State- 21.10.2016 ASSAM, Pin-785640

C/o-NISHI KANTA DAS, H.No.-70, Vill/Town-GHARMURA PART 811 NHM/SNRS/0176 SHILPI DAS LATE NIROD DAS II, P.O.-GHARMURA PART I, P.S.-RAMNATHPUR, Dist.- 21.10.2016 Hailakandi, State-ASSAM, Pin-788162

C/o-Mrs Reeta gogoi, H.No.-, Vill/Town-Bolomi(Chakalia) Gaon, 812 NHM/SNRS/1071 Shilpi Sikha Das Late Jateen Das 21.10.2016 P.O.-Bolomi, P.S.-Bolomi, Dist.-Sivasagar, State-Assam, Pin-785693

C/o-Golap uddin, H.No.-249, Vill/Town-Majer alga pt iv, P.O.- 813 NHM/SNRS/1689 Shirina khatun Sohidur Rahman 21.10.2016 Jaruarchar, P.S.-Fakirganj, Dist.-Dhubri, State-Assam, Pin-783339

C/o-HAREN SAIKIA, H.No.-121, Vill/Town-KUMAR GAON, P.O.- 814 NHM/SNRS/0842 SHYAMOLIKA SAIKIA HAREN SAIKIA NA-PAMUA KUMAR, KAMARBONDHA ALI, P.S.-GOLAGHAT, 21.10.2016 Dist.-Golaghat, State-ASSAM, Pin-785625 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 43 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-NAGENDRA NATH SARMAH, H.No.-46, Vill/Town-KEOT NAGENDRA NATH 815 NHM/SNRS/0656 SIKHA RANI SARMAH PARA, P.O.-JANARAM CHOWKA, P.S.-MANGALDAI, Dist.- 21.10.2016 SARMAH Darrang, State-ASSAM, Pin-784529 C/o-DIPAK SARKAR, H.No.-6, Vill/Town-GHAHIGAON, P.O.- 816 NHM/SNRS/0605 SIKHALI SARKAR DIPAK SARKAR GHAHIGAON, P.S.-GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin- 21.10.2016 784170 C/o-SUDHIR DEBNATH, H.No.-253, Vill/Town-KRISHNA 817 NHM/SNRS/0153 SILPI DEBNATH SUDHIR DEBNATH NAGAR, P.O.-HOJAI, P.S.-HOJAI, Dist.-Nagaon, State-ASSAM, Pin- 21.10.2016 782435

C/o-Aswini Kr Das, H.No.-NA, Vill/Town-Saru Arreng, P.O.- 818 NHM/SNRS/0950 Sima das Aswini Kr Das 21.10.2016 Mangaldai, P.S.-Mangaldai, Dist.-Darrang, State-assam, Pin-784125

C/o-DEBA BORAH, H.No.-71, Vill/Town-Pathali Pahar, P.O.- 819 NHM/SNRS/0133 SIMA HAZARIKA RUDRA HAZARIKA Patahali Pahar, P.S.-Bihpuria, Dist.-Lakhimpur, State-Assam, Pin- 21.10.2016 784163 C/o-BINANDA BORA, H.No.-, Vill/Town-NO. 2 SENSUWA GAON, 820 NHM/SNRS/0970 SIMAREKHA BORA BINANDA BORA P.O.-ADHARSATRA, P.S.-GOLAGHAT, Dist.-Golaghat, State- 21.10.2016 ASSAM, Pin-785621 C/o-TANU SAIKIA, H.No.-HOUSE NO 136, Vill/Town-VILL 821 NHM/SNRS/1174 SIMASHREE SAIKIA TANU SAIKIA KHONGIA NEMUGURI, P.O.-NEMUGURI, P.S.-NEMUGURI, Dist.- 21.10.2016 Sivasagar, State-ASSAM, Pin-785674 C/o-KUMBESWAR PEGU, H.No.-5, Vill/Town-LISANG SOCIETY, 822 NHM/SNRS/0700 SIMI DOLEY JUGESH DOLEY P.O.-SILAPATHAR, P.S.-SILAPATHAR, Dist.-Dhemaji, State- 21.10.2016 ASSAM, Pin-787059 C/o-Mr. Haren Gogoi, H.No.-Tiloi Nagar, Vill/Town-Tiloibari Nepali 823 NHM/SNRS/0166 Simpi Gogoi Mr. Haren Gogoi Village, P.O.-Tiloi Nagar, P.S.-Moran, Dist.-Dibrugarh, State-Assam, 21.10.2016 Pin-785675 C/o-Ahoi leivon, H.No.-Satribari school of nursing, Vill/Town- 824 NHM/SNRS/1202 Singkipnei Leivon Paojalal Leivon Satribari, P.O.-Rehabari, P.S.-Rehabari, Dist.-Kamrup Metro, State- 21.10.2016 Assam, Pin-781008

C/o-BARTHAKUR CLINIC HOSPITAL, H.No.-15, Vill/Town- GUWAHATI, P.O.-GMC TALUK OF , P.S.- 825 NHM/SNRS/1664 SIRALA SHIMRAY LUINGAM SHIMRAY 21.10.2016 KHARGHULI GAON VILLAGE, Dist.-Kamrup Metro, State- ASSAM, Pin-781004

C/o-NOREN KUMAR, H.No.-165, Vill/Town-NAPHUK TEA 826 NHM/SNRS/0433 SMITA KUMARI NOREN KUMAR ESTATE, P.O.-SAFFRY, P.S.-SONARI, Dist.-Sivasagar, State- 21.10.2016 ASSAM, Pin-785689

C/o-BONIFACE DHAN, H.No.-42, Vill/Town-DIHINGHULLA, P.O.- 827 NHM/SNRS/0003 SMRITI INDUAR WELJOY INDUAR DIHINGHULLA, P.S.-TENGAKHAT, Dist.-Dibrugarh, State- 21.10.2016 ASSAM, Pin-786101

C/o-SRI RAJIB DEKA, H.No.-, Vill/Town-JERENGA NAGAR, P.O.- 828 NHM/SNRS/0998 SMT KABERI DEKA SRI ATUL DEKA JOYSAGAR, P.S.-SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin- 21.10.2016 785665

C/o-MULESHWAR SINGPHO, H.No.-BARGOLAI MILAN MULESHWAR 829 NHM/SNRS/0059 SOFIA SINGPHO NAGAR, Vill/Town-BARGOLAI, P.O.-BARGOLAI, P.S.- 21.10.2016 SINGPHO MARGHERITA, Dist.-Tinsukia, State-ASSAM, Pin-786181

C/o-SOLOMI PANMEI, H.No.-BADARPUR HOSPITAL MALUA, 830 NHM/SNRS/0521 SOLOMI PANMEI NAILUNGPOU Vill/Town-BADARPUR, P.O.-MALUA, P.S.-BADARPUR, Dist.- 21.10.2016 Karimganj, State-ASSAM, Pin-788806 C/o-MARWARI HOSPITAL AND RESEARCH CENTRE, H.No.- LAKSHMI KANTA S.J.ROAD, Vill/Town-ATHGAON, GUWAHATI, P.O.- 831 NHM/SNRS/1578 SONALI KAKATI 21.10.2016 KAKATI BHARALUMUKH, P.S.-BHARALUMUKH, Dist.-Kamrup Metro, State-ASSAM, Pin-781001 C/o-RAJENDRA MALAKAR, H.No.-36, Vill/Town-KATAHKUCHI, RAJENDRA 832 NHM/SNRS/0979 SONTI MALAKAR P.O.-DUBI, P.S.-PATACHARKUCHI, Dist.-Barpeta, State-ASSAM, 21.10.2016 MALAKAR Pin-781325 C/o-ROBERT BORA, H.No.-58, Vill/Town-SOCIALIST PATHER, 833 NHM/SNRS/0976 SOPNALI BORA NOBIN BORA P.O.-MOKRUNG, P.S.-GHILADHARI, Dist.-Golaghat, State- 21.10.2016 ASSAM, Pin-785631

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 44 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Sri Naren Ch. Das, H.No.-3-OLD, Vill/Town-Assam Engineering 834 NHM/SNRS/0726 Sri Dipali Rongmei Lt. Lina Rongmei College, Jalukbari, P.O.-Assam Engineering College, Jalukbari, P.S.- 21.10.2016 Jalukbari, Dist.-Kamrup Metro, State-Assam, Pin-781013

C/o-EYUB BELLUNG, H.No.-54, Vill/Town-1 KOWANI, P.O.- 835 NHM/SNRS/1052 SUBONTI BELLUNG EYUB BELLUNG FALLANGANI, P.S.-BOGIJAN, Dist.-Golaghat, State-ASSAM, Pin- 21.10.2016 785702 C/o-R.C.Agarwal Memorial Hospital & Research Centre, H.No.-, 836 NHM/SNRS/1008 Suchita Minj Lawrence Minj Vill/Town-Makum Road, P.O.-Makum, P.S.-Makum, Dist.-Tinsukia, 21.10.2016 State-Assam, Pin-786125 C/o-Surendra kumar Singh, H.No.-5, Vill/Town-Guwahati, P.O.- 837 NHM/SNRS/0609 Sudha kumari Surendra Kumar Singh Rehabari, P.S.-, Dist.-Kamrup Metro, State-Assam, Pin- 21.10.2016 781008 C/o-METRON, H.No.-0, Vill/Town-GHUNGOOR, P.O.- PARESH NATH 838 NHM/SNRS/0500 SUDIPA VERMA GHUNGOOR, P.S.-GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin- 21.10.2016 VERMA 788014 C/o-LAKHI KANTA DUTTA, H.No.-NIL, Vill/Town-GORMORAH, LAKHI KANTA 839 NHM/SNRS/1184 SUJATA DUTTA P.O.-SISSI BOR GAON, P.S.-SILAPATHER, Dist.-Dhemaji, State- 21.10.2016 DUTTA ASSAM, Pin-787110 C/o-WILLIAM CONDPAN, H.No.-4, Vill/Town-TARAJULI T.E, 840 NHM/SNRS/0030 SUJITA CONDPAN WILLIAM CONDPAN P.O.-RANGAPARA, P.S.-RANGAPARA, Dist.-Sonitpur, State- 21.10.2016 ASSAM, Pin-784505

C/o-SUMAN SHARMA, H.No.-4, Vill/Town-VILLAGE DILIP 841 NHM/SNRS/1541 SUKLA SHARMA SERULBAGH, P.O.-LAKSHMIBAZAR, P.S.-KARIMGANJ, Dist.- 21.10.2016 BHATTACHARJEE Karimganj, State-ASSAM, Pin-788709

C/o-LATE FORIJ UDDIN BARBHUIYA, H.No.-282, Vill/Town- SULFANA BEGUM LATE FORIJ UDDIN 842 NHM/SNRS/0298 NUTAN RAM NAGAR PT-IV, P.O.-DAKHIN MOHANPUR, P.S.- 21.10.2016 BARBHUIYA BARBHUIYA SONAI, Dist.-Cachar, State-ASSAM, Pin-788119

C/o-B.M.C.H. (Burrows Memorial Christian Hospital),, H.No.-144,, 843 NHM/SNRS/1329 Sultan Khan Juman Khan Vill/Town-Vill.:- Alipur Basti,, P.O.-Banskandi,, P.S.-Lakhipur,, Dist.- 21.10.2016 Cachar, State-Assam., Pin-788101

C/o-ABDUL JABBAR, H.No.-267, Vill/Town-KANKALASH, P.O.- SULTAN KHANAM 844 NHM/SNRS/0301 ABDUL JABBAR BHANGA BAZAR, P.S.-BADARPUR, Dist.-Karimganj, State- 21.10.2016 TAPADAR ASSAM, Pin-788701 C/o-DHARMESWAR BORA, H.No.-56, Vill/Town-BORKHAT, P.O.- SUMAN KUMARI 845 NHM/SNRS/1535 AMBIKA SINGH SONAPUR, P.S.-SONAPUR, Dist.-Kamrup Metro, State-ASSAM, 21.10.2016 SINGH Pin-782402 C/o-MR PRODIP GOGOI, H.No.-21, Vill/Town-PANJAN GAON, 846 NHM/SNRS/0129 SUMI GOGOI MR PRODIP GOGOI P.O.-PANJAN, P.S.-BORHOLLA, Dist.-Jorhat, State-ASSAM, Pin- 21.10.2016 785631 C/o-DEBEN TELI, H.No.-425, Vill/Town-PABHOI, P.O.-PABHOI, 847 NHM/SNRS/0623 SUMI SAHU DEBEN TELI P.S.-BISWANATH CHARIALI, Dist.-Sonitpur, State-ASSAM, Pin- 21.10.2016 784174

C/o-KRIPAL CH PHUKAN, H.No.-113, Vill/Town-TINSUKIA 848 NHM/SNRS/0250 SUMI SONOWAL BINUD SONOWAL ,CHALIHA NAGAR NEAR LGB CIVIL HOSP, P.O.-TINSUKIA, 21.10.2016 P.S.-TINSUKIA, Dist.-Tinsukia, State-ASSAM, Pin-786125

C/o-MEMERA DEURI, H.No.-48, Vill/Town-NAMDEURI, P.O.- 849 NHM/SNRS/0903 SUMITA DEURI MEMERA DEURI NAMDEURI, P.S.-PULIBOR, Dist.-Jorhat, State-ASSAM, Pin- 21.10.2016 785108

SUMSUN NAHAR C/o-Saifur Rahman, H.No.-79, Vill/Town-Durahati, P.O.-Tisterpar, 850 NHM/SNRS/0895 SAIFUR RAHMAN 21.10.2016 SIDDIQUA P.S.-Dhubri, Dist.-Dhubri, State-Assam, Pin-783324

C/o-UTTAM SURIN, H.No.-0, Vill/Town-DUBI BASTI, P.O.- 851 NHM/SNRS/0575 SUNITA KACHAP BIJAY KACHAP HARMOTI MERBIL, P.S.-LALUK, Dist.-Lakhimpur, State-ASSAM, 21.10.2016 Pin-784160 C/o-GITA KISHAN, H.No.-9, Vill/Town-AMGURI PULUNGA LATE MONGLU 852 NHM/SNRS/0218 SUNITA KISHAN GAON, P.O.-CHABUA PULUNGA, P.S.-CHABUA, Dist.-Dibrugarh, 21.10.2016 KISHAN State-ASSAM, Pin-786184

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 45 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-MR.DAVID KONDPAN, H.No.-, Vill/Town-JOYHING T.E., 853 NHM/SNRS/1702 SUNITA NAG NUWAS NAG P.O.-JOYHING BAZAR, P.S.-NORTH LAKHIMPUR, Dist.- 21.10.2016 Lakhimpur, State-ASSAM, Pin-787051

C/o-Guluk Patmout, H.No.-Moran 2 No Mirihula Gaon, Vill/Town- 854 NHM/SNRS/0327 SUNTI PATMOUT Guluk Patmout Moran, P.O.-Moran, P.S.-Moran, Dist.-Dibrugarh, State-Assam, Pin- 21.10.2016 785670

C/o-MATILAL DEB, H.No.-114, Vill/Town-KESHARKAPAN, P.O.- 855 NHM/SNRS/0089 SUPARNA DEB MATILAL DEB DHARAKUNA, P.S.-KARIMGANJ, Dist.-Karimganj, State-ASSAM, 21.10.2016 Pin-788712

C/o-SMCH, SILCHAR, H.No.-NIL, Vill/Town-TOWN- GUNGOOR, 856 NHM/SNRS/0011 SUPARNA ROY LT NRIPENDRA ROY P.O.-GHUNGOOR KUARPAR, P.S.-SILCHAR, Dist.-Cachar, State- 21.10.2016 ASSAM, Pin-788010 C/o-MICHAEL MARAK, H.No.-195, Vill/Town-SATGAON, P.O.- 857 NHM/SNRS/1879 SUPRIKA MARAK MICHAEL MARAK SATGAON, P.S.-BAITHALANGSO, Dist.-Karbi Anglong, State- 21.10.2016 ASSAM, Pin-782485 C/o-ANASTACHIA TOPPO, H.No.-32, Vill/Town-ORANG T.E., 858 NHM/SNRS/0902 SUSANTI TOPPO LATE ELIAS TOPPO P.O.-MAZBAT, P.S.-MAZBAT, Dist.-Udalguri, State-ASSAM, Pin- 21.10.2016 784507

C/o-hospital line, H.No.-661, Vill/Town-Hilika T.E., P.O.-Borhapjan, 859 NHM/SNRS/1548 sushama devi H.P.DAS 21.10.2016 P.S.-doomdooma, Dist.-Tinsukia, State-assam, Pin-786150

C/o-MARCUS EKKA, H.No.-NA, Vill/Town-DIGUL TURRUNG TE, 860 NHM/SNRS/1062 SUSHILA TOPNO. FULJENCE TOPNO P.O.-DIGUL TURRUNG TE, P.S.-BAGHJAN, Dist.-Tinsukia, State- 21.10.2016 ASSAM, Pin-786151

C/o-DIL BAHADUR CHETRY, H.No.--, Vill/Town-VILLAGE - 8TH DIL BAHADUR 861 NHM/SNRS/0130 SUSHMA CHETRY MILE, SADIYA, P.O.-KUNDIL, P.S.-CHAPAKHOWA, Dist.- 21.10.2016 CHETRY Tinsukia, State-ASSAM, Pin-786158

C/o-THEODDOR XAXA, H.No.-8, Vill/Town-SUKHANJAN, P.O.- 862 NHM/SNRS/1189 SUSHMA XAXA THEODDOR XAXA URIAGHAT, P.S.-URIAGHAT, Dist.-Golaghat, State-ASSAM, Pin- 21.10.2016 785601 C/o-AMIT KUMAR BARMAN, H.No.-15, Vill/Town-VILL SOUTH LATE BRAJENDRA 863 NHM/SNRS/0735 SWAPNA BARMAN LADUMA, P.O.-LANGLACHERRA PART I, P.S.-JOIPUR, Dist.- 21.10.2016 BARMAN Cachar, State-ASSAM, Pin-788108

SWDWMSHRI Lt Nildhwaj C/o-Kunja Rani Basumatary, H.No.-128, Vill/Town-Dotma Chariali, 864 NHM/SNRS/0107 21.10.2016 BASUMATARY Basumatary P.O.-Dotma, P.S.-Dotma, Dist.-Kokrajhar, State-ASSAM, Pin-783347

C/o-ANITA PAUL, H.No.-NA, Vill/Town-CHRISTIAN PATTY 865 NHM/SNRS/0914 SWETA PAUL LATE SANJOY PAUL NAGAON, P.O.-NAGAON, P.S.-NAGAON SADAR, Dist.-Nagaon, 21.10.2016 State-ASSAM, Pin-782001

MD C/o-MD MOUSLIMUDDIN AHMED, H.No.-NA, Vill/Town-VILL- SYEDA ASMIN 866 NHM/SNRS/0262 MOUSLIMUDDIN KACHARI SOLMARI, P.O.-RANGIA, P.S.-RANGIA, Dist.-Kamrup 21.10.2016 AHMED AHMED Rural, State-ASSAM, Pin-781354

C/o-SYEDA MERAZA RAHMAN, H.No.-15, Vill/Town-BORBIL SYEDA BENAJIR LATE SYED SAIFUR 867 NHM/SNRS/0560 NO. 2, P.O.-DIGBOI, P.S.-DIGBOI, Dist.-Tinsukia, State-ASSAM, 21.10.2016 RAHMAN RAHMAN Pin-786171 C/o-TH. PAODE, H.No.-26, Vill/Town-LOWER KOIDE VILLAGE, 868 NHM/SNRS/1088 T.P. DAHIIRU TH. PAODE P.O.-MARAM, P.S.-TADUBI, Dist.-SENAPATI, State-MANIPUR, 21.10.2016 Pin-795105

C/o-MD ISHLA HOODDER, H.No.-JNV DOOMARDALANG, MD ISHLA 869 NHM/SNRS/0747 TABRANI AHMED Vill/Town-DOOMARDALANG, P.O.-BAMUNBARI, P.S.-MORAN, 21.10.2016 HOODDER Dist.-Dibrugarh, State-ASSAM, Pin-786613

C/o-ABDUS SATTAR, H.No.-VILL FORINGAPARA TALTOLA, 870 NHM/SNRS/0189 TAHMINA SULTANA ABDUS SATTAR Vill/Town-VILL FORINGAPARA, P.O.-LAKHIPUR, P.S.- 21.10.2016 LAKHIPUR, Dist.-Goalpara, State-ASSAM, Pin-783129

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 46 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-GIAS UDDIN BARBHUIYA, H.No.-158(A), Vill/Town- TAHSINA YASMIN GIAS UDDIN 871 NHM/SNRS/1244 BHATISANGURAI, P.O.-KALIBARI BAZAR, P.S.-ALGAPUR, 21.10.2016 BARBHUIYA BARBHUIYA Dist.-Hailakandi, State-ASSAM, Pin-788150

C/o-Debajyoti Buragohain, H.No.-1665 B, Vill/Town-Digboi, P.O.- 872 NHM/SNRS/0280 Tandrali Buragohain Debajyoti Buragohain 21.10.2016 Digboi, P.S.-Digboi, Dist.-Tinsukia, State-ASSAM, Pin-786171

C/o-SWAGAT HOSPITAL DINESH GOSWAMI PATH, H.No.- TERESA TAITHUL STEPHEN TK PAU 873 NHM/SNRS/0134 GATE NO 4, Vill/Town-GUWAHATI, P.O.-MALIGAON, P.S.- 21.10.2016 ZOU ZOU JALUKBARI, Dist.-Kamrup Metro, State-ASSAM, Pin-781011

C/o-RANJAN KHANGENBAM, H.No.-QTR. NO. B-203 ONGC THANGJAM THANGJAM COLONY SIVASAGAR, Vill/Town-SIVASAGAR, P.O.- 874 NHM/SNRS/1151 21.10.2016 KHERODA DEVI MANGLEM SINGH SIVASAGAR, P.S.-SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785640 C/o-R.N. Braua,SWAHID Dilip,huzuri path,1st right Thangjam Pushparani THANGJAM THOIBA byeland,sarumotoria,dispur,, H.No.-no.1, Vill/Town-dispur,guwahati, 875 NHM/SNRS/0507 21.10.2016 devi SINGH P.O.-dispur, P.S.-dispur, Dist.-Kamrup Metro, State-assam, Pin- 781006 C/o-LALVARMAWI HMAR, H.No.-123, Vill/Town-VILL THERESA LT.LALCHAWIMAWI 876 NHM/SNRS/0309 MUOLHOI, P.O.-HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao, 21.10.2016 REMLENGPUI KHAWBUNG State-ASSAM, Pin-788819 C/o-RAJANI KALITA, H.No.-8, Vill/Town-CHRISTIAN BASTI 877 NHM/SNRS/0779 THINGYAO VASHUM NGAHOR VASHUM UDAYACHAL PATH, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup 21.10.2016 Metro, State-ASSAM, Pin-781005

C/o-Gautam Raj(STAR CEMENT MEGHALAYA LTD. Instrument Thongam Chingdashatpi Deptt), H.No.-Block-D Room No-5, Vill/Town-Lumshnong,Jaintia 878 NHM/SNRS/0563 Thongam Bibi Singh 21.10.2016 Chanu Hills, P.O.-Khaliehriat, P.S.-khaliehriat, Dist.-Outside State, State- Meghalaya, Pin-793200

C/o-SOUTH CITY HOSPITAL, H.No.-, Vill/Town-SILCHAR, P.O.- NAMSULUNG 879 NHM/SNRS/0811 THONGAMLIU PAMEI MEHERPUR, P.S.-SILCHAR, Dist.-Cachar, State-ASSAM, Pin- 21.10.2016 PAMEI 788015 C/o-L. RATAN KUMAR SINGH, H.No.-4, Vill/Town-SHANKAR LATE THOUDAM THOUDAM GOMATI DEB NAGAR, BISHNUNAGAR PATH 2ND BYE LANE, 880 NHM/SNRS/0995 SARAT KUMAR 21.10.2016 DEVI HENGRABARI, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, SINGH State-ASSAM, Pin-781006 C/o-DILIP DOLEY, H.No.-69, Vill/Town-KOMMON SELEK, P.O.- 881 NHM/SNRS/0119 TINA DOLEY DILIP DOLEY TELAM, P.S.-SIMEN CHAPORI, Dist.-Dhemaji, State-ASSAM, Pin- 21.10.2016 787061 C/o-MINAL DEORI, H.No.-SUNDAR NAGAR, Vill/Town-WARD 882 NHM/SNRS/0140 TONIA PAIT KAMAL PAIT NO-14, P.O.-KHELMATI, P.S.-KHELMATI, Dist.-Lakhimpur, State- 21.10.2016 ASSAM, Pin-787031

C/o-ANJUMONI BORGOHAIN, H.No.-SIVASAGAR, Vill/Town- LATE BIREN 883 NHM/SNRS/0806 TORU BORGOHAIN MECHAGARH DIMOW KINAR, P.O.-AMKOTIA, P.S.-NAZIRA, 21.10.2016 BORGOHAIN Dist.-Sivasagar, State-ASSAM, Pin-785685

C/o-PRATIVA BORGOHAIN, H.No.-, Vill/Town-MECHAGARH TRISHNA LATE TARANATH 884 NHM/SNRS/0814 GOHAIN GAON, P.O.-MECHAGARH, P.S.-NAZIRA, Dist.- 21.10.2016 BORGOHAIN BORGOHAIN Sivasagar, State-ASSAM, Pin-785668 C/o-Mahesh Deka,soal mari chowk,SDO(C) road,Murara, Rangia, 885 NHM/SNRS/0158 TRISHNA DEKA MAHESH DEKA H.No.-, Vill/Town-Rangia, P.O.-Rangia, P.S.-Rangia, Dist.-Kamrup 21.10.2016 Rural, State-Assam, Pin-781354 C/o-DEBEN CHANDRA GOGOI, H.No.-121, Vill/Town- DEBEN CHANDRA 886 NHM/SNRS/0862 TRISHNA GOGOI BORSAYAK DIBRUAL GAON, P.O.-CHATAICHIGA, P.S.- 21.10.2016 GOGOI AMGURI, Dist.-Sivasagar, State-ASSAM, Pin-785680 C/o-DURGA PRASAD GOGOI, H.No.-12, Vill/Town-VILL DURGA PRASAD 887 NHM/SNRS/1072 TRISHNA GOGOI BANMUKH PATOR GAON, P.O.-BANMUKH, P.S.-SIVASAGAR, 21.10.2016 GOGOI Dist.-Sivasagar, State-ASSAM, Pin-785640

C/o-NOMAL DEKA, H.No.-141, Vill/Town-RAHDHALA, P.O.- 888 NHM/SNRS/1132 TRISHNAMONI DEKA NOMAL DEKA 21.10.2016 GOSAIBORI, P.S.-JAJARI, Dist.-Nagaon, State-ASSAM, Pin-782142

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 47 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-KUSHAL GOGOI, H.No.-7, Vill/Town-BHARATPUR, P.O.- 889 NHM/SNRS/0032 TRISNA GOGOI KUSHAL GOGOI DULIAPATHER, P.S.-NARAYANPUR, Dist.-Lakhimpur, State- 21.10.2016 ASSAM, Pin-784164 C/o-DURJA KURMI, H.No.-11, Vill/Town-KEHERUKHANDA, P.O.- 890 NHM/SNRS/0724 TUKHESWARI KURMI DURJA KURMI KEHERUKHANDA, P.S.-DHEKIAJULI, Dist.-Sonitpur, State- 21.10.2016 ASSAM, Pin-784110 C/o-Biswanath Ghatowar, H.No.-, Vill/Town-Bolai T.E, P.O.- 891 NHM/SNRS/0538 TULIKA GHATOWAR Biswanath Ghatowar Barbaruah, P.S.-Barbaruah, Dist.-Dibrugarh, State-ASSAM, Pin- 21.10.2016 786007

JURON CH. C/o-JURON CH. SONOWAL, H.No.-41, Vill/Town-DIGBOI, P.O.- 892 NHM/SNRS/0064 TULIKA SONOWAL 21.10.2016 SONOWAL DIGBOI, P.S.-DIGBOI, Dist.-Tinsukia, State-ASSAM, Pin-786171

C/o-MATRON OFFICE SMCH, H.No.-NURSES STAFF HOSTEL BHUSHAN KUMAR 893 NHM/SNRS/0398 TUMPA RANI NATH ROOM NO. 1, Vill/Town-GHUNGOOR, P.O.-GHUNGOOR, P.S.- 21.10.2016 NATH (PARITOSH) GHUNGOOR, Dist.-Cachar, State-ASSAM, Pin-788014

C/o-MOHON CH. BORDOLOI, H.No.-, Vill/Town-SIDHABARI, TUTUMONI MOHAN CH. 894 NHM/SNRS/0155 P.O.-NATUA GAON, P.S.-MORIGAON, Dist.-Morigaon, State- 21.10.2016 BORDOLOI BORDOLOI ASSAM, Pin-782105 C/o-RANJIT KACHARI, H.No.-1132/B PUJA FIELD AREA, TUTUMONI GOGOI LATE DINO NATH 895 NHM/SNRS/1553 Vill/Town-DIGBOI, P.O.-DIGBOI, P.S.-DIGBOI, Dist.-Tinsukia, 21.10.2016 KACHARI GOGOI State-ASSAM, Pin-786171 C/o-RAJIV DUTTA, H.No.-NIL, Vill/Town-PADUMONI, P.O.- TUTUMONI SRI KHAGEN 896 NHM/SNRS/1275 BORDOLONI, P.S.-GOGAMUKH, Dist.-Dhemaji, State-ASSAM, 21.10.2016 HANDIQUE HANDIQUE Pin-787026 C/o-Amri Baptist English School, Samata, H.No.-0, Vill/Town- 897 NHM/SNRS/0208 TUTUMONI MARAK Late Chandan Marak Samata, P.O.-BPO-Samata Via Sonapur, P.S.-Sonapur, Dist.-Kamrup 21.10.2016 Metro, State-Assam, Pin-782402

C/o-TULON SENCHOWA, H.No.-196, Vill/Town-2 NO BORBAM TUTUMONI 898 NHM/SNRS/1924 TULON SENCHOWA VILLAGE, P.O.-KALIAPANI, P.S.-NAHARKATIA, Dist.-Dibrugarh, 21.10.2016 SENCHOWA State-ASSAM, Pin-786610

C/o-RAPHEL INDUWAR, H.No.-35, Vill/Town-KHELMATI, P.O.- 899 NHM/SNRS/0974 UMA INDUWAR RAPHEL INDUWAR 21.10.2016 BORGANG, P.S.-BIHALI, Dist.-Sonitpur, State-ASSAM, Pin-784167

C/o-PRODIP BHOWMICK, H.No.-7, Vill/Town-SWARUPANANDA 900 NHM/SNRS/0859 UPASANA ROY LATE KANU ROY ROAD GOBINDAPALLY, P.O.-HOJAI, P.S.-HOJAI, Dist.-Nagaon, 21.10.2016 State-ASSAM, Pin-782435

C/o-USHA BORUAH, H.No.-QTR -28, Vill/Town-B.V.F.C.L. NAREN CHANDRA 901 NHM/SNRS/1733 USHA BORUAH COLONY NAMRUP.QTR-28/II/A, P.O.-PARBATPUR, P.S.- 22.10.2016 BORUAH NAMRUP, Dist.-Dibrugarh, State-ASSAM, Pin-786623

C/o-JAYANTA KALITA, H.No.-0, Vill/Town-JONAKI NAGAR , 2 902 NHM/SNRS/1197 USHA DAS RATNESWAR DAS NO MATHGHARIA, P.O.-NOONMATI, P.S.-NOONMATI, Dist.- 22.10.2016 Kamrup Metro, State-ASSAM, Pin-781020

C/o-Makunda Christian Leprosy & General Hospital, H.No.-B-31(i), 903 NHM/SNRS/0332 Valte Chingzuannem Valte Lian Khopum Vill/Town-Makunda,Bazaricherra, P.O.-Bazaricherra, P.S.- 22.10.2016 Bazarichera, Dist.-Karimganj, State-Assam, Pin-788727

C/o-Makunda Christian Leprosy and General Hospital, H.No.-NIL, 904 NHM/SNRS/0870 Vanlungawii Molsom Borsolal Molosom Vill/Town-Karimganj, P.O.-Bazaricherra, P.S.-Bazaricherra, Dist.- 22.10.2016 Karimganj, State-Assam, Pin-788727 C/o-ARYA NURSING COLLEGE, H.No.--, Vill/Town-NIJ SINDHURI GHOPA CHOWKIGATE CHANGSARI, P.O.- 905 NHM/SNRS/0581 VIJAY LAXMI SOMNATH 22.10.2016 CHANGSARI, P.S.-CHANGSARI, Dist.-Kamrup Rural, State- ASSAM, Pin-781101 C/o-Moni Gogoi, H.No.-11, Vill/Town-Bangaon, Banbanani Path, Late W. Kunjarashi 906 NHM/SNRS/1081 W. Sapana Devi Beltola, Ghy-28, P.O.-Beltola, P.S.-Basistha, Dist.-Kamrup Metro, 22.10.2016 Singh State-Assam, Pin-781028

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 48 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-SOHRAB ALI, H.No.-42, Vill/Town-SIXXMILE, P.O.-DISPUR, 907 NHM/SNRS/1124 WARNI DARYAL DY SHELNAL ANAL 22.10.2016 P.S.-DISPUR, Dist.-CHANDEL, State-ASSAM, Pin-781022

C/o-LABAN PARICHHA, H.No.-6, Vill/Town-BORPUKHURI T.E., WIILLIAMSON 908 NHM/SNRS/0422 LABAN PARICHHA P.O.-KUNWARI, P.S.-BISWANATH CHARIALI, Dist.-Sonitpur, 22.10.2016 PARICHHA State-ASSAM, Pin-784176

Y. Binoy Kumar C/o-Y. Binoy Kumar Singha, H.No.-189, Vill/Town-Singerband, P.O.- 909 NHM/SNRS/0075 Y. GITA DEVI 22.10.2016 Singha Singerband, P.S.-Lakhipur, Dist.-Cachar, State-ASSAM, Pin-788126

C/o-Ken Gengmei, H.No.-5, Vill/Town-Binnakandi part2, P.O.- 910 NHM/SNRS/0012 Zingyatphi Shingnaisui Barring Shingnaisui Binnakandi ghat, P.S.-lakhipur, Dist.-Cachar, State-assam, Pin- 22.10.2016 788126

C/o-DEVERWELL SUCHIANG, H.No.-0, Vill/Town- DEVERWELL 911 NHM/SNRS/1040 ZINIA LALOO LADTHADLABOH TYNDOWAPUNG JOWAI, P.O.-JOWAI, P.S.- 22.10.2016 SUCHIANG JOWAI, Dist.-WEST JAINTIA, State-MEGHALAYA, Pin-793150

C/o-Agape Store, H.No.-212, Vill/Town-Happy Valley, P.O.- 912 NHM/SNRS/1687 Zoneu N. Gena Madanrting Shillong 21, P.S.-Madanrting Police Station, Dist.-East 22.10.2016 Khasi Hills, State-Meghalaya, Pin-793021

C/o-LATE Puna Gogoi, H.No.-363 A, Vill/Town-Rowmari Dihingia 913 NHM/SNRS/0269 Anamika Gogoi LATE Puna Gogoi Gaon, P.O.-Jamirah, P.S.-Borboruah, Dist.-Dibrugarh, State-ASSAM, 22.10.2016 Pin-786004 C/o-Arya Hospital, H.No.-., Vill/Town-A.M.Road, Rehabari, P.O.- Pukhrambam Bijaya Pukhrambam Dhanabir 914 NHM/SNRS/1962 Rehabari, Guwahati, P.S.-Paltan Bazar, Dist.-Kamrup Metro, State- 22.10.2016 Devi Singh Assam, Pin-781008 C/o-BIRAMBHA BASUMATARY, H.No.-23, Vill/Town-SUBHA, PRANITA BIRAMBHA 915 NHM/SNRS/0892 P.O.-CHENGA, P.S.-TARABARI, Dist.-Barpeta, State-ASSAM, Pin- 22.10.2016 BASUMATARY BASUMATARY 781305 C/o-TARUN NATH THAKURIA, H.No.-4, Vill/Town-HOWLY TARUN NATH 916 NHM/SNRS/0020 TUTUMANI NATH GAON, P.O.-HOWLY, P.S.-HOWLY, Dist.-Barpeta, State-ASSAM, 22.10.2016 THAKURIA Pin-781316

C/o-Sankar Deb, H.No.-862, Vill/Town-Ghungoor, P.O.-SMC, 917 NHM/SNRS/1057 Minakshi Das Nirmal Das 22.10.2016 Ghungoor, P.S.-Silchar, Dist.-Cachar, State-Assam, Pin-788014

C/o-C/O- Niresh Chandra Barman, H.No.-322 (Kho), Vill/Town- 918 NHM/SNRS/0014 Sanghamitra Barman Lt. Bikash Barman Langlacherra, P.O.-Joypur Pt-III, P.S.-Joypur, Dist.-Cachar, State- 22.10.2016 Assam, Pin-788107

C/o-SADIDUL RAHMAN, H.No.-SANTI PUR MASZID GALI, LATE JATIN 919 NHM/SNRS/0621 ANJALI ROY Vill/Town-GUWAHATI, P.O.-BHARULUMUKH, P.S.- 22.10.2016 CHANDRA ROY BHARULUMUKH, Dist.-Kamrup Metro, State-ASSAM, Pin-781009

C/o-BHUBAN CHANDRA DEKA, H.No.-114, Vill/Town- BHUBAN CHANDRA 920 NHM/SNRS/0162 ANJUMONI DEKA KANPHALA, P.O.-DIGHAL BORI, P.S.-MORIGAON, Dist.- 22.10.2016 DEKA Morigaon, State-ASSAM, Pin-782105

C/o-RUHINI DAS, H.No.-0, Vill/Town-DHALPUR, P.O.-DHALPUR, 921 NHM/SNRS/0106 GIRIMALLIKA DAS RUHINI DAS 22.10.2016 P.S.-NARAYANPUR, Dist.-Lakhimpur, State-ASSAM, Pin-784165

C/o-AJIT KONWAR, H.No.-69, Vill/Town-TIPOMIA VILLAGE, 922 NHM/SNRS/0562 DUNA KONWAR AJIT KONWAR P.O.-RANGCHANGI, P.S.-TENGAKHAT, Dist.-Dibrugarh, State- 22.10.2016 ASSAM, Pin-786184 C/o-Gouri Nath, H.No.-Hostel No 15A, Vill/Town-Narayana Superspeciality Hospital(Near Tularam Basna Civil 923 NHM/SNRS/0682 Gouri Nath Arabinda Kumar Nath 22.10.2016 Hospital,Amingaon,Guwahati)), P.O.-Amingaon, P.S.-Gouripur, Dist.- Kamrup Metro, State-Assam, Pin-781031

C/o-Pritam Das, H.No.-1, Vill/Town-Guwahati, P.O.-Chandmari, P.S.- 924 NHM/SNRS/1841 Jahnabi Das Balendra Nath Das 22.10.2016 Chandmari, Dist.-Kamrup Metro, State-Assam, Pin-781003

C/o-Bona kabui, H.No.-624, Vill/Town-Vill - Meherpur naga punjee, 925 NHM/SNRS/0804 JASSI KABUI Late Lunangpow kabui 22.10.2016 P.O.-Meherpur, P.S.-Silchar, Dist.-Cachar, State-Assam, Pin-788015

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 49 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-KIRTI KAMAL CHELLENG, H.No.-5, Vill/Town-BAMGAON, LATE GORAKSHA 926 NHM/SNRS/0401 JHARNA SARKAR P.O.-SILAPATHAR, P.S.-SILAPATHAR, Dist.-Dhemaji, State- 22.10.2016 SARKAR ASSAM, Pin-787059

C/o-SWARSWATI GIRLS HOSTEL, H.No.-3B, JANAPRIYA PATH, 927 NHM/SNRS/0849 JONALI KALITA UDAY KALITA NEAR GANESHMANDIR, Vill/Town-GUWAHATI, P.O.-DISPUR, 22.10.2016 P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-781006

C/o-MRINAL BARMAN, H.No.-HOUSE NO-10, Vill/Town- 928 NHM/SNRS/0549 JUMI BAISHYA ARJUN BAISHYA GANDHIBASTI, P.O.-SILPUKHURI, P.S.-CHANDNARI, Dist.- 22.10.2016 Kamrup Metro, State-ASSAM, Pin-781003

C/o-MR. HIRA CHIRING, H.No.-#198, Vill/Town-HATIMURIA 929 NHM/SNRS/0857 JUNE CHIRING MR. HIRA CHIRING GAON, P.O.-CHEREKAPARA, P.S.-CHEREKAPARA, Dist.- 22.10.2016 Sivasagar, State-ASSAM, Pin-785640

MAINAOSHREE NABAJIVAN C/o-NABAJIVAN KACHARY, H.No.-, Vill/Town-SIMLA, P.O.- 930 NHM/SNRS/1940 22.10.2016 KACHARY KACHARY SIMLA, P.S.-SIMLA, Dist.-Baksa, State-ASSAM, Pin-781330

C/o-MRS RABIA BEGUM, H.No.-, Vill/Town-BARAMA ROAD 931 NHM/SNRS/1956 MAMONI BEGUM Late ABDUL GANI W/NO- 8, P.O.-NALBARI, P.S.-NALBARI, Dist.-Nalbari, State- 22.10.2016 ASSAM, Pin-781335 Late M. C/o-MARY LUNKIM, H.No.-12, Vill/Town-UZAN BAZAR MAYANGLAMBAM 932 NHM/SNRS/1204 SUBASHCHANDRA MASGHAT, P.O.-UZAN BAZAR, P.S.-LATASIL, Dist.-Kamrup 22.10.2016 ANJU DEVI SINGH Metro, State-ASSAM, Pin-781001 C/o-MR.PRABHAT.CH.GOGOI, H.No.-238, Vill/Town-LAHOWAL, MEENA LATE.DABEN 933 NHM/SNRS/0611 P.O.-LAHOWAL, P.S.-LAHOWAL, Dist.-Dibrugarh, State-ASSAM, 22.10.2016 BASUMATARY BASUMATARY Pin-786010

C/o-Chandan Chettri, H.No.-1, Vill/Town-Dispur, P.O.-Dispur, P.S.- 934 NHM/SNRS/0395 Meena joshi Emlal joshi 22.10.2016 Dispur, Dist.-Kamrup Metro, State-Guwahati, Pin-781006

C/o-BIJU CHOUDHURY, H.No.-223, Vill/Town-BARBANG, NAGEN CHANDRA 935 NHM/SNRS/0113 MINAKHI KALITA KHANDOPARA, P.O.-BARBANG, P.S.-PATACHARKUCHI, Dist.- 22.10.2016 KALITA Barpeta, State-ASSAM, Pin-781325

Sri Umesh Chandra C/o-Sri Shyamal Kumar Boruah, H.No.-134, Vill/Town-Dhalpur, P.O.- 936 NHM/SNRS/0697 MITALI BORO 22.10.2016 Boro Dhalpur, P.S.-Bihpuria, Dist.-Lakhimpur, State-Assam, Pin-784165

C/o-MR. NARAKANTA DEKA, H.No.-35, Vill/Town-PANIGAON, MR. NARAKANTA 937 NHM/SNRS/0777 MITALI DEKA P.O.-PANIGAON, P.S.-BELSOR, Dist.-Nalbari, State-ASSAM, Pin- 22.10.2016 DEKA 781303

C/o-Mr. Saiful Islam, H.No.-House No-24, Vill/Town-Mandia, P.O.- 938 NHM/SNRS/0706 MONJUWARA AHMED Late Abdul Aziz 22.10.2016 Mandia, P.S.-Baghbar, Dist.-Barpeta, State-Assam, Pin-781308

C/o-Harendra Deka, H.No.-Lgbrimh, Vill/Town-TEZPUR, P.O.- 939 NHM/SNRS/1306 MOONMOON DEKA Harendra Deka 22.10.2016 Tezpur, P.S.-Tezpur, Dist.-Sonitpur, State-Assam, Pin-784001

C/o-TULESWAR BARUAH, H.No.-11, Vill/Town-PUB DUBIA, P.O.- TULESWAR 940 NHM/SNRS/0210 MOUCHUMI BARUAH SANTIPUR, P.S.-GAHPUR, Dist.-Sonitpur, State-ASSAM, Pin- 22.10.2016 BARUAH 784178 C/o-C/O BHARAT CHANDRA DEORI, H.No.-House NO--01, SRI BHARAT Vill/Town-SURAJNAGAR NAMGHAR PATH., P.O.- 941 NHM/SNRS/0738 MOUSUMI DEORI 22.10.2016 CHANDRA DEORI ODALBAKRA, P.S.-DISPUR (GUWAHATI ), Dist.-Kamrup Metro, State-ASSAM, Pin-781034 C/o-Anandra Boruah, H.No.-25, Vill/Town-Hanchara Labang, P.O.- 942 NHM/SNRS/0545 Munmi Boruah Anandra Boruah Daya Chariali, P.S.-SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin- 22.10.2016 785701 C/o-A. S LAKAR, H.No.-269, Vill/Town-KANAKPUR PART - I, NASRAT JAHAN 943 NHM/SNRS/1460 A. S LASKAR P.O.-KANAKPUR, P.S.-SILCHAR, Dist.-Cachar, State-ASSAM, Pin- 22.10.2016 LASKAR 788006 C/o-JOYDEEP SAIKIA, H.No.-469, Vill/Town-CHIRING CHAPORI 944 NHM/SNRS/1104 NEETA HANDIQUE ROBIN HANDIQUE DIBRUGARH, P.O.-DIBRUGARH, P.S.-DIBRUGARH, Dist.- 22.10.2016 Dibrugarh, State-ASSAM, Pin-786001

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 50 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-Siampu Thomte, H.No.-24, Vill/Town-Raksha Sampada Bhawan,Ulaanbaatar Marg,Delhi Canttonment, P.O.-Gobinath 945 NHM/SNRS/1036 Ning Lian Niang V.Pau Za Mawi 22.10.2016 Bazar,Delhi Cantt, P.S.-Gobinath Bazar,Delhi Cantt, Dist.-Delhi Cantt, State-New Delhi, Pin-110010

C/o-Lt. Uma Kanta Sarma, H.No.-146, Vill/Town-Dhaligaon, P.O.- 946 NHM/SNRS/0346 NITU MONI SARMA Lt. Uma Kant Sarma Dhaligaon, P.S.-Dhaligaon, Dist.-Bongaigaon, State-Assam, Pin- 22.10.2016 783385

C/o-ATUL KALITA, H.No.-1, Vill/Town-MUGDI, P.O.-MUGDI, P.S.- 947 NHM/SNRS/0202 NIVA RANI KALITA ATUL KALITA 22.10.2016 MUKALMUA, Dist.-Nalbari, State-ASSAM, Pin-781312

C/o-LAKHAN SOREN, H.No.-132, Vill/Town-URAL VILLAGE, 948 NHM/SNRS/0699 NOMITA HEMROM RUPAI HEMROM P.O.-SONAPUR, P.S.-SONAPUR, Dist.-Kamrup Metro, State- 22.10.2016 ASSAM, Pin-782402 C/o-Jnyanee Das, H.No.-10, Vill/Town-guwahati, Backside of Mukesh 949 NHM/SNRS/1311 Padumi Ramchiary Mr. Brojen Ramchiary Hundai Motor Bylane, P.O.-Dispur, P.S.-Dispur, Dist.-Kamrup Metro, 22.10.2016 State-assam, Pin-781006 C/o-PARIMAL CHANDRA ROY, H.No.-305(K), Vill/Town- PARIMAL 950 NHM/SNRS/1568 PALLABI ROY GAURIIPUR, P.O.-GAURIPUR, P.S.-GAURIPUR, Dist.-Dhubri, 22.10.2016 CHANDRA ROY State-ASSAM, Pin-783331 C/o-Umesh Borborah, H.No.-, Vill/Town-borborah Gaon,Teok, P.O.- 951 NHM/SNRS/0054 Parijat Borborah Jadav Borborah Jorkhoria,Borborah Village,Teok, P.S.-Teok Thana, Dist.-Jorhat, State- 22.10.2016 Assam, Pin-785112 C/o-CHABILAL BHUMIJ, H.No.-12, Vill/Town-MILGAON, P.O.- 952 NHM/SNRS/0403 PINKY BHUNIJ CHABILAL BHUMIJ CHUNGI LAHING, P.S.-MARIANI, Dist.-Jorhat, State-ASSAM, Pin- 22.10.2016 785635 C/o-Sabitri Barman, H.No.-, Vill/Town-Office Of The Commissioner, Asssam State Housing Board, R.G Baruah Road, Guwahati, P.O.- 953 NHM/SNRS/1820 Pranati Das Paresh Chandra Das 22.10.2016 Christian Basti, P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin- 781005

C/o-PHANI BORAH, H.No.-, Vill/Town-BALIPUKHURI TINALI, 954 NHM/SNRS/1317 PRANITA BORAH PHANI BORAH P.O.-BALIPUKHURI TINALI, P.S.-BALIPUKHURI TINALI, Dist.- 22.10.2016 Sonitpur, State-ASSAM, Pin-784154

C/o-MRS GITA KUMAR, H.No.-393, Vill/Town-JOURPUKHURI, (L) SUPHAL 955 NHM/SNRS/1922 RAJOSHREE KUMAR P.O.-TANGLA, P.S.-TANGLA, Dist.-Udalguri, State-ASSAM, Pin- 22.10.2016 CHANDRA KUMAR 784521 C/o-MD SHAFIQUR RAHMAN LASKAR, H.No.-25, Vill/Town- DWARANDHA,SHANTI PATH,PANJABARI ROAD,SIXMILE, 956 NHM/SNRS/1667 REJEENA AHMED LATE KHALIL ALI 22.10.2016 P.O.-KHANAPARA, P.S.-DISPUR, Dist.-Kamrup Metro, State- ASSAM, Pin-781022 C/o-GHANESHYAM KURMI, H.No.-143, Vill/Town-FETABASTI, GHANSHYAM 957 NHM/SNRS/0410 RENU KURMI P.O.-FETAGAON, P.S.-DERGAON, Dist.-Golaghat, State-ASSAM, 22.10.2016 KURMI Pin-785614 C/o-BIJOY DOLEY, H.No.-5, Vill/Town-BAUGHPARA T.E., P.O.- 958 NHM/SNRS/0992 RITA PATGIRI ARUWA PATGIRI DIBRUGARH, P.S.-MILAN NAGAR, Dist.-Dibrugarh, State- 22.10.2016 ASSAM, Pin-786001 C/o-Biplob Baruah, H.No.-32, Vill/Town-Lalmati,Sandyachal Nagar, 959 NHM/SNRS/0698 Romee Hanglem Tomba Hanglem P.O.-Basistha, P.S.-Basistha, Dist.-Kamrup Metro, State-Assam, Pin- 22.10.2016 781029 C/o-LATE KULENDRA NATH, H.No.-N/A, Vill/Town-DAKSHIN LATE KULENDRA 960 NHM/SNRS/0818 RUMI NATH BARDOL, P.O.-RANGIA, P.S.-RANGIA, Dist.-Kamrup Rural, State- 22.10.2016 NATH ASSAM, Pin-781354 C/o-Abdul Hamid Ahmed, H.No.-570, Vill/Town-Tengnamari,w/no- 961 NHM/SNRS/0464 Runa Ahmed Abdul Hamid Ahmed 04, P.O.-Abhayapuri, P.S.-Abhayapuri, Dist.-Bongaigaon, State- 22.10.2016 Assam, Pin-783384 C/o-B R KALITA, H.No.-Near bina pani hindi school, Vill/Town- 962 NHM/SNRS/1827 SABITA KALITA B R KALITA Satgaon, P.O.-Udayan vihar, P.S.-Satgaon, Dist.-Kamrup Metro, State- 22.10.2016 Assam, Pin-781171

C/o-RAMESWAR NATH, H.No.-BONGAON, Vill/Town- 963 NHM/SNRS/1935 SANGHAMITRA DEVI RAMESWAR NATH BONGAON MAJULI, P.O.-BONGAON MAJULI, P.S.-BONGAON 22.10.2016 MAJULI, Dist.-Jorhat, State-ASSAM, Pin-785110 Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 51 of 52 Provisional List of Shortlisted candidates for Skill Test and Interview for the post of Staff Nurse under NHM, Assam

Date of Skill Test Roll Regd. ID Candidate Name Father Name Address & Interview

C/o-BIJIT ROY, H.No.-LAXMI CONSTRUCTION, Vill/Town-NEAR DEBESH CHANDRA 964 NHM/SNRS/1675 SANHITA DAS BAILEY MINERAL FACTORY, P.O.-UDAYAN VIHAR, P.S.- 22.10.2016 DAS SATGAON, Dist.-Kamrup Metro, State-ASSAM, Pin-781171

C/o-RUPAM CHETTRY, H.No.-0, Vill/Town-PURANA CHARIALI, SAPTAMI DEBENDRA GIRI 965 NHM/SNRS/1537 RAHA TOWN, P.O.-RAHA, P.S.-RAHA, Dist.-Nagaon, State- 22.10.2016 BASUMATARY BASUMATARY ASSAM, Pin-782103

C/o-MD. ANWAR HAQUE, H.No.-N/A, Vill/Town-BALICHAPORI, 966 NHM/SNRS/1053 SEHNAJ BEGUM MD. ANWAR HAQUE MORABHOROLI, TEZPUR, P.O.-TEZPUR, P.S.-TEZPUR, Dist.- 22.10.2016 Sonitpur, State-ASSAM, Pin-784001

C/o-MOHESH KAMAN, H.No.-63, Vill/Town-BOGINADI 967 NHM/SNRS/0615 SORINA KAMAN MOHESH KAMAN NANDAN NAGAR, P.O.-BOGINADI, P.S.-BOGINADI, Dist.- 22.10.2016 Lakhimpur, State-ASSAM, Pin-787032 C/o-JAYARAJU DULAPALLI, H.No.-27-161, Vill/Town- JANGAREDDYGUDEM, P.O.-JANGAREDDYGUDEM, P.S.- 968 NHM/SNRS/0445 SWETHA DULAPALLI JAYARAJU 22.10.2016 JANGAREDDYGUDEM, Dist.-WEST GODAVARI, State-ANDHRA PRADESH, Pin-534447 C/o-BHUBAN GAM, H.No.-16, Vill/Town-AMRITPUR PATH, 969 NHM/SNRS/0927 TARULATA KAMAN NIRMAL KAMAN GANESHGURI, P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, 22.10.2016 State-ASSAM, Pin-781006

C/o-FARID ALI, H.No.-79, Vill/Town-TOPATOLI, P.O.-TOPATOLI, 970 NHM/SNRS/0443 TOHSEENA KHANAM ABDUL MINAR 22.10.2016 P.S.-KHETRI, Dist.-Kamrup Metro, State-ASSAM, Pin-782403

C/o-Parbati upadhaya, H.No.-108, Vill/Town-guwahati, P.O.- Lt. Dhruba Prasad 971 NHM/SNRS/1875 Trishna Upadhaya silpukhuri, P.S.-chandmari, Dist.-Kamrup Metro, State-assam, Pin- 22.10.2016 Upadhayay 781003 C/o-Isaac Lalmalsawm, H.No.-7, Vill/Town-Chilarainagar, P.O.- 972 NHM/SNRS/0509 Vasty Lalneimawi Kamlunthang Bhangagarh, P.S.-Bhangagarh, Dist.-Kamrup Metro, State-Assam, Pin- 22.10.2016 781032

Note: Candidates shall bring all his/her original testimonials along with a set of photocopies for attending the Skill Test and Interview. Eligibility of the Candidate is subject to verification of documents. Reporting Time 9:30 AM Page 52 of 52