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.