Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No C/o-LAL SINGH, H.No.-31/MN/02, Vill/Town-MAHADEV NAGAR, P.O.- NHM/BDMA/ 1 AAKASH DEEP LAL SINGH RAJPUR CHUNGI AGRA, P.S.-SADAR, Dist.-AGRA, State-UP, Pin- 2285 282001 NHM/BDMA/ C/o-Lt. Dilip Sen, H.No.-98, Vill/Town-Ketela pather, P.O.-Behali, P.S.- 2 ABHIJIT SEN Lt. Dilip Sen 1645 Behali, Dist.-Sonitpur, State-Assam, Pin-784166 AFJAL C/o-KUSHIRA BEGUM LASKAR, H.No.-455, Vill/Town-BARNAGAD, NHM/BDMA/ ABDUL LATIF 3 HUSSAIN P.O.-KALIBARI BAZAR, P.S.-ALGAPUR, Dist.-Hailakandi, State- 1892 LASKAR LASKAR ASSAM, Pin-788150 C/o-NIRANANDA DEURI, H.No.-20, Vill/Town-MAJORCHAPORI, P.O.- NHM/BDMA/ NIRANANDA 4 AJOY DEURI KINAPATHER, P.S.-NARAYANPUR, Dist.-Lakhimpur, State-ASSAM, Pin- 2126 DEURI 784164 NHM/BDMA/ Amal Chandra Harendra Nath C/o-Harendra Nath Barman, H.No.-, Vill/Town-Kushiar Bari, P.O.-Kushiar 5 1748 Barman Barman Bari, P.S.-Ghoksadanga, Dist.-Coochbehar, State-West Bengal, Pin-735211 NHM/BDMA/ Anamika Keshob C/o-Keshob Borbaruah, H.No.-NA, Vill/Town-Na-Ali, Bolia Gohain 6 2765 Borbaruah Borbaruah Pukhuri, P.O.-Jorhat, P.S.-Jorhat, Dist.-Jorhat, State-Assam, Pin-785001 NHM/BDMA/ ANANTA C/o-Narendra Saharia, H.No.-113, Vill/Town-Kabeichuba, P.O.-Bardoulguri, 7 Narendra Saharia 1372 SAHARIA P.S.-Sipajhar, Dist.-Darrang, State-Assam, Pin-784145 C/o-MOTILAL ROY, H.No.-, Vill/Town-DHANUA NAGAR NEAR NHM/BDMA/ MANTU 8 ANITA GHOSH PETROL PUMP, GNB ROAD, P.O.-TEZPUR, P.S.-TEZPUR, Dist.- 1939 GHOSH Sonitpur, State-ASSAM, Pin-784001 C/o-MOHSIN ALI, H.No.-132, Vill/Town-MAZGAON, P.O.- NHM/BDMA/ ANJUWARA 9 MOHSIN ALI PINGALESWAR, P.S.-BAIHATA CHARIALI, Dist.-Kamrup Rural, State- 3188 BEGUM ASSAM, Pin-781381 NHM/BDMA/ Anku Moni Mr. Ballav C/o-Mr. Ballav Konwar, H.No.-140, Vill/Town-Hatigarh, P.O.-Hatigarh, P.S.- 10 0706 Konwar Konwar Dhemaji, Dist.-Dhemaji, State-Assam, Pin-787057 C/o-DURGA RAM KALITA, H.No.-5, Vill/Town-MALIGAON NHM/BDMA/ ANKUR JYOTI DURGA RAM NILACHALPUR BEHIND LCB COLLEGE NEAR SHIV MANDIR, P.O.- 11 3480 KALITA KALITA MALIGAON, P.S.-JALUKBARI, Dist.-Kamrup Metro, State-ASSAM, Pin- 781011 NHM/BDMA/ LT ABU NASER C/o-BEGUM SOFURA KHATUN, H.No.-2, Vill/Town-MATIABAG, P.O.- 12 ARIFUL ISLAM 0188 MOLLAH GAURIPUR, P.S.-GAURIPUR, Dist.-Dhubri, State-ASSAM, Pin-783331 C/o-DTDC COURIER MORIGAON, H.No.-1, Vill/Town-PUB GOHAIN NHM/BDMA/ ASIM KUMAR BINDESWAR 13 GAON, P.O.-MORIGAON, P.S.-MORIGAON, Dist.-Morigaon, State- 3030 NATH NATH ASSAM, Pin-782105 NHM/BDMA/ AVIJIT Late Dilip Kumar C/o-Mr.Debdas Mazumdar, H.No.-102, Vill/Town-Tilak Deka Road, P.O.- 14 2459 GHATAK Ghatak Itachali, P.S.-Itachali, Dist.-Nagaon, State-Assam, Pin-782003 C/o-ISLAM UDDIN BARBHUIYA, H.No.-52, Vill/Town-GANGPAR NHM/BDMA/ AZIZ HUSSAIN ISLAM UDDIN 15 DHUMKAR, PART-3, P.O.-GANGPAR DHUMKAR, P.S.-HAILAKANDI, 0924 BARBHUIYA BARBHUIYA Dist.-Hailakandi, State-ASSAM, Pin-788152 NHM/BDMA/ BHASKARJIT BUPARAM C/o-BUPARAM DUTTA, H.No.-NA, Vill/Town-JULAGAON, P.O.- 16 1251 DUTTA DUTTA METEKA, P.S.-JOYSAGAR, Dist.-Sivasagar, State-ASSAM, Pin-785640 C/o-LEKHAN GOHAIN, H.No.-101, Vill/Town-DIGHALI, P.O.- NHM/BDMA/ BHUPEN LEKHAN 17 GHILAMARA, P.S.-GHILAMARA, Dist.-Lakhimpur, State-ASSAM, Pin- 1583 GOHAIN GOHAIN 787053 C/o-SHRI RANJAN KUMAR GOGOI, H.No.-37, Vill/Town- NHM/BDMA/ BIJOY KUMAR RANJAN 18 TITADIMORU, P.O.-MOHANBARI AIR FIELD, P.S.-MOHANBARI 1734 GOGOI KUMAR GOGOI POLICE OUT POST, Dist.-Dibrugarh, State-ASSAM, Pin-786012 NHM/BDMA/ Late -Bijoy C/o-Kali Bari Road .ward no 4, H.No.-220, Vill/Town-Hojai, P.O.-Hojai, 19 Bikash Goswami 2482 Krishna Goswami P.S.-Hojai, Dist.-Nagaon, State-Assam, Pin-782435

NHM/BDMA/ C/o-Lt.Lohit Borah, H.No.-51, Vill/Town-Bamgaon, P.O.-Biswanath 20 BINITA BORAH Lt.Lohit Borah 0649 Chariali, P.S.-Biswanath Chariali, Dist.-Sonitpur, State-Assam, Pin-784001

Page - 1 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No C/o-RAJKISHOR THAKUR, H.No.-291, Vill/Town-KARBI ANGLONG, NHM/BDMA/ BINOD RAJKISHOR 21 P.O.-BOKAJAN, P.S.-BOKAJAN, Dist.-Karbi Anglong, State-ASSAM, Pin- 1837 THAKUR THAKUR 782480 C/o-NRIPEN CHANDRA DAS, H.No.-, Vill/Town-KHARGHULI, P.O.- NHM/BDMA/ BIPLABJYOTI NRIPEN 22 KHARGHULI, P.S.-LATASIL, Dist.-Kamrup Metro, State-ASSAM, Pin- 0409 DAS CHANDRA DAS 781004 NHM/BDMA/ Ramesh Ch. C/o-Ramesh Ch. Rabha, H.No.-432, Vill/Town-Khangkhalabari, Ward No.2., 23 Biswa dev Rabha 1414 Rabha P.O.-Udalguri, P.S.-Udalguri, Dist.-Udalguri, State-Assam, Pin-784509 NHM/BDMA/ BIVASMITA C/o-Debajit Goswami, H.No.-32, Vill/Town-Ghondal, P.O.-Chipanchila, P.S.- 24 Jatin Sarma 2086 DEVI Bongaigaon, Dist.-Bongaigaon, State-Assam, Pin-783380 C/o-SWAPAN KUMAR DEB, H.No.-, Vill/Town-MARGHERITA THANA NHM/BDMA/ SWAPAN 25 BORNALI DEB ROAD, NEAR A.R.T. COLONY, P.O.-MARGHERITA, P.S.- 1445 KUMAR DEB MARGHERITA, Dist.-Tinsukia, State-ASSAM, Pin-786181 NHM/BDMA/ BORUN C/o-Bharat Bordoloi, H.No.-119, Vill/Town-Sonari Gaon, P.O.-Silghat, P.S.- 26 Bharat Bordoloi 2058 BORDOLOI Kaliabor, Dist.-Nagaon, State-Assam, Pin-782143 NHM/BDMA/ Thanu Ram C/o-Thanu Ram Gogoi, H.No.-NA, Vill/Town-Mathurapur Bhakat gaon, P.O.- 27 Budha Gogoi 1975 Gogoi Mathurapur, P.S.-Mathurapur, Dist.-Sivasagar, State-Assam, Pin-785689 NHM/BDMA/ CHAMPAK C/o-Ganesh baishya, H.No.-0, Vill/Town-Marowa, P.O.-Marowa, P.S.- 28 Ganesh Baishya 2402 BAISHYA Nalbari, Dist.-Nalbari, State-Assam, Pin-781348 C/o-Basanta Kr. Lahkar, H.No.-36, Vill/Town-Bangaon, Beltola College NHM/BDMA/ CHANDANA ANGAD CH 29 Road, bye lane-2 basanta Doloi Path, P.O.-Beltola, P.S.-Basishtha PS, Dist.- 2435 DEKA DEKA Kamrup Metro, State-Assam, Pin-781029 NHM/BDMA/ CHAYANIKA NITYA C/o-NITYA BHUYAN, H.No.-93, Vill/Town-KETELAPATHAR, P.O.- 30 1844 BHUYAN BHUYAN BHIMDONGA, P.S.-BEHALI, Dist.-Sonitpur, State-ASSAM, Pin-784167

NHM/BDMA/ CHAYANIKA LT PUSPA C/o-PURNIMA CHETIA, H.No.-91, Vill/Town-DEMOW JANATA PATH, 31 2787 CHETIA CHETIA P.O.-DEMOW, P.S.-DEMOW, Dist.-Sivasagar, State-ASSAM, Pin-785662 CHETANA CHARITRA C/o-KISHUR NEOG, H.No.-KONWERPUR KARI GAON, Vill/Town- NHM/BDMA/ 32 CHATTRADHA CHATTRADHA SIVASAGAR, P.O.-KONWERPUR, P.S.-SIVASAGAR, Dist.-Sivasagar, 1700 RA RA State-ASSAM, Pin-785667 NHM/BDMA/ Lakhya nath C/o-Lakhya nath kumbang, H.No.-, Vill/Town-Lachit nagar, P.O.-Silapathar, 33 Chintu kumbang 1086 kumbang P.S.-Silapathar, Dist.-Dhemaji, State-Assam, Pin-787059 NHM/BDMA/ DEBABRAT C/o-Bakul Baruah, H.No.-7, Vill/Town-Barangabari, P.O.-Barangabari, P.S.- 34 Bakul Baruah 2398 BARUAH Gohpur, Dist.-Sonitpur, State-Assam, Pin-784172 NHM/BDMA/ Late Bhupendra C/o-Debabrata Borah, H.No.-6, Vill/Town-Guwahati, P.O.-Kahilipara, P.S.- 35 Debastuti Borah 0833 Nath Borah Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781019 NHM/BDMA/ DEEP JYOTI TARUN C/o-TARUN BORDOLOI, H.No.-367, Vill/Town-DHING TOWN, P.O.- 36 1753 BORDOLOI BORDOLOI DHING, P.S.-DHING, Dist.-Nagaon, State-ASSAM, Pin-782123 NHM/BDMA/ DEEPAK C/o-BIREN BORAH, H.No.-236(1), Vill/Town-TEOK SEUJIPAR MAJ 37 BIREN BORAH 1318 BORAH GAON, P.O.-TEOK, P.S.-TEOK, Dist.-Jorhat, State-ASSAM, Pin-785112

NHM/BDMA/ DEEPCHAND Late Y. Chikon C/o-Prof chitrani Medhi, H.No.-AF, Vill/Town-Kamrup Metro, P.O.-Gauhati 38 0857 YENDREMBAM Singh University, P.S.-jalukbari, Dist.-Kamrup Metro, State-assam, Pin-781014 NHM/BDMA/ DEEPJYOTI C/o-Ratneswar Das, H.No.-32, Vill/Town-Barpara, P.O.-Bongaigaon, P.S.- 39 Ratneswar Das 3604 DAS Bongaigaon, Dist.-Bongaigaon, State-Assam, Pin-783380 NHM/BDMA/ DEEPJYOTI Sri Dayal Ch. C/o-Sri Dayal Ch. Talukdar, H.No.-, Vill/Town-Satra Baradi, P.O.-Baradi, 40 1062 TALUKDAR Talukdar P.S.-Barpeta, Dist.-Barpeta, State-Assam, Pin-781314 C/o-TAPAN TALUKDAR, H.No.-252, Vill/Town-BHAWANIPUR NHM/BDMA/ DEIJI TAPAN 41 PASCHIMHATI, P.O.-BHAWANIPUR, P.S.-BARPETA, Dist.-Barpeta, 1867 TALUKDAR TALUKDAR State-ASSAM, Pin-781352

Page - 2 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No NHM/BDMA/ DHANJIT Lt. Girish C/o-BPMU, Kakopather Block PHC, H.No.-0, Vill/Town-Kakopather, P.O.- 42 1528 TALUKDAR Talukdar Kakopather, P.S.-Kakopather, Dist.-Tinsukia, State-Assam, Pin-786152 NHM/BDMA/ DHIRAJ BRAJEN C/o-NIRALA BARMAN, H.No.-, Vill/Town-PORAKUCHI, P.O.- 43 1419 BARMAN BARMAN SONDHA, P.S.-NALBARI, Dist.-Nalbari, State-ASSAM, Pin-781337 C/o-RUKMANATH PAWE, H.No.-83, Vill/Town-BAMUNDOLONI, P.O.- NHM/BDMA/ RUKMANATH 44 DHIRAJ PAWE PAHUMARA, P.S.-NORTH LAKHIMPUR, Dist.-Lakhimpur, State- 0657 PAWE ASSAM, Pin-787031 LATE C/o-CHARU BALA DAS, H.No.-221, Vill/Town-DEURIPARA, P.O.- NHM/BDMA/ DHRITIMAN 45 MAHADEV BONGAIGAON, P.S.-BONGAIGAON, Dist.-Bongaigaon, State-ASSAM, 0034 DAS CHANDRA DAS Pin-783380 NHM/BDMA/ Sri Jo general C/o-Sri Jo general Chandra nath, H.No.-42, Vill/Town-Likhak gaon, P.O.- 46 Dhruba jyoti nath 0023 Chandra nath Pithakhowa, P.S.-Tezpur, Dist.-Sonitpur, State-Assam, Pin-784153 NHM/BDMA/ DIBAKAR DWIJEN C/o-DWIJEN THAKURIA, H.No.-XX, Vill/Town-HEKRA, P.O.-HEKRA, 47 1770 THAKURIA THAKURIA P.S.-BOKO, Dist.-Kamrup Rural, State-ASSAM, Pin-781127 NHM/BDMA/ Dibya jyoti C/o-Biren Hazarika, H.No.-1, Vill/Town-Jelehua Gaon, P.O.-Dergaon, P.S.- 48 Biren Hazarika 2129 Hazarika Dergaon, Dist.-Golaghat, State-Assam, Pin-785614 NHM/BDMA/ DIBYAJYOTI C/o-Mr. Tarun Borah, H.No.-47, Vill/Town-Ketela Pather, P.O.-Bhimdonga, 49 Mr. Tarun Borah 0389 BORAH P.S.-Behali, Dist.-Sonitpur, State-Assam, Pin-784167 NHM/BDMA/ DHIREN C/o-DHIREN BHUYAN, H.No.-589, Vill/Town-AGCHIA, P.O.-AGCHIA, 50 DILIP BHUYAN 1197 BHUYAN P.S.-AZARA, Dist.-Kamrup Metro, State-ASSAM, Pin-781128 C/o-Durga Nath Phukon, H.No.-, Vill/Town-Parbatipur, Ward No-10, Near- NHM/BDMA/ Durga Nath 51 Dip Jyoti Phukon Padmeswar Duwarah Path, P.O.-Sonari, P.S.-Sonari, Dist.-Sivasagar, State- 1352 Phukon Assam, Pin-785690 C/o-Mr.R.Goswami, H.No.-17, Vill/Town-chachal Road, near nagaland NHM/BDMA/ Lt.Biren 52 Dipak Choudhury house,sixmile, P.O.-khanapara, P.S.-Dispur, Dist.-Kamrup Metro, State- 0666 Choudhury Assam, Pin-781022 NHM/BDMA/ Dipak Kumar Mani Kumar C/o-Mani Kumar Sinha, H.No.-107, Vill/Town-Lakhipur-II, P.O.-Kalain, P.S.- 53 2462 Sinha Sinha Katigorah, Dist.-Cachar, State-Assam, Pin-788815 NHM/BDMA/ DIPANKA Mr. Birinchi C/o-Mr. Birinchi Dutta, H.No.-, Vill/Town-Nirmali gaon, P.O.-C.R Building, 54 0926 DUTTA Dutta P.S.-Milan Nagar, Dist.-Dibrugarh, State-Assam, Pin-786003 C/o-Mr Dimbeswar Borgohain, H.No.-110, Vill/Town-Namdang Gohain NHM/BDMA/ DIPOM Mr Dimbeswar 55 Gaon, P.O.-Kumurajan, P.S.-Sivasagar, Dist.-Sivasagar, State-Assam, Pin- 2457 BORGOHAIN Borgohain 785664 C/o-Krishna Kanta Bezbaruah, H.No.-7, Vill/Town-Lankeswar, P.O.- NHM/BDMA/ Krishna Kanta 56 Dipti Bezbaruah Guwahati University, P.S.-Jalukbari, Dist.-Kamrup Metro, State-Assam, Pin- 1730 Bezbaruah 781014 C/o-Gadadhar Kalita, H.No.-7, Vill/Town-Baikunthapur Bye Lane No 3, P.O.- NHM/BDMA/ 57 Dolee Kalita Gadadhar Kalita Bamunimaidan, P.S.-Geetanagar, Dist.-Kamrup Metro, State-Assam, Pin- 0388 781021 C/o-ABDUS SAMAD, H.No.-5, Vill/Town-NO 5 BASHBARI, P.O.- NHM/BDMA/ DR. IBRAHIM 58 ABDUS SAMAD AOLAGURI, P.S.-MANIKPUR, Dist.-Bongaigaon, State-ASSAM, Pin- 3112 AHMED 783392 NHM/BDMA/ LT ROBIN C/o-NINALI BORA, H.No.-127, Vill/Town-CHECHAMUKH DEWDHAR, 59 DULAL BORA 3032 BORA P.O.-PALASANI, P.S.-SADAR, Dist.-Nagaon, State-ASSAM, Pin-782003 NHM/BDMA/ DULUMONI RAJENDRA PD C/o-SUBHASH MILI, H.No.-52, Vill/Town-RIGBI, P.O.-RATANPUR, P.S.- 60 2691 KULI KULI JONAI, Dist.-Dhemaji, State-ASSAM, Pin-787060 C/o-wahed ali, H.No.-92, Vill/Town-BORHOLLOWKANDA, P.O.- NHM/BDMA/ EMDADUL 61 wahed ali HOLLOWKANDA, P.S.-LAHARIGHAT, Dist.-Morigaon, State-ASSAM, 3368 ISLAM Pin-782127 C/o-MAZIBAR RAHMAN, H.No.-514, Vill/Town-NO1 GHORASHAL, NHM/BDMA/ FARUK MAZIBAR 62 P.O.-BYASPARA, P.S.-SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin- 2059 ABDULLA RAHMAN 784145

Page - 3 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No NHM/BDMA/ C/o-Salamat Ali, H.No.-Niz Lahoal, Vill/Town-Raja Khat Gaon, P.O.- 63 FIZNUR ALI Salamat Ali 2026 Lahoal, P.S.-Lahoal, Dist.-Dibrugarh, State-Assam, Pin-786010 C/o-GIREN DAS, H.No.-193, Vill/Town-AHATGURI, P.O.- NHM/BDMA/ 64 GAUTAM DAS GIREN DAS NATUAGAON, P.S.-MORIGAON, Dist.-Morigaon, State-ASSAM, Pin- 1311 782105 NHM/BDMA/ GAYATRI BABUL C/o-BABUL PHUKAN, H.No.-, Vill/Town-TINGRAI HABI GAON, P.O.- 65 2329 PHUKAN PHUKAN SRIPURIA, P.S.-TINSUKIA, Dist.-Tinsukia, State-Assam, Pin-786145 NHM/BDMA/ GEETAMONI C/o-Sri Gojen Doley, H.No.-638, Vill/Town-Tenpur, Word no-3, P.O.- 66 Sri Gojen Doley 3099 DOLEY Golaghat, P.S.-Golaghat, Dist.-Golaghat, State-Assam, Pin-785621 C/o-Gakul Das, H.No.-32, Vill/Town-KATHANIBARI, P.O.- NHM/BDMA/ 67 GOBINDA DAS GAKUL DAS THELAMARA, P.S.-THELAMARA, Dist.-Sonitpur, State-ASSAM, Pin- 2410 784149 NHM/BDMA/ GOBINDA SURENDRA C/o-SRIGOURI CHC, H.No.-SRIGOURI CHC, Vill/Town-SRIGOURI, P.O.- 68 1697 KALITA KALITA SRIGOURI, P.S.-BADARPUR, Dist.-Karimganj, State-ASSAM, Pin-788806

NHM/BDMA/ C/o-Hareswar Mali, H.No.-, Vill/Town-Sualkuchi Rajgarh road, P.O.- 69 Gopal Mali Hareswar Mali 3532 Sualkuchi, P.S.-Sualkuchi, Dist.-Kamrup Rural, State-Assam, Pin-781103 GUBINDA LATE NHM/BDMA/ C/o-LATE KINARAM BARUAH, H.No.-NIL, Vill/Town-MAJAJORI, P.O.- 70 PRASAD KINARAM 1296 MAJGAON, P.S.-JAJORI, Dist.-Nagaon, State-ASSAM, Pin-782142 BARUAH BARUAH C/o-TARUN BASUMATARY, H.No.-0, Vill/Town-PACHIM- NHM/BDMA/ GWJWN TARUN 71 BANGNABARI, P.O.-MUSHALPUR, P.S.-MUSHALPUR, Dist.-Baksa, 0965 BASUMATARY BASUMATARY State-ASSAM, Pin-781372 C/o-Ali Rahmat Laskar, H.No.-215, Vill/Town-Vill- Sonabarighat Part ii, NHM/BDMA/ H M Imdad Ali Rahmat 72 P.O.-Sonabarighat, P.S.-Silchar Sadar, Dist.-Cachar, State-Assam, Pin- 0027 Laskar Laskar 788013 MADAN C/o-MADAN CHANDRA DEKA, H.No.-149, Vill/Town-NO 2 NHM/BDMA/ HARAJYOTI 73 CHANDRA BHEBARGHAT KALITAPARA, P.O.-MANGALDAI, P.S.-MANGALDAI, 1204 DEKA DEKA Dist.-Darrang, State-ASSAM, Pin-784125 C/o-TAPAN KHANIKAR, H.No.-15, Vill/Town-BORBIL GAON, P.O.- NHM/BDMA/ HARI PRASAD TAPAN 74 RATANPUR MIRI, P.S.-JENGRAIMUKH, Dist.-Jorhat, State-ASSAM, Pin- 2689 KHANIKAR KHANIKAR 785105 HASANUZ C/o-HASNA BEGOM CHOUDHURY, H.No.-2, Vill/Town-RANGAUTI- NHM/BDMA/ LT-BABUR ALI 75 ZAMAN III, P.O.-RANGAUTI, P.S.-HAILAKANDI, Dist.-Hailakandi, State-ASSAM, 3361 CHOUDHURY CHOUDHURY Pin-788151 NHM/BDMA/ Siva Prasad C/o-Siva Prasad Boruah, H.No.-100, Vill/Town-Dewalia Gaon, P.O.- 76 Hemanta Boruah 1071 Boruah Gobindapur, P.S.-Dhakuakhana, Dist.-Lakhimpur, State-Assam, Pin-787055 C/o-KHAGEN DAS, H.No.-174, Vill/Town-MANAHKUCHI, P.O.- NHM/BDMA/ 77 HEMANTA DAS KHAGEN DAS MANAHKUCHI, P.S.-HAJO, Dist.-Kamrup Rural, State-ASSAM, Pin- 0436 781104 C/o-SUBHA KANTA HAZARIKA, H.No.-35, Vill/Town-BHUKTABARI, NHM/BDMA/ HIMANGSHU SUBHA KANTA 78 P.O.-SIPAJHAR, P.S.-SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin- 1385 HAZARIKA HAZARIKA 784145 NHM/BDMA/ HIMANGSHU KULENDRA CH C/o-KULENDRA CH NATH, H.No.-15, Vill/Town-Narengkati, P.O.- 79 3379 KUMAR NATH NATH Narengkati, P.S.-Dhekiajuli, Dist.-Sonitpur, State-Assam, Pin-784507 C/o-LATE MAHESH SARMA, H.No.-HNO 32, Vill/Town-GANESHPUR NHM/BDMA/ HIMASHREE LATE MAHESH 80 LALMATI, P.O.-BASISTHA, P.S.-BASISTHA, Dist.-Kamrup Metro, State- 1982 DEVI SARMA ASSAM, Pin-781029 NHM/BDMA/ Dhairjyendra Kr C/o-Dhairjyendra Kr Barua, H.No.-14, Vill/Town-Sajnavita Amguri, P.O.- 81 Hiranmay Barua 3249 Barua Boitamari, P.S.-Abhayapuri, Dist.-Bongaigaon, State-Assam, Pin-783389

NHM/BDMA/ BHUDHAR C/o-BHUDHAR DEKA, H.No.-17, Vill/Town-BONGAON, P.O.-RANGIA, 82 HIREN DEKA 0040 DEKA P.S.-RANGIA, Dist.-Kamrup Rural, State-ASSAM, Pin-781354

Page - 4 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No C/o-Late Hare Krishna Sharma, H.No.-12, Vill/Town-Rajib Nagar near 10th NHM/BDMA/ Late Hare 83 Hiron Sharma AP BN (Hqr.), Kahilipara, P.O.-Kahilipara, P.S.-Dispur, Dist.-Kamrup 2133 Krishna Sharma Metro, State-Assam, Pin-781019 C/o-BHUPEN KALITA, H.No.-TAKARADIA, Vill/Town-CHAYGAON, NHM/BDMA/ HITESH BHUPEN 84 P.O.-CHAYGAON, P.S.-CHAYGAON, Dist.-Kamrup Rural, State-Assam, 3399 KALITA KALITA Pin-781124 C/o-PRATAP CH TALUKDAR, H.No.-0, Vill/Town-ODALGURI, P.O.- NHM/BDMA/ HRISHIKESH PRATAP CH 85 ODALGURI, P.S.-PATACHARKUCHI, Dist.-Barpeta, State-ASSAM, Pin- 2154 TALUKDAR TALUKDAR 781325 C/o-LATE KRISHNA BORUAH., H.No.-, Vill/Town-HAHCHARA NHM/BDMA/ LATE KRISHNA 86 INTU BORUAH. KUJIBALI., P.O.-HAHCHARA (KUJIBALI)., P.S.-SIVASAGAR., Dist.- 2524 BORUAH. Sivasagar, State-ASSAM, Pin-785701 C/o-Smt. Parbati Deka, H.No.-, Vill/Town-Mangaldai College colony no 3rd, NHM/BDMA/ Late Ramesh Ch. 87 Jayanta Deka Upahupara, P.O.-Mangaldai, P.S.-Mangaldai, Dist.-Darrang, State-Assam, 0234 Deka Pin-784125 C/o-MANORANJAN ROY, H.No.-, Vill/Town-BARSADERI, P.O.- NHM/BDMA/ MANORANJAN 88 JAYANTA ROY BHOTANTA SADERI, P.S.-PATACHARKUCHI, Dist.-Barpeta, State- 1853 ROY ASSAM, Pin-781325 NHM/BDMA/ C/o-Gauranga dutta, H.No.-62, Vill/Town-Ghahigaon, P.O.-Ghahigaon, P.S.- 89 Jiban dutta Gauranga dutta 1695 Helam, Dist.-Sonitpur, State-Assam, Pin-784170 C/o-Dulu Moni Borah Hazarika, H.No.-R K Mission Complex, Vill/Town- NHM/BDMA/ JIMI MONI Late Jiban 90 Itanagar, P.O.-Ganga, P.S.-Itanagar, Dist.-Papumpare, State-Arunachal 1130 HAZARIKA Hazarika Pradesh, Pin-791111 C/o-Sadhan Kalita, H.No.-N/A, Vill/Town-Bormura Miri Pather Village, P.O.- NHM/BDMA/ JUNALI 91 Sadhan Kalita Saikhowa Ghat, P.S.-Saikhowa Ghat (Dholla), Dist.-Tinsukia, State-Assam, 0325 KALITA Pin-786154 NHM/BDMA/ Sushil Ch. C/o-Sushil Ch. Boruah, H.No.-, Vill/Town-Joysagar, P.O.-Joysagar, P.S.- 92 Juri Boruah 2322 Boruah Sivasagar, Dist.-Sivasagar, State-Assam, Pin-785665 NHM/BDMA/ JURI NABIN C/o-NABIN TALUKDAR, H.No.-120, Vill/Town-JAGARA, P.O.- 93 0798 TALUKDAR TALUKDAR JAGARA, P.S.-BELSOR, Dist.-Nalbari, State-ASSAM, Pin-781310 C/o-MR. DURLOV THAKURIA, H.No.-151, Vill/Town-GUWAHATI, P.O.- NHM/BDMA/ JUTI RANI DURLOV 94 KHANAPARA, P.S.-DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin- 1285 THAKURIA THAKURIA 781022 C/o-SUMAN RAJKHOWA, H.No.-152, Vill/Town-NIZ MOIDUMIA NHM/BDMA/ JYOTSNA SUMAN 95 GAON, P.O.-MOHANBARI, P.S.-LAHOWAL, Dist.-Dibrugarh, State- 2374 RAJKHOWA RAJKHOWA ASSAM, Pin-786012 NHM/BDMA/ Dewan Mamtaz C/o-Dewan Mamtaz Uddin Ahmed, H.No.-, Vill/Town-Agmandia, P.O.- 96 KABIR AHMED 0214 Uddin Ahmed Mandia, P.S.-Baghbar, Dist.-Barpeta, State-Assam, Pin-781308 SRI C/o-SRI KHANINDRA KR RAY, H.No.-270, Vill/Town-BARPARA NHM/BDMA/ 97 KAKALI RAY KHANINDRA (PAHARTULI), P.O.-BONGAIGAON, P.S.-BONGAIGAON, Dist.- 1258 KR RAY Bongaigaon, State-ASSAM, Pin-783380 KAMAL NHM/BDMA/ C/o-Kulen Tamuly, H.No.-221, Vill/Town-Chottahaibor, P.O.-Chottahaibor, 98 KUMAR Kulen Tamuly 3062 P.S.-Sadar, Dist.-Nagaon, State-Assam, Pin-782003 TAMULY KASHMIRI C/o-MR MANAN DAS, H.No.-18 B BASANTI BHAWAN, Vill/Town- NHM/BDMA/ MR AMRIT KR 99 BHUYAN GANAPATI NAGAR LALGANESH, P.O.-LALGANESH, P.S.- 2032 BHUYAN DUWARAH ODALBAKRA, Dist.-Kamrup Metro, State-ASSAM, Pin-781034 KHALID NHM/BDMA/ Abdul Mannan C/o-Abdul Mannan Laskar, H.No.-390, Vill/Town-Nitainagar Pt-III, P.O.- 100 AHMED 2378 Laskar Nitainagar, P.S.-Hailakandi, Dist.-Hailakandi, State-Assam, Pin-788155 LASKAR NHM/BDMA/ KOWSHIK Late Golok C/o-Mrs Ranima Baruah, H.No.-102, Vill/Town-Teok Chawdang Gaon, P.O.- 101 1359 BARUAH Baruah Teok, P.S.-Teok, Dist.-Jorhat, State-Assam, Pin-785112 NHM/BDMA/ C/o-Ardhendu deb, H.No.-83/11, Vill/Town-Subhasnagar ward 15, P.O.- 102 Krishanu dey Krishna dey 2968 Karimganj, P.S.-Karimganj, Dist.-Karimganj, State-Aasam, Pin-788710

Page - 5 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No C/o-GUNAKANTA THAKUR, H.No.-NA, Vill/Town-KAKOTIBARI, P.O.- NHM/BDMA/ KRISHNA GUNAKANTA 103 KAKOTIBARI, P.S.-KAKOTIBARI, Dist.-Sivasagar, State-ASSAM, Pin- 0209 THAKUR THAKUR 785691 NHM/BDMA/ KUMAR SANU C/o-ALARI BORO, H.No.-0, Vill/Town-NO 1 CHAIBARI, P.O.- 104 ALARI BORO 3344 BORO CHAIBARI, P.S.-BARBARI, Dist.-Baksa, State-ASSAM, Pin-781343 NHM/BDMA/ KUSHAL LATE BHUBAN C/o-LATE BHUBAN BORAH, H.No.-219, Vill/Town-MILANPUR, P.O.- 105 1196 BORAH BORAH BOKO, P.S.-BOKO, Dist.-Kamrup Rural, State-Assam, Pin-781123 C/o-MR. CHANDAN BARUAH, H.No.-10, Vill/Town-TIRUALBHETA NHM/BDMA/ LAKHI JYOTI MR. PRODIP 106 GAON, P.O.-NAKACHARI, P.S.-MARIANI, Dist.-Jorhat, State-ASSAM, 2606 GOGOI GOGOI Pin-785635 NHM/BDMA/ LAKHYA JEET Surya kanta C/o-Surya kanta Gohain, H.No.-No, Vill/Town-Santapur, P.O.-Laholial, P.S.- 107 1413 GOHAIN Gohain Bihpuria, Dist.-Lakhimpur, State-Assam, Pin-784161 NHM/BDMA/ Late Tridash C/o-Sri Gunjalata Pathak, H.No.-, Vill/Town-Charangbari, P.O.-Tamulpur, 108 Lipika Pathak 1769 Pathak P.S.-Tamulpur, Dist.-Baksa, State-Assam, Pin-781367 PARITOSH C/o-JOINT DIRECTOR OF HEALTH SERVICES, KARIMGANJ, H.No.-0, NHM/BDMA/ 109 LITON SARKAR CHANDRA Vill/Town-KARIMGANJ, P.O.-KARIMGANJ, P.S.-KARIMGANJ, Dist.- 0342 SARKAR Karimganj, State-ASSAM, Pin-788710 NHM/BDMA/ Mahanta Kumar Ananta Kumar C/o-Ananta Kumar Roy, H.No.-202, Vill/Town-Singimari, P.O.-Saktiashram, 110 0022 Roy Roy P.S.-Fakiragram, Dist.-Kokrajhar, State-Assam, Pin-783354 C/o-LILA KANTA PHUKON, H.No.-135, Vill/Town-PADUMONI NHM/BDMA/ MANASH LILA KANTA 111 CHETIA GAON, P.O.-SELENGHAT, P.S.-TEOK, Dist.-Jorhat, State- 2153 JYOTI PHUKON PHUKON ASSAM, Pin-785636 C/o-DILIP DAS, H.No.-, Vill/Town-TITKA, WARD NO 8, NEAR NHM/BDMA/ MANOJ GIRINDRA 112 RAILWAY STATION, PATHSALA, P.O.-PATHSALA, P.S.- 2933 KUMAR DAS NATH DAS PATACHARKUCHI, Dist.-Barpeta, State-ASSAM, Pin-781325 C/o-MR. RUPAK MAHANTA, H.No.-97, Vill/Town-GARAL, LATE NHM/BDMA/ MEGHAMITA KUHABARI, NEAR AMBARI KUHABARI L.P. SCHOOL, P.O.- 113 BALENDRA 2947 KALITA BHATTAPARA, P.S.-AZARA, Dist.-Kamrup Metro, State-ASSAM, Pin- NARAYAN DAS 781017 C/o-BASHIR KHAN, H.No.-775, Vill/Town-NAHARKATIA, NEW NHM/BDMA/ 114 MERAJ KHAN BASHIR KHAN COLONY, WARD NO. 3, P.O.-NAHARKATIA, P.S.-NAHARKATIA, 0588 Dist.-Dibrugarh, State-ASSAM, Pin-786610 C/o-Dr. G.C. Brahma, District TB Officer, RNTCP, Udalguri., H.No.-, NHM/BDMA/ MICHAEL BENEDICT 115 Vill/Town-District TB Centre, RNTCP, Udalguri, BPHC Campus Udalguri., 0263 KANDULNA KANDULNA P.O.-Udalguri, P.S.-Udalguri, Dist.-Udalguri, State-ASSAM, Pin-784509 NHM/BDMA/ MIRAJUBUL C/o-Babul Hussain, H.No.-86, Vill/Town-Kalipara, P.O.-Gobardhanpara, 116 Babul Hussain 1013 HUSSAIN P.S.-Bilasipara, Dist.-Dhubri, State-Assam, Pin-783348 C/o-Mr Jayanta Kalita, H.No.-Krishi Vigyan Kendra Kamrup, Vill/Town- NHM/BDMA/ MITALI 117 sri dilip sarmah AAU Kahikuchi campus, P.O.-Azara, P.S.-Azara, Dist.-Kamrup Metro, State- 2211 SARMAH Assam, Pin-781017 MIZANUR MD KHOLILUR C/o-MD KHOLILUR RAHMAN MONDAL, H.No.-32, Vill/Town- NHM/BDMA/ 118 ROHMAN RAHMAN BANGALJHAR, P.O.-BASHBARI, P.S.-BAGUAN, Dist.-Goalpara, State- 1587 MONDAL MONDAL ASSAM, Pin-783129 C/o-khasnur ahmed, H.No.-ward no -4,NT ROAD,RANGIA TOWN, NHM/BDMA/ MOBINUR 119 khasnur ahmed Vill/Town-RANGIA, P.O.-RANGIA, P.S.-RANGIA, Dist.-Kamrup Rural, 2025 AHMED State-ASSAM, Pin-781354 C/o-SYED NAZRUL ISLAM, H.No.-188, Vill/Town-NIZ KAURBAHA, NHM/BDMA/ MOKHTARUL SYED NAZRUL 120 P.O.-BARGHULI, P.S.-TAMULPUR, Dist.-Baksa, State-ASSAM, Pin- 2222 ISLAM ISLAM 781354 C/o-DHRUBA JYOTI DUTTA, H.No.-94, Vill/Town-GARAKUSH, P.O.- NHM/BDMA/ MOMI NEOG LATE SUMBAR 121 PHULPANICHIGA, P.S.-GAURISAGAR, Dist.-Sivasagar, State-ASSAM, 1422 DUTTA NEOG Pin-785683 NHM/BDMA/ C/o-Anil Borah, H.No.-21, Vill/Town-Pachim Laluk, P.O.-Laluk, P.S.-Laluk, 122 MONUJ BORAH Anil Borah 0547 Dist.-Lakhimpur, State-Assam, Pin-784160

Page - 6 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No C/o-Abu Zafor Ahmed, H.No.-N/A, Vill/Town-Fekamari Part-1 (Dayar NHM/BDMA/ MOSTAQUE Abu Zafor 123 Char), P.O.-Fekamari, P.S.-South Salmara, Dist.-Dhubri, State-Assam, Pin- 1141 AHMED Ahmed 783135 C/o-MUNNALAL KANOO, H.No.-COMMERCIAL MANAGER, NHM/BDMA/ MRINAL KANTI MUNNALAL 124 Vill/Town-DULLABCHERRA TEA ESTATE, P.O.-DULLABCHERRA, 2306 KANOO KANOO P.S.-RATABARI, Dist.-Karimganj, State-ASSAM, Pin-788736 MUKANDA C/o-BHADRESHWAR GOGOI, H.No.-B11, Vill/Town-TIRUAL BHETA NHM/BDMA/ BHADRESHWA 125 MADHAB GAON, P.O.-NAKACHARI, P.S.-MARIANI, Dist.-Jorhat, State-ASSAM, 3445 R GOGOI GOGOI Pin-785635 RAM C/o-HEMA KANTA NATH, H.No.-SANKARDEV NETRALAYA NHM/BDMA/ MUKESH 126 SHANKAR BUILDING, Vill/Town-LDS ROAD, GARWANPATTY, TEZPUR, P.O.- 3366 BASFORE BASFORE TEZPUR, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-784001 C/o-Keshab Sarma, H.No.-14, Vill/Town-Guwahati-28, Beltola , NHM/BDMA/ 127 MUNMI DEVI Tarun Sarma Bhagaduttapur, Rupalim Path, P.O.-Beltola, P.S.-Dispur, Dist.-Kamrup 1965 Metro, State-Assam, Pin-781028 C/o-DULAL DUTTA, H.No.-50, Vill/Town-GOPALPUR, P.O.- NHM/BDMA/ MUNMI DEBEN 128 GHILAMARA, P.S.-GHILAMARA, Dist.-Lakhimpur, State-ASSAM, Pin- 1566 PHUKAN PHUKAN 787053 NHM/BDMA/ NAWEED KHAIRUDDIN C/o-KHAIRUDDIN AHMED, H.No.-63, Vill/Town-ADKHIKARI, P.O.- 129 2848 ANZUM ILAHI AHMED RAJGHAT, P.S.-MANGALDAI, Dist.-Darrang, State-Assam, Pin-784529

NHM/BDMA/ C/o-Shri Shri MadhabDev Satra,Amguri, H.No.-, Vill/Town-Amguri, P.O.- 130 NAYAN DAS SUREN DAS 0212 Boitamari, P.S.-Abhayapuri, Dist.-Bongaigaon, State-Assam, Pin-783389 NAYAN C/o-Nagendra Nath Goswami, H.No.-13, Vill/Town-Gosaibari, Beltola, NHM/BDMA/ Nagendra Nath 131 KUMAR Guwahati, P.O.-Beltola, P.S.-Basistha, Dist.-Kamrup Metro, State-Assam, Pin- 3420 Goswami GOSWAMI 781028 NHM/BDMA/ NAYAN MONI TARUN C/o-Mr. Tarun Kalita., H.No.-61, Vill/Town-Sikarhati (Behenapara), P.O.- 132 2831 KALITA KALITA Sikarhati, P.S.-Palashbari, Dist.-Kamrup Rural, State-Assam, Pin-781125 C/o-BIPIN SARMAH, H.No.-58, Vill/Town-SONARIGAON, P.O.- NHM/BDMA/ NAYAN MONI 133 BIPIN SARMAH MORIGAON, P.S.-MORIGAON, Dist.-Morigaon, State-ASSAM, Pin- 2170 SARMAH 782105 SIBENDRA C/o-SIBENDRA NATH PRODHANI, H.No.-NA, Vill/Town-BELGURI NHM/BDMA/ NIL KAMAL 134 NATH PART II, P.O.-RATIADAHA, P.S.-AGOMANI, Dist.-Dhubri, State- 3209 PRODHANI PRODHANI ASSAM, Pin-783334 NHM/BDMA/ Dinabandhu C/o-Dinabandhu Barman, H.No.-, Vill/Town-Amriklhowa, P.O.-Amrikhowa, 135 Nipan Barman 3269 barman P.S.-sarthebari, Dist.-Barpeta, State-Assam, Pin-781307 NHM/BDMA/ C/o-Balen Kalita, H.No.-.., Vill/Town-Choudhurypara Kokjhar, P.O.-Mirza, 136 Nipan Kalita Balen Kalita 1306 P.S.-Palashbari, Dist.-Kamrup Rural, State-Assasm, Pin-781125 C/o-MR. DWIJEN SARMA, H.No.-NIL, Vill/Town-BARKHETRIBARNI, NHM/BDMA/ DWIJEN 137 NIPUL SARMA P.O.-BANAGRAM, P.S.-BELSOR, Dist.-Nalbari, State-ASSAM, Pin- 3283 SARMA 781303 C/o-TARANI KALITA, H.No.-, Vill/Town-MAZGAON, P.O.- NHM/BDMA/ NISHAD TARANI 138 PINGALESWAR, P.S.-BAIHATA CHARIALI, Dist.-Kamrup Rural, State- 3187 KALITA KALITA Assam, Pin-781381 NHM/BDMA/ C/o-Lalit sarma, H.No.-N/a, Vill/Town-Badalgaon, P.O.-Nonoi, P.S.-Sadar, 139 Nupur Sarmah Lalit sarma 3605 Dist.-Nagaon, State-Assam, Pin-782101 NHM/BDMA/ PALLABI C/o-Mr.Roma Borah, H.No.-, Vill/Town-Dhanudharia, P.O.-Panigaon, P.S.- 140 Roma Borah 1661 BORAH Panigaon, Dist.-Lakhimpur, State-Assam, Pin-787052 C/o-Mr.Pompy Sharma, H.No.-NA, Vill/Town-Lachit nagar ,near B G road , NHM/BDMA/ Late Khirud 141 Pallabi Buraghain sivasagar, P.O.-Sivasagar, P.S.-Sivasagar, Dist.-Sivasagar, State-ASSAM, Pin- 3002 Buragohain 785640 C/o-Bhupen Borgohain, H.No.-3, Vill/Town-Milanpur Tiniali,Harimandir NHM/BDMA/ Sri Prafulla 142 Pallabika Gogoi Path,Chandmari, P.O.-Bamunimaidam, P.S.-Chandmari, Dist.-Kamrup Metro, 3127 Gogoi State-Assam, Pin-781021

Page - 7 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No NHM/BDMA/ Panchanan C/o-Ramani Bordoloi, H.No.-14, Vill/Town-Gereki Chuk, P.O.-Sologuri, 143 Ramani Bordoloi 0718 Sharma Bordoloi P.S.-Jamuguri, Dist.-Sonitpur, State-Assam, Pin-784180 NHM/BDMA/ Parag Jyoti Late S. C. C/o-Late S. C. Hazarika, H.No.-NA, Vill/Town-Jorhat, P.O.-Jorhat, P.S.- 144 2635 Hazarika Hazarika Jorhat, Dist.-Jorhat, State-Assam, Pin-785001 C/o-BHOLA KALITA, H.No.-32, Vill/Town-DHEKIAL KUMAR GAON, NHM/BDMA/ PARAG JYOTI BHOLA 145 P.O.-DHEKIAL, P.S.-GOLAGHAT, Dist.-Golaghat, State-ASSAM, Pin- 0577 KALITA KOLITA 785622 PARAKRAM ARUN C/o-ARUN CHANDRA BARUAH, H.No.-1, Vill/Town-GUWAHATI, P.O.- NHM/BDMA/ 146 CHANDRA CHANDRA SILPUKHURI, P.S.-CHANDMARI, Dist.-Kamrup Metro, State-ASSAM, 2761 BARUAH BARUAH Pin-781003 NHM/BDMA/ Pingku Dharmeswar C/o-Dharmeswar Basumatary, H.No.-244, Vill/Town-Balajan Tinali, P.O.- 147 0477 Basumatary Basumatary Haltugaon, P.S.-Kokrajhar, Dist.-Kokrajhar, State-Assam, Pin-783370 C/o-PRODIP MORAN, H.No.-RUPAI SIDING, Vill/Town-BIJOY NAGAR, NHM/BDMA/ PODUMI BIRASWAR 148 P.O.-RUPAI SIDING, P.S.-DOOMDOOMA, Dist.-Tinsukia, State-ASSAM, 2782 MORAN MORAN Pin-786153 NHM/BDMA/ PRANAB JYOTI Sri Dhaneswar C/o-Sri Dhaneswar Baishya, H.No.-121, Vill/Town-Bishnupur New Market, 149 0262 BAISHYA Baishya P.O.-Hajo, P.S.-Hajo, Dist.-Kamrup Rural, State-Assam, Pin-781102 C/o-SARBESWAR HAZARIKA, H.No.-NA, Vill/Town-BENGENA ATI NHM/BDMA/ PRANABJYOTI SARBESWAR 150 SATRA, P.O.-BENGENA ATI SATRA, P.S.-KAMALABARI, Dist.-Jorhat, 0195 HAZARIKA HAZARIKA State-ASSAM, Pin-784001 C/o-Ranjit Kumar Das, Near- Rangapara Bengali LP School No 02, H.No.- NHM/BDMA/ Pritam Chandra Pradip Chandra 151 156, Vill/Town-Rangapara, P.O.-Rangapara, P.S.-Rangapara, Dist.-Sonitpur, 1516 Sarker Sarker State-Assam, Pin-784505 C/o-HARISH SARMA, H.No.-91, Vill/Town-VILL- NHM/BDMA/ RAJ KUMAR HARISH 152 METUAKUCHI,SANTINAGAR, P.O.-SANTINAGAR, P.S.-BARPETA, 0082 SARMA SARMA Dist.-Barpeta, State-Assam, Pin-781314 NHM/BDMA/ RAJDEEP BHUPEN C/o-BHUPEN BORAH, H.No.-72, Vill/Town-DIPOTA, P.O.-DIPOTA, P.S.- 153 0422 BORAH BORAH TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-784150 NHM/BDMA/ Ramanuj C/o-Nandan Orthopedics, H.No.-, Vill/Town-Masjid Road, P.O.-Lumding, 154 Rajdeep Dasgupta 2000 Dasgupta P.S.-Lumding, Dist.-Nagaon, State-Assam, Pin-782447 NHM/BDMA/ Mr Mahendra C/o-Mahendra Baruah, H.No.-10, Vill/Town-Tipamor baat, Ganeshnagar,, 155 Rakesh Baruah 2890 Baruah P.O.-Basistha, P.S.-Basistha, Dist.-Kamrup Metro, State-Assam, Pin-781029 C/o-BHABEN DEKA, H.No.-22, Vill/Town-DIBRUGARH, P.O.- NHM/BDMA/ 156 RANJAN DEKA BHABEN DEKA DIBRUGARH, P.S.-DIBRUGARH, Dist.-Dibrugarh, State-ASSAM, Pin- 3091 786001 NHM/BDMA/ RASHIFUL C/o-Mahujal Hoque, H.No.-15, Vill/Town-Char Bari, P.O.-Puran Diara, P.S.- 157 Mahujal Hoque 1621 ISLAM Mankachar, Dist.-Dhubri, State-Assam, Pin-783135 C/o-SRI CHANDRA BORA, H.No.-17, Vill/Town-DIPHALU, P.O.- NHM/BDMA/ SRI CHANDRA 158 RASHMI BORA ITACHALI, P.S.-NAGAON SADAR, Dist.-Nagaon, State-ASSAM, Pin- 3203 BORA 782003 C/o-ABDUR ROFIQUE, H.No.-99, Vill/Town-BARTHAL NHM/BDMA/ REZUANUL ABDUR 159 KACHARIGAON, P.O.-DOLOIGAON, P.S.-MOIRABARI, Dist.-Morigaon, 2820 AHMED ROFIQUE State-ASSAM, Pin-782126 C/o-ATUL RAJBONGSHI, H.No.-76, Vill/Town-KALYANI NAGAR, NHM/BDMA/ RINKU ATUL 160 KAHILIPARA , H.NO -76, P.O.-GANESHTURNING, P.S.-DISPUR, Dist.- 2722 RAJBONGSHI RAJBONGSHI Kamrup Metro, State-ASSAM, Pin-781019 NHM/BDMA/ C/o-BIMAL TASSA, H.No.-49, Vill/Town-PADUMONI GAON, P.O.- 161 RINKU TASSA BIMAL TASSA 2513 BORGURI, P.S.-GUIJAN, Dist.-Tinsukia, State-ASSAM, Pin-786126 C/o-RAJEN NEOG, H.No.-2, Vill/Town-MALOWALI BYE PASS NHM/BDMA/ RITA MONI 162 RAJEN NEOG CHARIALI, P.O.-DHEKORGORAH, P.S.-JORHAT, Dist.-Jorhat, State- 1848 NEOG ASSAM, Pin-785001 C/o-HALI RAM BORAH, H.No.-32, Vill/Town-KAMPUR, NHM/BDMA/ RITU MANI HALI RAM 163 PUKHURIPAR,WARD NO-3, P.O.-KAMPUR, P.S.-KAMPUR, Dist.- 1898 BORAH BORAH Nagaon, State-ASSAM, Pin-782426

Page - 8 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No NHM/BDMA/ C/o-Pradip Kumar Das, H.No.-23, Vill/Town-Rukminigaon, P.O.-Khanapara, 164 Rizwan Ahmed Lukman Ahmed 0823 P.S.-Dispur, Dist.-Kamrup Metro, State-Assam, Pin-781022 C/o-ARDOSH ALI, H.No.-152, Vill/Town-KARBALA, P.O.- NHM/BDMA/ 165 ROHIM ALI ARDOSH ALI GOBINDAPUR, P.S.-GOALPARA, Dist.-Goalpara, State-ASSAM, Pin- 2173 783101 NHM/BDMA/ C/o-Rajgarh CHC, Rajgarh, H.No.-3, Vill/Town-Rajgarh, P.O.-Rajgarh, P.S.- 166 ROIS UDDIN Late. Noor Uddin 2376 Rajgarh, Dist.-Dibrugarh, State-Assam, Pin-786611 C/o-District Medical Store, under o/o the Joint Director of Health Services, NHM/BDMA/ RUDISH KR 167 NABIN MILI Dhemaji, H.No.-, Vill/Town-Dhemaji Tiniali, P.O.-Dhemaji, P.S.-Dhemaji, 2067 MILI Dist.-Dhemaji, State-Assam, Pin-787057 NHM/BDMA/ C/o-Mr Dimbeswar Kalita, H.No.-749, Vill/Town-Azara Gosaipara, P.O.- 168 RUNU DAS Ratneswar Das 0768 Azara, P.S.-Azara, Dist.-Kamrup Metro, State-Assam, Pin-781017 RUPAM NHM/BDMA/ Sri Ananda Ram C/o-Sri Ananda Ram Borah, H.No.-, Vill/Town-Namgarumora Gaon, P.O.- 169 KUMAR 1654 Borah Garumora, P.S.-Pulibor, Dist.-Jorhat, State-Assam, Pin-785703 BORAH C/o-DR. M.A. ALI KHANDAKAR, H.No.-12, Vill/Town- NHM/BDMA/ RUPJYOTI RAMCHANDRA MULAGABHARU PATH, NEAR RAJDHANI MASJID, GUWAHATI, 170 3395 TALUKDAR TALUKDAR P.O.-ASSAM SECRETERIAT, P.S.-DISPUR, Dist.-Kamrup Metro, State- ASSAM, Pin-781006 SAFAZUL C/o-MAYAZUL HOQUE LASKAR, H.No.-39, Vill/Town-KALINAGAR NHM/BDMA/ LATE HASAN 171 HOQUE PT VIII, P.O.-KALINAGAR, P.S.-PANCHGRAM, Dist.-Hailakandi, State- 3451 ALI LASKAR LASKAR ASSAM, Pin-788801 C/o-SRI.DIMBESWAR SHARMA., H.No.-N/A, Vill/Town- NHM/BDMA/ SAGAR SRI.DIMBESWA 172 PATALARCHUK, P.O.-JAMUGURIHAT, P.S.-JAMUGURIHAT, Dist.- 3364 SHARMA R SHARMA. Sonitpur, State-ASSAM, Pin-784180 NHM/BDMA/ C/o-Abdur Rahman, H.No.-53(k), Vill/Town-Durahati, P.O.-Tisterpar, P.S.- 173 Sajidur Rahman Abdur Rahman 1633 Dhubri, Dist.-Dhubri, State-Assam, Pin-783324 C/o-Self, H.No.-N.A., Vill/Town-JB ROAD. (NEAR DISHA SWEETS) NHM/BDMA/ SAMIUR Lt. Safiqur 174 JORHAT, P.O.-JORHAT, P.S.-JORHAT SADAR POLICE STATION, Dist.- 2064 RAHMAN Rahman Jorhat, State-ASSAM, Pin-785001 NHM/BDMA/ Pramesh Kumar C/o-Dr. P.K. Sarma, Ram Krishna Road, Itachali, H.No.-279, Vill/Town- 175 Sandeepan Sarma 0908 Sarma Nagaon, P.O.-Nagaon, P.S.-Nagaon, Dist.-Nagaon, State-Assam, Pin-782001

NHM/BDMA/ C/o-JAGANNATH DAS, H.No.-523, Vill/Town-KALAYAHATI, P.O.- 176 SANJAY DAS Jagannath Das 2259 SUNDARIDIA, P.S.-BARPETA, Dist.-Barpeta, State-ASSAM, Pin-781314

NHM/BDMA/ C/o-Ranjit Borah, H.No.-nil, Vill/Town-1no Banhbari goan, P.O.-Kalakhowa 177 Saurav Borah Ranjit Borah 0493 Chari ali, P.S.-Borboruah, Dist.-Dibrugarh, State-Assam, Pin-786007 NHM/BDMA/ C/o-jaya prava talukdar, H.No.-, Vill/Town-irrigation colony, P.O.-barpeta 178 saurav pratim das lt. ajit kumar das 3538 road, P.S.-barpeta road, Dist.-Barpeta, State-assam, Pin-781315 SAZAD C/o-AZIZUR ROHMAN, H.No.-177, HOBIBUR ROHMAN PATH, WARD NHM/BDMA/ AZIZUR 179 AMINUR NO-09, Vill/Town-NAZIRA, P.O.-NAZIRA, P.S.-NAZIRA, Dist.-Sivasagar, 0475 ROHMAN ROHMAN State-ASSAM, Pin-785685 C/o-S Abdullah Flat No 2 1st floor Concord Apartment B Block Near Haji NHM/BDMA/ Shafqat Mujtaba Musaddique 180 Musafir Khana, H.No.-Flat No 2, Vill/Town-Ulubari, P.O.-Ulubari, P.S.- 0205 Hussain Hussain Paltan Bazar, Dist.-Kamrup Metro, State-Assam, Pin-781007 NHM/BDMA/ SHAHIDUZ LATE GULAM C/o-NAZNIN ARA BEGUM, H.No.-5, Vill/Town-BANDAR MELA, P.O.- 181 3572 ZAMAN KIBRIA CHARING, P.S.-MURAZAR, Dist.-Nagaon, State-ASSAM, Pin-782439 C/o-ANOWAR HUSSAIN, H.No.-126, Vill/Town-SOUTH SALMARA, NHM/BDMA/ SHAMIM ANOWAR 182 P.O.-SOUTH SALMARA, P.S.-SOUTH SALMARA, Dist.-Dhubri, State- 2141 PARVEZ HUSSAIN ASSAM, Pin-783127 C/o-DISTRICT DRUGS STORE,UDALGURI, H.No.-, Vill/Town- NHM/BDMA/ SHIV RAJ Mr Bijoy 183 UDALGURI, P.O.-UDALGURI, P.S.-UDALGURI, Dist.-Udalguri, State- 0223 KHAKHLARY Khakhlary ASSAM, Pin-784509

Page - 9 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No LATE C/o-LATE LAKHIDHAR KALITA, H.No.-102, Vill/Town- NHM/BDMA/ 184 SIMA KALITA LAKHIDHAR CHAKARIGAON, P.O.-DIMORUGURI, P.S.-SADAR, Dist.-Nagaon, State- 3391 KALITA ASSAM, Pin-782003 C/o-GHANA KANTA MEDHI, H.No.-0, Vill/Town-ODULGURI, P.O.- NHM/BDMA/ SIMANTA LT GHANA 185 ODULGURI, P.S.-PATACHARKUCHI, Dist.-Barpeta, State-ASSAM, Pin- 3118 MEDHI KANTA MEDHI 781325 SRI ANJAN C/o-SRI DULESWAR BHUYAN, H.No.-RAIDONGIA, Vill/Town- NHM/BDMA/ SRI DULESWAR 186 JYOTI RAIDONGIA, P.O.-AIBHETI, P.S.-JAJORI, Dist.-Nagaon, State-ASSAM, 1363 BHUYAN BHUYAN Pin-782002 C/o-Mr. Pranab Bhatta, H.No.-1, Vill/Town-Chring Chapori Santoshi Maa NHM/BDMA/ 187 Subrat Sharma Gopal Sharma Path, P.O.-Dibrugarh, P.S.-Dibrugarh, Dist.-Dibrugarh, State-Assam, Pin- 2088 786001 NHM/BDMA/ Late. Marius C/o-Late. Marius Soreng, H.No.-349, Vill/Town-Ward No. 1, Dhekiajuli, 188 SUJIT SORENG 0834 Soreng P.O.-Dhekiajuli, P.S.-Dhekiajuli, Dist.-Sonitpur, State-Assam, Pin-784110 C/o-GAKUL CHANDRA HAZARIKA, H.No.-28 LUIT PATH NARBAM GAKUL NHM/BDMA/ SUJOY BORSAJAI LAKHIMANDIR PATH, Vill/Town-GUWAHATI LALMATI 189 CHANDRA 1746 HAZARIKA BASISTHA, P.O.-BASISTHA, P.S.-BASISTHA, Dist.-Kamrup Metro, State- HAZARIKA 781029, Pin-781029 C/o-RATUL BHUYAN, H.No.-NA, Vill/Town-VILL-SIRAJULI SATRA, NHM/BDMA/ LOKNATH 190 SUMI MEDHI P.O.-PO-DHEKIAJULI, P.S.-DHEKIAJULI, Dist.-Sonitpur, State-Assam, 2061 MEDHI Pin-784110 C/o-DHIRENDRA NATH GOGOI, H.No.-1, Vill/Town-BORDOBA NHM/BDMA/ DHIRENDRA 191 SUMIT GOGOI SESSAPUKHURI GAON, P.O.-BOTAMORA, P.S.-MORANHAT, Dist.- 3039 NATH GOGOI Sivasagar, State-ASSAM, Pin-785670 NHM/BDMA/ SUNMONI LT KHOGEN C/o-BIDYUT HAZARIKA, H.No.-75, Vill/Town-NAGAKATA BOLOMIA, 192 2147 GOGOI GOGOI P.O.-BORHAT, P.S.-BORHAT, Dist.-Sivasagar, State-ASSAM, Pin-785693 C/o-DEN COMPUTERS, H.No.-VN COLONY, Vill/Town-UTTAR NHM/BDMA/ SURAJ SONTU 193 KAMAKHYAGURI, P.O.-KAMAKHYAGURI, P.S.-KUMARGRAM, Dist.- 1054 SARKAR SARKAR ALIPURDUAR, State-WEST BENGAL, Pin-736202 SURAJIT NHM/BDMA/ C/o-Deben Ch. Bordoloi, H.No.-226, Vill/Town-Nepalipatty Bamungaon, 194 SARMA Deben Bordoloi 1029 P.O.-Tezpur, P.S.-Tezpur, Dist.-Sonitpur, State-Assam, Pin-784001 BORDOLOI C/o-Syed Faizur Rahman, H.No.-Near Ketekibari L.P. School, Vill/Town- NHM/BDMA/ SYED MAIDUL 195 Lt Hasmat Ali Ketekibari, P.O.-Baramboi, P.S.-Hajo, Dist.-Kamrup Rural, State-Assam, Pin- 2219 ISLAM 781104 TAFAJUL LATE-FAIZ C/o-LT-FAIZ UDDIN LASKAR, H.No.-237, Vill/Town-UTTAR NHM/BDMA/ 196 HUSSAIN UDDIN JASNABADE PART-II, P.O.-LALAMUKH, P.S.-LALA, Dist.-Hailakandi, 1371 LASKAR LASKAR State-ASSSAM, Pin-788163 NHM/BDMA/ C/o-Jogen kalita, H.No.-38, Vill/Town-Balagaon, P.O.-Choudhurikhat, P.S.- 197 Tankeswar kalita Jogen kalita 1721 Chhaygaon, Dist.-Kamrup Rural, State-Assam, Pin-781141 C/o-TAMIZUDDIN AHMED, H.No.-376, Vill/Town-MANGALDAI NHM/BDMA/ TAZRUBA TAMIZUDDIN 198 GAON, P.O.-MANGALDAI, P.S.-MANGALDAI, Dist.-Darrang, State- 1776 BEGUM AHMED ASSAM, Pin-784125 C/o-BANI KANTA DEKA, H.No.-166, Vill/Town-KHUDRASANKARA, NHM/BDMA/ BANI KANTA 199 TRIDIP DEKA P.O.-GOPALTHAN, P.S.-NALBARI, Dist.-Nalbari, State-assam, Pin- 2243 DEKA 781334 NHM/BDMA/ Phulendra Nath C/o-Phulendra Nath Kalita, H.No.-, Vill/Town-Kathalmuri, P.O.-Baghmara 200 Tridip Kalita 2926 Kalita Bazar, P.S.-Patacharkuchi, Dist.-Barpeta, State-Assam, Pin-781328 TUMONI C/o-BIMALA DEKA, H.No.-2, Vill/Town-GUWAHATI, P.O.- NHM/BDMA/ ANIL GOHAIN 201 GOHAIN KAHILIPARA, P.S.-BHAGADUTTAPUR, Dist.-Kamrup Metro, State- 0535 BARUAH BARUAH ASSAM, Pin-781019 NHM/BDMA/ Mr.Bhuban Ch C/o-Mr. Bhuban Ch[ Kalita, H.No.-, Vill/Town-Gopalur, P.O.-Gopalpur, P.S.- 202 Ugreswar Kalita 2509 Kalita Rangia, Dist.-Kamrup Rural, State-Assam, Pin-781354

Page - 10 Provisionally shortlisted candidates for Skill based Competency Assessment Test for the Post of Block Data Manager under NHM, Assam Date of Skill based Competency Assessment Test : 16/09/2018 Time of Skill based Competency Assessment Test : 10:00 AM to 12:00 Noon (Reporting Time - 9:30 AM) Venue : Dispur Higher Secondary School, Dispur, Guwahati Sl Regd. ID/ Candidate Name Father Name Address No. Roll No C/o-KULEN SARMAH, H.No.-21, Vill/Town-KHOIRABARI, P.O.- NHM/BDMA/ UTPAL KULEN 203 KHOIRABARI, P.S.-KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin- 1692 SARMAH SARMAH 784522 TARUN C/o-TARUN CHANDRA NATH, H.No.-212, Vill/Town-MAYENGIA, P.O.- NHM/BDMA/ 204 UTPALA DEVI CHANDRA CHARAIBAHI, P.S.-MIKIRBHETA, Dist.-Morigaon, State-ASSAM, Pin- 1345 NATH 782106 NHM/BDMA/ C/o-Md Nasib Ali, H.No.-NA, Vill/Town-Kakojan AT Road, P.O.-Kakojan, 205 Wahid Ali Md Nasib Ali 0799 P.S.-TEOK, Dist.-Jorhat, State-Assam, Pin-785107 C/o-ABDUL BAREQUE, H.No.-122, Vill/Town-BOWALGURI, P.O.- NHM/BDMA/ ZEHIRUL ABDUL 206 GORAIMARI, P.S.-LAHARIGHAT, Dist.-Morigaon, State-ASSAM, Pin- 0623 ISLAM BAREQUE 782104

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