195

PART-I ]

THE ASSAM GAZETTE, APRIL 24, 2024

The Assam Gazette

PUBLISHED BY THE AUTHORITY

Contents

Registered No.-768/97

PAGES

2024,

1946 (

)

No.17

Dispur,

Wednesday,

24th April, 2024,

4th Vaisakha,

1946 (S.E.)

Separate paging is given to Part-I, II (A) and II (B) in order that it may be filed as a separate compilation.

Part-I-

Appointments, Postings, Transfers, Powers, Leaves and

195 - 196

other Personnel Notices.

Part-II (A)

Resolutions, Regulations, Orders, Notifications etc. issued

197-198

by the State Government and Heads of the Department.

Part-IX-

Advertisement and Notices by Government Offices and

181-186

Public Bodies.

196

THE ASSAM GAZETTE, APRIL 24, 2024

[ PART-I

NOTIFICATIONS

The 5th April, 2024

NARAYAN KONWAR,

Secretary to the Government of Assam,

Department of School Education.

eCF No. 462555/77.- In partial modification to this Department's earlier Govt Notification No. eCF-

256222/326 dated 13th March, 2024 and in the interest of public service, the place of posting in respect of

Baharul Islam is hereby modified and re-posted as Block Elementary Education Officer (BEEO) at Patherkandi

Education Block of Dist. Karimganj vice Biswajit Dey, BEEO transferred.

eCE No. 462555177-A.- In the interest of public service and as per latest guidelines of Election

Commission of India for ensuing Lok Sabha Election, 2024, Biswajit Dey, Block Elementary Education

Officer (BEEO), Patherkandi Education Block of Dist. Karimganj is hereby transferred and posted as

BEEO, South Salmara Education Block, Dist. South Salmara/ Mankachar in the same capacity with effect

from the date of taking over the charge against the existing vacant post.

This has been issued as per approval of Chief Electoral Officer (CEO), Assam.

The 16th March, 2024

eCF No. 65431/810.- In exercise of the powers conferred by Rule 13 of the Assam Engineering

(PWD) Service Rules, 1978 and as amended from time to time, the Governor of Assam is pleased to

approve the Select List of the officers in the rank of Executive Engineer (Civil) under common cadre of

PWRD & PWD (Bldg. & NH) for promotion to the rank of Superintending Engineer (C), PWD (common

cadre), as per recommendation of the Selection Board Meeting held on 15th March, 2024 in order of

preference as indicated below, subject to completion of other necessary formalities.

Name of the officer recommended for promotion against the vacancies of 2024:

Sl. No.

Name of Officer

Categorized as Class

Md. Rahul Amin

Class-A

Smti. Nabanita Das

Class-A

Sri Shyamanta Kumar Baruah

Class-A

Sri Bishnu Prasad Borah

Class-A

The Select List of the officer concerned shall remain valid for 12 (twelve) calendar months from the

date of issue of this Notification and the same shall not determine seniority.

The Inter-Se-Seniority of the officer will be fixed later on.

Spl. Commissioner & Spl. Secretary to the Government of Assam,

Public Works Roads Department, Dispur.

The 3rd April, 2024

No. 472014/4.- In suppression of this Department's earlier Order No. 427855/13, dated 10th January,

2024, Shri Kaushik Krishna Saikia, Under Secretary to the Govt. of Assam, Excise Department is hereby

designated as State Public Information Officer (SPIO) for Excise Department under Section 5 (1) of the RTI

Act, 2005.

This will come into force with immediate effect.

ALAKA GOSWAMI,

Secretary to the Government of Assam,

Excise Department.

197

PART-II A ]

THE ASSAM GAZETTE, APRIL 24, 2024

768/97

Registered No. 768/97

PART II (A)

GOVERNMENT OF ASSAM

ORDERS BY THE GOVERNOR

NOTIFICATIONS

The 13th March, 2024

In pursuance of the Govt. of Assam Notification in Land Revenue & DM Department vide No.RDM-

l1/188/2022-LR-REV & D.M., dt.12th March, 2024, and in the interest of Public Service, the Bodoland

Territorial Council is pleased to issue NOC to enable for joining & release of the following Circle Officers as

given below:

No-BTC/LR-129/2011/113.- In pursuance of the Govt. Notification of Assam vide No.LA&A/

233615101-C, dt.12th March, 2024, the Bodoland Territorial Council is pleased to allow Shri Kamal Jeet

Sarma, ACS (DR-2019), Circle Officer, Sipajhar Revenue Circle, Darrang to join as Circle Officer, Bijni

Revenue Circle, Bijni, Chirang.

No-BTC/LR-129/2011/113-A.- In pursuance of the Govt. Notification of Assam vide No.LA&A/

233615101-I, dt.12th March, 2024, the Bodoland Territorial council is pleased to allow Shri Hiromoni

Mill, ACS (DR-2019), Circle Officer, Narayanpur Revenul e Circle, Lakhimpur to join as Circle Officer,

Udalguri Revenue Circle, Dist. Udalguri.

No-BTC/LR-129/2011/113-B.- In pursuance of the Govt.Notification of Assam vide No.LA&A/

233615101-L, dt.12th March, 2024, the Bodoland Territorial Council is pleased to release Shri Harekrishna

Deka, ACS (DR-2019), Circle Officer, Udalguri Revenue Circle, Dist. Udalguri to enable him to join at his

new place of posting.

No-BTC/LR-129/2011/113-C.- In pursuance of the Govt. Notification of Assam vide No.LA&A/

233615101-M, dt.12th March, 2024, the Bodoland Territorial Council is pleased to release Ms Dorodi

Devroy, ALRS (DR-2019), Circle Officer, Bijni Revenue Circle, Chirang to join as Circle Officer, Barama

Revenue Circle, Baksa with immediate effect and until further order vice Ms. Minakshi Barman, ALRS(DR-

2019) on leave.

No-BTC/LR-129/2011/113-D.- In pursuance of the Govt. Notification of Assam vide No.LA&A/

233615/85-H, dt.04,03.2024, the Bodoland Territorial Council is pleased to release Shri Sajjad Hussain,

ALRS (DR-2019), Circle Officer, Baganpara Revenue Circle, Dist. Baksa to enable him to join at his new

place of posting.

This order will come into force with immediate effecit.

RINTU CH. BORO,

Joint Secretary (LR&DM)

Bodoland Territorial Council, Kokrajhar.

The Assam Gazette

PUBLISHED BY THE AUTHORITY

Registered No.-768/97

Separate paging is given to this Part in order that it may be filed as a separate compilation.

2024,

1946 (

)

No.17

Dispur,

Wednesday,

24th April, 2024,

4th Vaisakha,

1946 (S.E.)

STANDARD APPLICATION FORM

Post applied for ...........................................................................................................................

INSTRUCTIONS

While filling up the Application Form, applicants are requested to

note the following :

This application is a key part of the selection process.

Fill each and every part of the Form carefully and completely. In case any

clause in the form is not applicable in your case, please write "Not Appli-

cable" in the space provided. Incomplete applications will be rejected.

Please enclose self attested copies of mark-sheets of all Board/

University examinations, Permanent Residence Certificate, Em-

ployment Exchange Registration Card etc.

The LAST DATE of submission should be strictly adhered to.

Paste your

passport size

(5X7 cm)

photograph and

affix your

signature on the

photograph

PART IX

Advertisement and Notices by Government Offices and Public Bodies.

NOTICE

FOR RATES AND TERMS OF SUBSCRIPTION, ETC., TO THE

ASSAM GAZETTE PLEASE SEE FIRST ISSUE OF EVERY

MONTH OR APPLY TO THE PUBLISHER,

ASSAM GAZETTE, GUWAHATI-21.

THE ASSAM GAZETTE, APRIL 24, 2024

182

[PART IX

FILL IN CAPITAL LETTERS ONLY

01. Name of Candidate (as recorded in Matriculation or Equivalent Certificate)

02. Date of Birth (as recorded in Matriculation or Equivalent Certificate)

DATE

MONTH

YEAR

02. (A) Place of Birth

02. (B) Nationality

03. Sex :

Male

Female

04. Father's Name :

05. Father's Occupation, Designation and Address

06. Mother's Name :

07. Mother's Occupation, Designation and address

08. Husband's Name : (if applicable)

09· Husband's Occupation, Designation and Address

10. Place of Birth

a) Village / Town

b) Police Station

c) District

d) State

11. (A) State your Religion

11. (B) Are you a member of Scheduled Caste/Scheduled Tribes (Answer 'Yes' or 'No'). If yes, give

particulars supported by a Certificate copy which should be enclosed.

12. Educational Qualifications (HSLC/SSC) Onwards :

Exam. or name School/College

Board/

Year of Class / Major

% of

of the

with Address

Council/

passing

Div.

Subjects

marks

equivalent

University

exam.

Matriculation

Higher

Secondary

(Science)

Degree

THE ASSAM GAZETTE, APRIL 24, 2024

183

PART IX]

13. Any Other Qualification (NCC, NSS etc) :

14. Experience : (Please give details thereof)

Name of the

Designation

Period

Scale of Pay

Organisation

From

15. Language known :

a) Spoken

b) Written

16. Mother Tongue :

17. Employment Exchange Registration No. (Provide photocopy of Registration Card)

18. Address for correspondence :

P I N C O D E

19. Permanent address of Applicant :

P I N C O D E

20. E-mail id if any :

21. Telephone number (s) if any :

22. Mobile number (s) if any :

23. Distinction/Award/Special

Achievements/Extra Curricular

Activities/Experience :

(Attach a separate sheet if required)

DECLARATION

I declare that I fulfil all the conditions of eligibility regarding age limits, educational qualification

etc. prescribed for the recruitment.

I have enclosed self attested photocopies of certificates in support of my claim for Educational

Qualifications, Age, Category (SC/ST/OBC/General) and Age relaxation etc.

I hereby further declare that all statements made in this application are true, complete and correct to

the best of my knowledge and belief.

I understand that in the event of any information being found suppressed/false or incorrect or ineligibility

being detected before or after the recruitment, my candidature/appointment is liable to be cancelled

forthwith.

Place:

Date:

Signature of the candidate

THE ASSAM GAZETTE, APRIL 24, 2024

184

[PART IX

KISHORE JYOTI LAHAN,

Romai Gaon, Lahowal, Dibrugarh.

I, Kishore Jyoti Lahan son of Monuranjan Lahon, an inhabitant of Town - Romai Gaon, Romai

Bongal, P.O.- Lahowal, P.S.- Lahowal, in the District of Dibrugarh have changed my mother's name from

Arpana Lahan Sonowal to Arpana Sonowal Lahon by swearing an affidavit in the Court of Notary at

Dibrugarh on dated 28th February, 2024.

Henceforth, she will be known as Arpana Sonowal Lahon instead of Arpana Lahan Sonowal for all

purposes.

Dibrugarh the 12th April, 2024

PUBLIC NOTICES

Dibrugarh the 12th April, 2024

KISHORE JYOTI LAHAN,

Romai Gaon, Lahowal, Dibrugarh.

I, Kishore Jyoti Lahan son of Monuranjan Lahon, an inhabitant of Town - Romai Gaon, Romai

Bongal, P.O.- Lahowal, P.S.- Lahowal, in the District of Dibrugarh have changed my name from Kishore

Jyoti Lahan to Kishore Jyoti Lahon by swearing an affidavit in the Court of Notary at Dibrugarh on dated

28th February, 2024.

Henceforth, I shall be known as Kishore Jyoti Lahon instead of Kishore Jyoti Lahan for all purposes.

BISHAL TONGCHANGYA,

Gerasury, Lawngtlai, Mizoram.

I, Bishal Tongchangya son of Ahona Tongchangya Tongchangya, an inhabitant of Village - Gerasury,

Damdeep-1, Lawngtlai, in the District of Lawngtlai (Mizoram) have changed my father's name from Ahona

Tongchangya Tongchangya to Khona Tongchangya by swearing an affidavit in the Court of Notary at Kamrup

(M) on dated 1st April, 2024.

Henceforth, he will be known as Khona Tongchangya instead of Ahona Tongchangya Tongchangya

for all purposes.

Mizoram the 12th April, 2024

Jorhat the 16th April, 2024

SIDDIK ALI,

Alichuburi, Arandhara Gaon, Jorhat.

I, Siddik Ali son of Sehidur Rohman, an inhabitant of Village - Alichuburi Arandhara Gaon, P.O.-

Kakojan, P.S.- Teok, in the District of Jorhat have changed my name from Siddik Ali to Siddik Rohman by

swearing an affidavit in the Court of Notary at Jorhat on dated 27th March, 2024.

Henceforth, I shall be known as Siddik Rohman instead of Siddik Ali for all purposes.

MD. RAFIK AHMED,

Lanka (MB), Hojai.

I, Mohammed Rofique Ahmed/Md. Rafique Uddin/Abdul Rofik/Md. Rafik Ahmed son of Makaram

Ali, an inhabitant of Village-Lanka (MB), P.O.- Lanka, P.S.-Lanka, in the District of Hojai have changed my

name from Mohammed Rofique Ahmed/Md. Rafique Uddin/Abdul Rofik/Md. Rafik Ahmed to Rafik Ahmed

by swearing an affidavit in the Court of Additional District Magistrate at Nagaon on dated 16th March, 2024.

Henceforth, I shall be known as Rafik Ahmed instead of Mohammed Rofique Ahmed/Md. Rafique

Uddin/Abdul Rofik/Md. Rafik Ahmed for all purposes.

Hojai the 16th April, 2024

THE ASSAM GAZETTE, APRIL 24, 2024

185

PART IX]

BABULAL AGARWAL,

A. T. Road, Panbazar, Guwahati.

I, Babulal Agarwal son of Narang Lal Agarwal an inhabitant of Town - A.T. Road, P.O.- Panbazar,

P.S.- Panbazar, in the District of Kamrup (M) have changed my father's name from Narang Lal Agarwal to

Late Gopi Ram Agarwal by swearing an affidavit in the Court of Notary at Kamrup (M) on dated

15th March, 2024.

Henceforth, he will be known as Late Gopi Ram Agarwal instead of Narang Lal Agarwal for all

purposes.

PUBLIC NOTICES

Guwahati the 16th April, 2024

PARTHAPRATIM BHUYAN,

Tihu, Nalbari.

I, Parthapratim Bhuyan son of Manoj Kumar Bhuyan, an inhabitant of Town - Tihu,

P.O.- Tihu, P.S.- Tihu, in the District of Nalbari have changed my name from Parthapratim Bhuyan to Partha

Pratim Bhuyan by swearing an affidavit in the Court of Notary at Tihu, Nalbari on dated 16th April, 2024.

Henceforth, I shall be known as Partha Pratim Bhuyan instead of Parthapratim Bhuyan for all purposes.

Nalbari the 17th April, 2024

Barpeta the 17th April, 2024

MINATI RAY,

Howly Town, Barpeta.

I, Minati Ray wife of Late Shekhar Roy, an inhabitant of Town - Howly Town, Ward No.-2, BTC

Road, Jaljali, P.O.- Howly, P.S.- Howly, in the District of Barpeta have changed my name from Minati Ray

to Minati Roy by swearing an affidavit in the Court of Notary at Barpeta on dated 21st March, 2024.

Henceforth, I shall be known as Minati Roy instead of Minati Ray for all purposes.

Morigaon the 18th April, 2024

MAINA DEVI,

Gocharabori, Morigaon.

I, Maina Devi wife of Jurman Nath, an inhabitant of Village - Gocharabori, P.O.- Jaluguti, in the

District of Morigaon have changed my name from Maina Devi to Anjumoni Devi by swearing an affidavit in

the Court of Notary at Morigaon on dated 3rd April, 2024.

Henceforth, I shall be known as Anjumoni Devi instead of Maina Devi for all purposes.

Mankachar the 18th April, 2024

MOINA BEGUM,

Ghagamari A/Khanda, Mankachar.

I, Moina Begum daughter of Amuruddin Ali, an inhabitant of Village - Ghagamari A/khanda,

P.S.- Fakirganj, in the District of South Salmara Mankachar have changed my name from Moina Begum to

Moyna Khatun by swearing an affidavit in the Court of Notary at Kamrup (M) on dated 21st December,

2023.

Henceforth, I shall be known as Moyna Khatun instead of Moina Begum for all purposes.

THE ASSAM GAZETTE, APRIL 24, 2024

186

[PART IX

MUSKAAN AGARWAL,

Christianbasti, Dispur, Guwahati.

I, Muskaan Agarwal daughter of Manav Agarwal an inhabitant of Town - Christianbasti,

P.O.- Dispur, P.S.- Dispur, in the District of Kamrup (M) have changed my father's name from Manav

Agarwal to Manav Kumar Agarwal by swearing an affidavit in the Court of Notary at Kamrup (M) on

dated 18th April, 2024.

Henceforth, he will be known as Manav Kumar Agarwal instead of Manav Agarwal for all purposes.

PUBLIC NOTICES

Guwahati the 19th April, 2024

MRS. KAMANA MANDAL,

Sonapur, Guwahati.

I, Mrs. Kamana Mandal wife of Ram Lal Mandal an inhabitant of Village-Amarapathar, Sonapur, in

the District of Kamrup (M) have changed my name from Mrs. Kamana Mandal to Kamani Majumdar Mandal

by swearing an affidavit in the Court of Notary at Kamrup (M) on dated 5th April, 2024.

Henceforth, I shall be known as Kamani Majumdar Mandal instead of Mrs.Kamana Mandal for all

purposes.

Guwahati the 19th April, 2024

JAMINI DEVI,

Boribandha, Morigaon.

I, Jamini Devi wife of Chandrakanta Nath, an inhabitant of Village - Boribandha, P.O.- Boribandha,

P.S.- Laharighat, in the District of Morigaon have changed my name from Jamini Devi to Jamini Nath by

swearing an affidavit in the Court of District & Session Judge at Morigaon on dated 28th March, 2024.

Henceforth, I shall be known as Jamini Nath instead of Jamini Devi for all purposes.

Morigaon the 19th April, 2024

Guwahati the 19th April, 2024

METOK TSOMO,

Ganeshguri, Dispur, Guwahati.

I, Metok Tsomo daughter of Pema Thiniey Meyor, an inhabitant of Town - Ganeshguri,

P.O.- Dispur, P.S.- Dispur, in the District of Kamrup (M) have changed my father's name from Pema Thiniey

Meyor to Pema Tiliey by swearing an affidavit in the Court of Notary at Kamrup (M) on dated 18th April,

2024.

Henceforth, he will be known as Pema Tiliey instead of Pema Thiniey Meyor for all purposes.

GUWAHATI- Printed and published by the Director, Directorate of Printing & Stationery,

Assam, Guwahati-21 (Gazette) No.33-25-24-04-2024. (visit at dpns.assam.gov.in)