Government of Department of Health & Family Welfare Health Services (Medical Administration) Branch Swasthya Bhawan, Sector-V, GN-29, Salt Lake City, Kolkata-700 091

No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA Dated, Kolkata the 15thFebruary, 2021

NOTIFICATION

The Governor is pleased to appoint the following successful candidates enlisted in the Annexure–A, on recommendation of West Bengal Health Recruitment Board temporarily as Assistant Superintendent (Non Medical) Grade II, in the cadre of West Bengal General Service (WBGS) and to post them in the places as noted against each. 2. Such appointment is made, pending completion of verification of their antecedent. Their service is liable to be terminated in case of any adverse report about their antecedent. 3. The appointees will be liable to be transferred to any station within the State of West Bengal in the interest of public service. 4. The candidates will draw a pay as per WBS (ROPA) Rules, 2019 in Pay Matrix Level-14 read with F.D. Memo No. 5562-F(P), dated 25.09.2019, in the corresponding Pay Band (PB-4) of ₹9,000- 40,500/- plus Grade Pay of ₹4,700/- as per WBS (ROPA) Rules, 2009 read with F.D. Memo No. 961- F(P), dated 07.02.2011. Besides the grade pay, the candidates will draw other allowances as admissible to the officers of WBGS. 5. The appointees shall be governed by the terms and conditions of service as laid down in the West Bengal Service Rules, as amended from time to time. Other rules and orders of the State Government as are applicable to Government employees of similar category shall also apply mutatis mutandis in respect of the Scheduled Castes and Scheduled Tribes, Backward Classes and Physically Handicapped candidates. They shall be required to perform all such duties as may be assigned to them from time to time besides the duties of the posts in which they are or may be appointed. 6. The candidates are hereby directed to report themselves for duties to the concerned C.M.O.H./ M.S.V.P. immediately within 3 (three) weeks from the date of issue of this order positively. No T.A. for joining the post will be allowed to them. 7. No application or request for extension of joining time will be entertained and no correspondence in that regard shall be made to the applicant. 8. The C.M.O.H./ M.S.V.P.s are requested to take immediate steps for Medical Examination of the candidates by Medical Board in terms of Health Directorate’s Circular No. Estt./1M-258/76/79 dated 26.06.1977 immediately after their joining and forward a copy of the Medical Examination report to the Joint Secretary (Medical Administration), to the Govt. of West Bengal. They are also requested to verify all the testimonials relating to educational qualifications and other relevant documents of the candidates before they are allowed to join. 9. The candidates will have to submit two copies of filled up PVR to the office of the C.M.O.H./ M.S.V.P. at the time of joining the service, failing which they will not be allowed to join. Blank

1

copy of PVR format may be downloaded from the Annexure-B of this order, from official website (www.wbhealth.gov.in). 10. The C.M.O.H./ M.S.V.P. will receive filled up PVR (two copies) from the candidates before allowing them to join and subsequently send these PVR to the Superintendent of Police of the concerned district for verification. 11. If any adverse report is found during verification of PVR, the service of the candidate is liable to be terminated, without any further notice. 12. The list of the Assistant Superintendent (Non Medical) Grade II, who have joined on temporary basis, should be sent to the office of Joint Secretary (MA), Department of Health & Family Welfare, positively, via email [email protected] and [email protected] Services within 15(fifteen) days from the last date of joining. 13. Annexed is the list of Assistant Superintendent (Non Medical) Grade II and Blank Format of PVR. 14. All concerned are being informed. By Order of the Governor

Sd./= Secretary (HS) to the Government of West Bengal. No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA/1(33) Dated, Kolkata the 15thFebruary, 2021 Copy forwarded for information & necessary action to the---

13. Principal Accountant General (A & E), West Bengal. 14. The Accountant General (A & E), West Bengal 15. The Accountant General (Local Bodies Audit), West Bengal, CGO Complex, Salt Lake City, Kolkata- 700064 16. Director of Health Services, West Bengal. 17. Director of Medical Education, West Bengal. 18. Director, IPGMER/ BIN/ STM/ RIO, Kolkata 19. Additional Director of Health Services (North Bengal Zone), West Bengal. 20. Principal, All Medical College & Hospital, and Decentralised teaching hospitals 21. MSVP, All Medical College & Hospital and Decentralised teaching hospitals 22. Deputy Director of Health Services (Admn), West Bengal. 23. Deputy Director of Health Services (Transport), West Bengal 24. CMOH. All Districts and Health Districts 25. Superintendent of all DH/SDH/SGH/MSSH 26. Pay & Accounts Officer, Kolkata Pay & Accounts Office, 234/4, A J C Bose Road, Lala Lajpat Rai Sarani, Kolkata, West Bengal – 700 020. 27. Pay & Accounts Officer, Kolkata Pay & Accounts Office–III, IB Market, Sector–III, Salt Lake City, Kolkata – 700 016. 28. Treasury Officer, ______29. P.A. to the Secretary (Dept. of Health & Welfare), West Bengal. 30. P.A. to Joint Secretary (MS), West Bengal 31. ______32. Co-ordinator IT Cell to post the circular in the Dept’s website 33. Guard File

Joint Secretary to the Government of West Bengal

2

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

401 DASPARA

89

Tapan ROAD, P.O. - Ankita Kakdwip Diamond

1 Kumar THAKURPUKUR, Jul F UR NO

Gargari - SDH Harbour HD 60156

903674 Gargari P.S. HARIDEVPUR- 700063 29

R-3/256

Bidhannagar Housing 91 Ankita Rabindra Colony - Purulia

2 F UR NO Purulia Apr

Kole Nath Kole PS - NTPS - MCH

60125 903472

PO - ABL Township 24

Durgapur-713206

86 VILL- Tamal Hiralal INDAS(DIBAKARB - Chhatna 3 M UR NO Bankura

Basu Basu ATI), P.O-INDAS, May MS/SS

-

60326 905846

P.S-INDAS-722205 11

CHAMPABERIA,P

Late 82

O+PS- - Partha Haran OB Baranagar North 24 4 BONGAON,NORTH M NO

Sil Chandra Nov C-B SGH Parganas

- 60061

903366 24 PARGANAS-

Sil 14 743235

SUBHAS SARANI

J.N BOSE ROAD 92

Naba - Mahaswe PURBACHAL P.O - Bagha South 24

5 Krishna F UR NO Sep

ta Dey SUBHASGRAM - Jatin SGH Parganas 60195

904051 Dey

P.S- SONARPUR- 17 700147

VILL+POST-

89 MELLOCK, PS- - Archita Balaram 6 , DIST- F UR NO Howrah

Das Das May DH

- 60122

903457 HOWRAH, PIN-

711303-711303 25

90

Asis - 26A KESHAB SEN Howrah

7 Ria Basu Kumar F UR NO Howrah Oct

STREET-700009 - DH 60137

903552 Basu

17

VILL - GURULIA 91 Pratik Swapan BHATSALA P.O.- - Salboni Paschim

8 Jul M UR NO

Mondal Mondal JHARIA, P.S- - MS/SS Medinipur

60155 903664

GOGHAT-712122 05

Alliance Tower-3

91 Supriti Shreepally, North - Sujay Vidyasag South 24 9 Baidya Ramchandrapur F UR NO

Baidya May ar SGH Parganas

- 60514

909894 Gupta P.O +P.S- Narendrapur-700103 11

3

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

Mrs TLJ

85 - 0 Susanta Anamika 1 Madhab Mukherjee Hospital

10 Kumar F UR NO Howrah Sep

Chakrab Lane, Bally-711201 - 6120

909022 Chatterjee

orty 14 SGH

Plot No-59,

3, Rifle Range Road

86

PS- Belghoria - Subrata Susanta RGKar

11 Belghoria H.O M UR NO Kolkata Feb

Dey Dey - MCH 60455

908047 Kolkata West Bengal-700056- 25

700056

VILL:PATIRDANG 86 Rajkuma Shyamapa A,P.O:BRAHAMAN - 12 M UR NO BSMCH Bankura

r Pati da Pati DIHA,P.S:INDPUR- Nov

-

61031 907255

722173 15

28,ARYA

Sri VIDYALAYA 86 - Dr. Rana Ramen ROAD,HALTU,HAL 13 M UR NO BCRoy Kolkata

Nandi Chandra TU S.O.,HALTU Nov

- 60168

903737 PGIPS

Nandi KOLKATA-700078- 20 700078 FLAT-4C, GUNJAN

CO OPERATIVE

HOUSING Abinash 87

Tapas - Anita SOCIETY LTD, Dutta

14 Kumar F UR NO Kolkata Apr

Dhara STREET NO-310, - Maternity 60169

903748 Dhara

DC-128, ACTION 26 Home AREA-1D,

NEWTOWN-700156

89 Mistu Buddhade 102 C R ROAD- - Purba

15 F UR NO BMCH Jan

Nandy v Nandi 713347 - Bardhaman

60172

903774

16

Late KALARA ,DASPUR 91 Sumanta Swapan ,PASCHIM - Medinipu Paschim

16 M UR NO Jun

De Kumar MEDINIPUR- - r MCH Medinipur

60265 904944

De 721146 22

VILL-

92

DIBAKARPUR, PO- - Kharikam Somnath Raghunat

17 BARAGHUNI, PS- M UR NO athani Jhargram Feb

Mishra h Mishra - 60447

907977 CHANDIPUR- MS/SS

721656 01

92

BALARAMPUR, - Priyanka Asim Chandann

18 HATI, HOOGHLY- F UR NO Hooghly Feb

Porel Porel - agar SDH 60220

904287 712415 09

4

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

QUARTER NO. 3,

FIRST FLOOR, DD- 92

- COM & Gopal Bijoy 36, SECTOR-I, North 24

19 M UR NO Sagar Feb

Samanta Samanta SALT LAKE SD - Parganas 60266

904955 Hospital

HOSPITAL, SALT 15

LAKE-700064

Jha Niwas G -189 92

Madan - Priyanka Baishnabghata Patuli Bijoygarh South 24

20 Kumar F UR NO Feb

Jha Township Kolkata- - SGH Parganas 60711

903317 Jha

700094 15

92 Flat 2A , 144/ 1 - Krishna Ashok Tamluk Purba 21 Garfa Patwari Para- F UR NO

Das Das May DH Medinipur

- 60160

903697 700078 29

BLOCK- EB, PLOT-

67, 1689, 90 Mousam Harinaray RAJDANGA MAIN - NRSMC

22 M UR NO Kolkata Jan

Sarkar an Sarkar ROAD, KASBA, - H

60436 907741

KOLKATA- 700107- 25 700107

B-301, DIAMOND

Madhuba TOWER 2, 94

Tarun - ni Podder BARBETIA, PO: Kharagpu Paschim

23 Kumar Jul F UR NO

Chakrab CHANGUAL, - r SDH Medinipur 60483

908779 Podder orty KHARAGPUR- 15 721301 HOUSE NO-28,

SUKANTA PALLY,

MAMRA BAZAR, 95

Jayanta - Argha PO-ABL, PS- NEW Purba

24 Kumar M UR NO BMCH Feb

Das TOWNSHIP - Bardhaman 60396

907005 Das

POLICE STATION, 12 DURGAPUR-

713206

12A/4 SEPCO 86

Prabir - Sarmisth TOWNSHIP, Purulia

25 Kumar F UR NO Purulia Apr

a Sinha DURGAPUR- - MCH 60230

904400 Sinha

713205 29

PARBATIPUR DAS

Samir & MUKHERJEE 86

Tanay - Udaynara Kumar PARA,

26 Mukherj M UR NO yanpur Howrah Dec

Mukherje PARBATIPUR, - 60182

903858 ee SGH

e , 14 HOWRAH-711405

VILL + P.O -

87

Chandan Bijoy BARGODA GODAR - Panskura Purba

27 Kumar Kumar ; P.S - M UR NO Apr

- MS/SS Medinipur 60165

903729 Mondal Mondal NANDAKUMAR .- 721652 22

5

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

87

- COM & Kheyali Dr. Asok C/ 153 Survey Park- North 24

28 F UR NO Sagar Jun

Nag Datta 700075 - Parganas 60316

905587 Hospital 23

4/3/1,Puratan Shaire

Lane,44,Howrah 87 Pranab - Somnath Municipal 29 Kumar M UR NO CMCH Kolkata

Ghosh Corporation,, Nov

- 60212

904224 Ghosh

Howrah-711104- 30 711104

29,Namita

Apartment,F.No- 89 Abhishek Kameshw 402,3rd - Bhatpara North 24

30 M UR NO Sep

Kumar ar Sharma Floor,Nandan - SGH Parganas

60139 903557

Kanan,Hindmotor- 21 712233

Konnagar,Kushpata(

92

Swapan Panshakuda - Sumana OB Ghatal Paschim

31 Kumar rastarap.OD.Angsh), F NO Jun

Ghosh - C-B SDH Medinipur 60074

904471 Ghosh Ghatal,Ghatal-

721212 06

83

25 A SHAMSUL - Garden Tania Aftar OB South 24

32 HUDA ROAD- F NO Reach Jun

Aftar Hossain - C-A Parganas 60052

906813 700017 SGH 29

C/O- LAKSHMAN SHAW VILL- CHAK

BANSBERIA

86

MANDIR TALLA - Gopal Lakshman OB Purba

33 PO- BANSBERIA, M NO BMCH Apr

Shaw Shaw - C-B Bardhaman 60068

903803 DIST- HOOGHLY WEST BENGAL- 15 712502 MOB.- 7667638167- 712502 VILLAGE- MEDERMATHPAR

A,NAGARUKHRA

Chiranta Dulal P.O.- Gandhi 91 n Kanti NAGARUKHRA,P.S - OB Memorial

34 M NO Nadia Sep

Bhowmi Bhowmic .- - C-B Hospital

60070 903867

ck k ,PIN 15 Kalyani CODE- 741257,DISTRICT-

NADIA-741257

89

Rabindra Bhetar - Rajat Purba

35 Nath Kanika,Amrai,barddh M SC NO BMCH Sep

Sarkar - Bardhaman 60535

904144 Sarkar aman-713203 20

6

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

VILL-PURBA 82

Ajit - Mitali GOPALPUR, PO- Debra Paschim

36 Kumar F SC NO Jun

Das KESHAPAT, PS- - MS/SS Medinipur 60031

908516 Das

PANSKURA-721139 17

C/O RABINDRA

NATH BIT, 87

Mr - Abhisek SONAMUKHI OB Onda 37 Rabindra M NO Bankura

Bit BAZAR, Mar C-B MS/SS

- 60672

906000 Nath Bit

SONAMUKHI, 21 BANKURA-722207

SANTOSHPUR,

MAHESHTALA 91 YE M.R.Bang

Pranab - Priyanka (M), S ur South 24

38 Kanti F UR Mar

Sengupta BIDHANGARH, - (70 Hospital Parganas 60259

904798 Sengupta

SOUTH 24 06 %) DH PARGANAS-700066

B-

15/100,RABINDRA YE 87

Milan Late.Ama - NAGAR S Asansol Paschim

39 Kumar l Chandra M UR Dec

COLONY,CHINCH - (50 DH Bardhaman 60134

903536 Dey Dey

URIA,JAMURIA- 16 %) 713378

D/5 SATYAJIT ROY

88

SARANI, - Dr. Surajit Shyamal

40 NABAGRAM, M SC NO BCRoy Kolkata Jan

Das Das - 60547

904716 HOOGHLY-712246- PGIPS 712246 25

C/238 NAIM

NAGAR OLD 90

Towsif Abdul - COURT, OB Borjora

41 Ahamed Barick M NO Bankura Mar

DURGAPUR, - C-A MS/SS 60050

905589 Mallick Mallick

STATE- WEST 11 BENGAL-713213

VILL- SHELLYA,

92

PO- - Kankan Tapas OB Nandigra Nandigram

42 NARAYANBARH, M NO Oct

Das Das - C-B m DH HD 60088

908528 PS- SABANG, PIN-

721144-721144 17

91 30/25 BHARATI Wasim Saidul ROAD , B-ZONE, - OB Naihati North 24 43 M NO

Alam Alam DURGAPUR- May C-A SGH Parganas

-

60044 904413

713205 11

VILL-MADHYA 95

Agnish - Tapan JHOREHAT PO- OB

44 Karmaka M NO CNMCH Kolkata Jun

Karmakar JHOREHAT PS- - C-B 60065

903563 r

SANKRAIL-711302 28

7

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L] GARIA STATION

ROAD,

Sri 88

Ram TENTULBERIA, - Parna Balaram North 24

45 Prasad MADHYAPARA, Jul F SC NO

Gayen - Seba Parganas 60009

904384 Gayen P.S. 02 Mandir NARENDRAPUR- 700084 IPGMER & SSKM, to be

VILL- utilised in

DIHIMEDANMALL the dept 93 Subhajit Jyotirmoy A, P.O.- DAKSHIN - of oto

46 M SC NO Kolkata Jan

Roy Roy GOBINDAPUR , - rhino

60532 903969

P.S.- BARUIPUR- 06 laryngolo 700145 gy,(ORLF )and head neck

surgery

VILL- 95

Lalit - Rahul DAHARTHUBA, Panihati North 24 47 Mohan M SC NO

Das P.O-HATTHUBA, Aug SGH Parganas

- 60543

904496 Das

P.S-HABRA-743263 07

Chowhati Bidhan

Block,Dwarir road Dr. BN

91

Sonarpur - Bose Moumita Jagadish OB North 24

48 P.O. Chowhati F NO Hosp, Jan

Debnath Debnath - C-B Parganas 60080

905976 P.S. Sonarpur Barrackpo Kolkata,West 28 re Bengal-700149

VILL-

SADINAGAR, P.O- 93 Sirajudd Rahamatt PATNIL, DIST- - OB Bolpur

49 M NO Birbhum Jan

olla Sekh ulla Sekh BIRBHUM, P.S- - C-A SDH

60043 904006

NANOOR, W.B- 25 731302

RAHAMATPUR ,

83

MAHISH BATHAN - Manjisth Biswanat

50 , RAHAMATPUR , F SC NO Nadia Oct

a Biswas h Biswas - SDH 60001

903307 DIST - NADIA , PIN - 741165-741165 14 13 ASHUTOSH

GHOSH LANE,

93

Bibekana POST OFFICE- - Paramita 51 nda SREEBHUMI, F SC NO Nadia

Biswas Mar SGH

- 60533

904082 Biswas POLICE STATION- LAKE TOWN- 26 700048

45-A Kalibari Road,

Purbachal, Halisahar 85

Dilip - Bappadit P.O - Nabanagar,

52 Kumar Jul M SC NO SNP Kolkata

ya Sinha Dist - 24 Parganas - 60555

905320 Sinha (North), Pin - 25 743136-743136

8

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

VILL-MIRPUR,

94

Basarat P.O- - North Saiaf Ali OB 53 Ali ,P.S- M NO Suburban Kolkata

Mollick Nov C-A

- 60051

905808 Mollick MADHABDIHI- Hospital

713423 28

nona gheri, 96 Somali Sanatan matla canning town -

54 F SC NO Nadia Jun

Mondal Mondal canning-1 south 24 - SGH

60003 903488

pgs-743329 25

VILL-

88

MAHAMMADPUR, - Manjur Khelafath OB Nandigra Nandigram

55 P.O-NILPUR,P.S- M NO Jun

Ali Sha Ali Sha - C-A m DH HD 60646

909419 NANDIGRAM- 721631 03 VILLAGE- BETIARY, PO-

NALPUR

80

PS- , - Anirban Haran ID & BG

56 DISTRICT- M SC NO Kolkata Apr

Hazra Hazra - Hospital 60002

903387 HOWRAH, STATE- WEST 10 BENGAL,PIN- 711310-711310

SAHEBPARA,

3

9

Mamun Abu SEKHPARA, - OB Murshida

57 Kabir Bakkar DOGACHHI, M NO Murshidabad Jun

- C-A bad MCH 60049

905471 Mondal Mondal THNARPARA,

NADIA-741152 02

318 shyama prasad 93 Sucharita Sunil pally po purbaputiary -

58 F SC NO BSMCH Bankura Jun

Sarkar Sarkar kolkata 700093- -

60017 905586

700093 11

30, N. S. ROAD,

P.O- HARINAVI, 95

- Suri Somasre Rangolal P.S- SONARPUR,

59 F SC NO Sadar Birbhum Feb

e Mondal Mondal SOUTH 24 PGS, - 60019

906305 Hospital

WEST BENGAL- 20 700148

VILL.-SALMARA ,

96 P.O.-PINGLA , P.S.- Krishna Lakshmi - PINGLA , DIST.- Bolpur 60 Prasad Kanta M SC NO Birbhum

PASCHIM May SDH

- 60020

906470 Dhauria Dhauria

MEDINIPUR, PIN.- 12 721140-721140

25, K.C.MITRA

88

Bidhan ROAD, - Arpan NRSMC

61 Chandra BHATTACHARYA M SC NO Kolkata Feb

Naskar - H 60033

909583 Naskar PARA, BARUIPUR, KOLKATA-700144 05

9

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

ghasiara

92

Subodh madhyapara,sonarpur - Tania Bishnupur Bishnupur

62 Kumar ,south 24 pargana s F SC NO Apr

Mandal - DH HD 60034

909649 Mandal West Bengal 700150- 700150 20

KESTOPUR,

92

Himadri CHRISTIAN PARA, - Pavlov Tathagat

63 Kumar AD-386, RBM M SC NO Mental Kolkata Jul

a Sarkar - 60010

904743 Sarkar TOWER, FLAT NO Hospital 4C-700102 28

KAMRABAD,

BISWAS PARA, 93 Sreyashi Amit RAJPUR - Murshida

64 F SC NO Murshidabad Apr

Biswas Biswas SONARPUR - bad MCH

60569 907453

MUNICIPALITY- 15

700150

88/A MONA 93 Pallabi Probir DUTTA SARANI, - Malda 65 F SC NO Malda

Biswas Biswas KANCHRAPARA- Nov MCH

-

60021 906557

743145 08

94

Tapan South Inda, Hari - Shreyosi Medinipu Paschim

66 Kumar Para, Rani Kutir, F SC NO Dec

Dhar - r MCH Medinipur 60571

907836 Dhar Kharagpur-721301

12

5 SARAT SARANI 97 Tandra Late Sital LANE - Gangaram Dakshin

67 F SC NO Jan

Manna Manna BHADRESWAR - pur SDH Dinajpur

60038 910187

HOOGHLY-712124 31

5/195,NEHRU

COLONY,DAKSHI 87

Tapan - Debasis NDARI ROAD,P.O- ID & BG

68 Kumar M SC NO Kolkata Jan

Das SREEBHUMI,P.S- - Hospital 60013

905004 Das

LAKE TOWN- 08

700048

91

- Gopiballa Tania Ranajit CHAKTRAWAN, 69 F SC NO vpur Jhargram

Jana Jana HALDIA-721607 Aug

- 60577

908348 MS/SS

31

84

Sachindra VILL-SUBHASH - Partha Falakata

70 Nath COLONY , P.O+P.S- M SC NO Alipurduar Oct

Barman - MS/SS 60025

908025 Barman FALAKATA-735211 08

10

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L] VILL- KALAI ,

P.O.-

88

Chandan Sudarshan CHAKRADHABAN, - Sagardigh

71 Pattanay Pattanaya P.S.-PANSKURA, M SC NO Murshidabad Jan

- i MS/SS 60022

906681 ak k DIST-PURBA MEDINIPUR , PIN- 15

721152-721152

VILL - KAKDIHI, 90

Krishnen - Nilkanta P.O - MECHEDA, Domkal

72 du M SC NO Murshidabad Feb

Barman P.S - KOLAGHAT,- - SDH 60004

903715 Barman

721137 01

100 SRIBAS

94

ANGAN GHAT - Soma Nepal 73 ROAD(SOUTH), F SC NO Nadia

Das Das Nov SGH

- 60006

904110 NABADWIP,NADI A-741302 02 N/158/2, PRAPTI

APPARTMENT,

96

Bhaja TAKI ROAD, - Gourab Jangipur

74 Gopal BIDHAN PARK M SC NO Murshidabad Jan

Sarkar - SDH 60542

904481 Sarkar BARASAT, P.O+P.S- BARASAT 29 (M)-700124 4 / 2K / 2 HO CHI MINH SARANI,

SHAKUNTALA

87 PARK, SARSUNA, - Shivdoot Paritosh Murshida 75 SOUTH 24 M SC NO Murshidabad

Das Das May bad MCH

- 60015

905307 PARGANAS, WEST BENGAL, 01 KOLKATA - 700061-700061

105/1, K.C.M

SARANI, 93

Rabin - Priyata UTTARPARA Serampor

76 Kumar F SC NO Hooghly Jan

Das KOTRUNG (M) - e SDH 60018

905946 Das BHADRAKALI- 19 712232 KHURIGACHI PASCHIM SOMADPUR,

RAJPUR

94

Amit Ashim SONARPUR (M), - Kalimpon

77 Kumar Kumar P.O +P.S: M SC NO Kalimpong Sep

- g DH 60016

905485 Malik Malik SONARPUR, SOUTH 24 14 PARGANAS, WEST BENGAL - 700150- 700150

11

Annexure A to Memo No. HF/O/HS(MA)/249/SF-11/2021/HFW-25017(11)/1/2020-MA dated 15thFebruary 2021

List of Candidates appointed as Assistant Superintendent (Non Medical) Grade II

Proposed Sl Father`s Name of Name Address PH places of

No Name District

Caste D O B O D

Gender posting

Appl.ID Roll No.

[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L]

QTR. NO.- B/11,

96

Sankar NTPC/PTS, PO.- - Sonchare Malda

78 Prasad PUBARUN, DIST.- F SC NO Malda Oct

e Das - MCH 60024

907601 Das MALDA, WEST

BENGAL-732215 09

83 Rabi Bijay 33/1A Pulin Khatick - Jalpaiguri

79 M SC NO Jalpaiguri Sep

Mallick Mallick Road-700015 - DH

60026

908131 26

Vill-Chandipur, PO-

87

Math Chandipur - Sukanta Sukumar Balurghat Dakshin

80 Dist-Purba Jul M SC NO

Mondal Mondal - DH Dinajpur 60032

908615 Medinipur, west

Bengal-721659 06

Late - 3 NO 85

Animesh - Jogesh CHANDIGARH, 81 Chandra M SC NO NBMCH Darjeeling

Chandra MADHYAMGRAM Mar

- 60014

905175 Barman

Barman (M),-700130 14

KALINAGAR

(DAKSHIN PARA),

PO & PS - 86 Arpita Sankar DIAMOND - Bishnupur Bishnupur

82 F SC NO Apr

Mistry Mistry HARBOUR, WARD - DH HD

60556 905415

NO: 6, SOUTH 24 10 PGS, PIN - 743331- 743331

12

PoliceVerification Roll Annexure B Passport size photograph

1. Name in Full (In block capitals) with aliases, Surname Name if any. (Please indicate if you have added or dropped, at any stage, any part of your name or surname).

2. The name of the post and service applied for

3. Present address in full (i.e. village, thana and district or house number, lane/street and road, PIN)

4. (a) Home address in full (i.e. village, thana and district or house number, lane/street and road, PIN)

(b) If originally a resident of Pakistan, Bangladesh, Nepal or any other country, the address in that dominion of migration to Indian Union.

5. Particulars of places where you have resided for more than one year during the preceding five years

From To Residential address in full (i.e. village, thana and district or house number, lane/street and road, PIN)

6. (a) Father’s name in full with aliases, if any … (a) (b) Present Postal address (if dead, give the last address) … (b) (c) Permanent home address … (c) (d) Profession … (d) (e) If in service, give designation and official address … (e) 7. (i) Nationality of— (a) Father … (a) (b) Mother … (b) (c) Husband … (c) (d) Wife … (d) 8. (a) Exact date of birth … (a) [To be supported by Birth Registration Certificate/Admit Card of West Bengal Board of Secondary Education/any other Recognized Board] (b) Present age … (b) (c) Age of Matriculation/School Final …(c)

9. (a) Place of birth, district and State in … (a) which is situated

(b) District and State to which you belong …(b) 2

10. (a) State your religion

(b) Are you member of scheduled caste/ Scheduled tribe/ OBC. Answer “Yes” or “No” and if the answer is “Yes” state the name thereof. [Copy of certificate to be attached]

11. Education qualifications showing place of education with year in school colleges:

Name of school/colleges with full address Date of entering Date of leaving Examination passed

12. If you have at any time been employed give details

Designation of the post Period Full address of the office, firm or held or description of institution and reasons for leaving work previous service

13. Have you ever been convicted by a Court of any offence or charge-sheeted by the police in connection with any criminal proceeding? If so, the full particular of the case should be given.

14. Name of two responsible persons of your locality (1) ………………………………………….. or

two referees to whom you are known (2) …………………………………………..

I certify that the foregoing information is correct and complete to the best of my knowledge and belief. I am not aware of my circumstances, which might impair my fairness for employment under Government. I understand that submission of false information will make me ineligible for employment.

Date…………………. Signature of the candidate…………………………………………… Place………………….

(Certificate to be signed by a gazetted officer)

Certified that I have known Shri/Shrimati…………………………………………………………… son/daughter of Shri……………………………………………………….. for the last……………………… years ………………months and that to the best of my knowledge and belief the particulars furnished by him/her are correct.

Place……………. Signature…………………………………………………. Date……………. Designation status and address…………………………… …………………………………………………………….

Signature and designation of the Issuing Officer and the name of the office with full address and date.