70
Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview 001 NHM/SWC/ 13425 Saraswati Rabha Ranjit k Kuma Dey No C/o-Ranjit Kumar Dey, H.No.-9, Vill/Town-Vill- Paharsingpara, P.O.-Dubapara, P.S.-Mornai, Dist.- Goalpara, State-Assam, Pin-703101 18.11.2019 002 NHM/SWC/ 4983 IRANI BORA RAJKHOWA GOPAL BORAH No C/o-BHABA JYOTI RAJKHOWA, H.No.-405, Vill/Town-SILGHAT, P.O.-SILGHAT, P.S.- KALIABOR, Dist.-Nagaon, State-ASSAM, Pin- 782143 18.11.2019 003 NHM/SWC/ 10268 ARIFA SULTAN AFTAB UDDIN BARBHUIYA No C/o-ALMAS HUSSAIN LASKAR, H.No.-13, Vill/Town-NORTH NARAINPUR PART 3, P.O.- NORTH NARAINPUR, P.S.-ALGAPUR, Dist.- Hailakandi, State-ASSAM, Pin-788801 18.11.2019 004 NHM/SWC/ 12323 BHUMITA SAHARIA CHANDRA KANTA SAHARIA Yes C/o-CHANDRA KANTA SAHARIA, H.No.-319, Vill/Town-SELAIMARI, P.O.-KHOIRABARI, P.S.- KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin- 784522 18.11.2019 005 NHM/SWC/ 19275 PRANITA BORAH GUNA KANTA BORAH No C/o-PANKAJKUMAR DEKA, H.No.-840, Vill/Town-TOWHEM NAGAR RUBBER BAGAN, P.O.-MAHABHAIRAB, P.S.-TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-784001 18.11.2019 006 NHM/SWC/ 20950 RITUMONI BORCHETIA NUMAL BORCHETIA No C/o-NUMAL BORCHETIA, H.No.-123, Vill/Town- CHETIA GAON CHABUA, P.O.-CHETIA GAON, P.S.-CHABUA, Dist.-Dibrugarh, State-ASSAM, Pin-786184 18.11.2019 007 NHM/SWC/ 10440 PURNIMA BORUAH UMESWAR BORAH No C/o-ARUN BIKASH BORUAH, H.No.-283, Vill/Town-KHONIKOR GAON, P.O.- MISSAMORA, P.S.-DERGAON, Dist.-Golaghat, State-ASSAM, Pin-785618 18.11.2019 008 NHM/SWC/ 10939 YUSUFA KHATUN YUSUF ALI No C/o-ABU BAKKAR SIDDIQUE, H.No.-60, Vill/Town-JANGLIA, P.O.-HOWRARPAR, P.S.- DHUBRI, Dist.-Dhubri, State-ASSAM, Pin-783324 18.11.2019 009 NHM/SWC/ 11448 MADHAVI GOGOI CHITRA DHAR GOGOI No C/o-JUGAL BHARALUA, H.No.-10, Vill/Town- DEMOW SUKAFA NAGAR, P.O.-DEMOW, P.S.- DEMOW, Dist.-Sivasagar, State-ASSAM, Pin- 785662 18.11.2019 010 NHM/SWC/ 11812 TANUJA BAILUNG HARIKANTA BAILUNG No C/o-BIJU DUTTA, H.No.-132, Vill/Town- MODERKHAT HATKHULLA GAON, P.O.- HATKHULLA, P.S.-LAHOWAL, Dist.-Dibrugarh, State-ASSAM, Pin-786010 18.11.2019 011 NHM/SWC/ 13211 PLABITA GOGOI LATE MANIK CH GOGOI No C/o-LACHIT GOGOI, H.No.-WARD NO 4, Vill/Town-BIBIJAN TITABAR, P.O.-TITABAR, P.S.-TITABAR, Dist.-Jorhat, State-ASSAM, Pin- 785630 18.11.2019 Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual) under State Support at National Health Mission, Assam Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee along with a set of self attested photo copies for submission at the time of interview. Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to verification of documents at the time of interview. Time of Interview : 9:30 AM (Reporting Time - 9:00 AM) Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22 Page - 1

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Page 1: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

001NHM/SWC/

13425Saraswati Rabha

Ranjit k Kuma

DeyNo

C/o-Ranjit Kumar Dey, H.No.-9, Vill/Town-Vill-

Paharsingpara, P.O.-Dubapara, P.S.-Mornai, Dist.-

Goalpara, State-Assam, Pin-703101

18.11.2019

002NHM/SWC/

4983

IRANI BORA

RAJKHOWAGOPAL BORAH No

C/o-BHABA JYOTI RAJKHOWA, H.No.-405,

Vill/Town-SILGHAT, P.O.-SILGHAT, P.S.-

KALIABOR, Dist.-Nagaon, State-ASSAM, Pin-

782143

18.11.2019

003NHM/SWC/

10268ARIFA SULTAN

AFTAB UDDIN

BARBHUIYANo

C/o-ALMAS HUSSAIN LASKAR, H.No.-13,

Vill/Town-NORTH NARAINPUR PART 3, P.O.-

NORTH NARAINPUR, P.S.-ALGAPUR, Dist.-

Hailakandi, State-ASSAM, Pin-788801

18.11.2019

004NHM/SWC/

12323

BHUMITA

SAHARIA

CHANDRA

KANTA

SAHARIA

Yes

C/o-CHANDRA KANTA SAHARIA, H.No.-319,

Vill/Town-SELAIMARI, P.O.-KHOIRABARI, P.S.-

KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin-

784522

18.11.2019

005NHM/SWC/

19275

PRANITA

BORAH

GUNA KANTA

BORAHNo

C/o-PANKAJKUMAR DEKA, H.No.-840,

Vill/Town-TOWHEM NAGAR RUBBER

BAGAN, P.O.-MAHABHAIRAB, P.S.-TEZPUR,

Dist.-Sonitpur, State-ASSAM, Pin-784001

18.11.2019

006NHM/SWC/

20950

RITUMONI

BORCHETIA

NUMAL

BORCHETIANo

C/o-NUMAL BORCHETIA, H.No.-123, Vill/Town-

CHETIA GAON CHABUA, P.O.-CHETIA GAON,

P.S.-CHABUA, Dist.-Dibrugarh, State-ASSAM,

Pin-786184

18.11.2019

007NHM/SWC/

10440

PURNIMA

BORUAH

UMESWAR

BORAHNo

C/o-ARUN BIKASH BORUAH, H.No.-283,

Vill/Town-KHONIKOR GAON, P.O.-

MISSAMORA, P.S.-DERGAON, Dist.-Golaghat,

State-ASSAM, Pin-785618

18.11.2019

008NHM/SWC/

10939

YUSUFA

KHATUNYUSUF ALI No

C/o-ABU BAKKAR SIDDIQUE, H.No.-60,

Vill/Town-JANGLIA, P.O.-HOWRARPAR, P.S.-

DHUBRI, Dist.-Dhubri, State-ASSAM, Pin-783324

18.11.2019

009NHM/SWC/

11448

MADHAVI

GOGOI

CHITRA DHAR

GOGOINo

C/o-JUGAL BHARALUA, H.No.-10, Vill/Town-

DEMOW SUKAFA NAGAR, P.O.-DEMOW, P.S.-

DEMOW, Dist.-Sivasagar, State-ASSAM, Pin-

785662

18.11.2019

010NHM/SWC/

11812

TANUJA

BAILUNG

HARIKANTA

BAILUNGNo

C/o-BIJU DUTTA, H.No.-132, Vill/Town-

MODERKHAT HATKHULLA GAON, P.O.-

HATKHULLA, P.S.-LAHOWAL, Dist.-Dibrugarh,

State-ASSAM, Pin-786010

18.11.2019

011NHM/SWC/

13211

PLABITA

GOGOI

LATE MANIK

CH GOGOINo

C/o-LACHIT GOGOI, H.No.-WARD NO 4,

Vill/Town-BIBIJAN TITABAR, P.O.-TITABAR,

P.S.-TITABAR, Dist.-Jorhat, State-ASSAM, Pin-

785630

18.11.2019

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

Page - 1

Page 2: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

012NHM/SWC/

14232

MAZIDA

KHATUN

SARKAR

LATE ABDUL

JABBAR

SARKAR

No

C/o-W/O SAMSUL HOQUE BEPARI, H.No.-346,

Vill/Town-DHARMASALA PART V, P.O.-

DHARMASALA, P.S.-DHUBRI, Dist.-Dhubri,

State-ASSAM, Pin-783324

18.11.2019

013NHM/SWC/

14342

RINIYARA

AHMED

MD FANNU

ALINo

C/o-ATOWAR RAHMAN, H.No.-83, Vill/Town-

BAISHA, P.O.-BHOGDIA, P.S.-SARTHEBARI,

Dist.-Barpeta, State-ASSAM, Pin-781305

18.11.2019

014NHM/SWC/

14435

PALLABI

THAKURIA

UMESH CH

THAKURIANo

C/o-DHRUBAJYOTI MEDHI, H.No.-15,

Vill/Town-MILANPUR, P.O.-BOKO, P.S.-BOKO,

Dist.-Kamrup Rural, State-ASSAM, Pin-781123

18.11.2019

015NHM/SWC/

17544SABITRI DEVI

ROBILAL

SARMAHNo

C/o-GOBINDA CHETRY, H.No.-76, Vill/Town-

DHEKIAJULI GAON, P.O.-DHEKIAJULI, P.S.-

DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, Pin-

784110

18.11.2019

016NHM/SWC/

1965

RAFIA

KHATUN

ABDULLAHIL

KAFINo

C/o-ABDULLAHIL KAFI, H.No.-6, Vill/Town-

KATLITARI (KALJANIPARA), P.O.-AMBARI

BAZAR, P.S.-BAGUAN, Dist.-Goalpara, State-

ASSAM, Pin-783129

18.11.2019

017NHM/SWC/

22755NAMITA NATH

KAMALA

KANTA NATHNo

C/o-LAMBODHAR NATH, H.No.-117, Vill/Town-

KAMARPARA, P.O.-OUTALA, P.S.-

MANGALDAI, Dist.-Darrang, State-ASSAM, Pin-

784525

18.11.2019

018NHM/SWC/

23727

SUMITA

BORGOHAIN

SAITENDRA

NATH

BORGOHAIN

No

C/o-AJAY BARUA, H.No.-QTR NO 124/B/IV,

Vill/Town-BVFCL COLONY NAMRUP, P.O.-

PARBATPUR, P.S.-NAMRUP, Dist.-Dibrugarh,

State-ASSAM, Pin-786623

18.11.2019

019NHM/SWC/

4039

MINOTI

PHUKON

DURGA NATH

PHUKONNo

C/o-DURGA NATH PHUKON, H.No.-NO,

Vill/Town-LAICHANG VILLAGE, P.O.-DESANG

PANI, P.S.-MORAN, Dist.-Sivasagar, State-

ASSAM, Pin-785689

18.11.2019

020NHM/SWC/

4097

Nirala Saikia

Goswami

Lt. Kamal

Chandra SaikiaNo

C/o-Nitumoni Goswami, H.No.-Jugadhar Path,

Litchubari Borbheta Gaon, Vill/Town-Jorhat, P.O.-

Chinnamara, P.S.-Litchubari Police Station, Dist.-

Jorhat, State-Assam, Pin-785008

18.11.2019

021NHM/SWC/

4822

Dipanjali Dutta

GohainGunin Dutta No

C/o-Hemonta Gohain, H.No.-176, Vill/Town-Vill.

Phulampur, P.O.-Lahowal, P.S.-Lahowal, Dist.-

Dibrugarh, State-Assam, Pin-786010

18.11.2019

022NHM/SWC/

5731

NUR SALIMA

AHMED

ABDUL GONI

MIAHNo

C/o-NUR UDDIN MONDAL, H.No.-94, Vill/Town-

HALDIBARI, P.O.-DHUMERGHAT, P.S.-

LAKHIPUR, Dist.-Goalpara, State-ASSAM, Pin-

783330

18.11.2019

023NHM/SWC/

6820

ANJU DUTTA

CHETIA

LATE

BHAIRAB

CHANDRA

DUTTA

No

C/o-NIREN CHETIA, H.No.-0, Vill/Town-

MERBILL, P.O.-SUKANPUKHURI, P.S.-

SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-

785697

18.11.2019

Page - 2

Page 3: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

024NHM/SWC/

7393

NUR SALIMA

AHMED

ABDUL GONI

MIAHNo

C/o-NUR UDDIN AHMED, H.No.-94, Vill/Town-

HOLHIBARI, P.O.-DHUMERGHAT, P.S.-

LKHIPUR, Dist.-Goalpara, State-ASSAM, Pin-

783330

18.11.2019

025NHM/SWC/

8062

MANJULA

BASUMATARY

LT. SIMON

BASUMATARYNo

C/o-SANTA BASUMATARY, H.No.-65,

Vill/Town-OUGURI, P.O.-OUGURI, P.S.-

AMGURI, Dist.-Chirang, State-ASSAM, Pin-

783394

18.11.2019

026NHM/SWC/

8648

MONALISHA

DUTTA NEOG

TANKESWAR

DUTTANo

C/o-HITESH NEOG, H.No.-2, Vill/Town-

ATTHABARI HILLLOIDARI GAON, P.O.-

KHARAHAT, P.S.-DEMOW, Dist.-Sivasagar, State-

ASSAM, Pin-785662

18.11.2019

027NHM/SWC/

9532

MRS DHIRA

DAS

LT

DWIJENDRA

NATH PATHAK

No

C/o-CHAMPAK DAS, H.No.-162, Vill/Town-

PATBAUSHI, P.O.-PATBAUSHI, P.S.-

BARPETA, Dist.-Barpeta, State-ASSAM, Pin-

781301

18.11.2019

028NHM/SWC/

4018

MINTUMANI

KALITA

LATE

BANGSHIDHA

R KALITA

No

C/o-LATE BIPUL RABHA, H.No.-106, Vill/Town-

ALEKJARI, P.O.-CHHAYGAON, P.S.-

CHHAYGAON, Dist.-Kamrup Rural, State-

ASSAM, Pin-781124

18.11.2019

029NHM/SWC/

14128

MD JAINUR

ALI

MD JAINUR

ALIYes

C/o-MD FARID ALI, H.No.-8, Vill/Town-

CHATALA, P.O.-CHATALA, P.S.-

SARTHEBARI, Dist.-Barpeta, State-ASSAM, Pin-

781312

18.11.2019

030NHM/SWC/

4207

ABUL

HUSSAIN

BARBHUIYA

MAJAROF ALI

BARBHUIYANo

C/o-MAJAROF ALI BARBHUIYA, H.No.-75,

Vill/Town-BAHADURPUR- 2, P.O.-BROJOPUR,

P.S.-HAILAKNDI, Dist.-Hailakandi, State-

ASSAM, Pin-788155

18.11.2019

031NHM/SWC/

5999

REJAUL

ANUWARABUL KALAM No

C/o-S/O ABUL KALAM, H.No.-105, Vill/Town-

KATHANI, P.O.-KATHANI, P.S.-LAHARIGHAT,

Dist.-Morigaon, State-ASSAM, Pin-782127

18.11.2019

032NHM/SWC/

0063RITUL DUTTA

BHOGESWAR

DUTTANo

C/o-BHOGESWAR DUTTA, H.No.-5, Vill/Town-

MAUTOR CHUK, P.O.-BAHADUR CHUK, P.S.-

NORTH LAKHIMPUR, Dist.-Lakhimpur, State-

ASSAM, Pin-787031

18.11.2019

033NHM/SWC/

0214

SRI PRASANTA

KUMAR DEKA

SRI

BHADRESWAR

DEKA

No

C/o-SRI JITENDRA KUMAR DEKA, H.No.-37,

Vill/Town-TINSUKIA, P.O.-TENGAGURI, P.S.-

LAHARIGHAT, Dist.-Morigaon, State-ASSAM,

Pin-782127

18.11.2019

034NHM/SWC/

0410MRINAL BORA

TOSHESWAR

BORANo

C/o-TOSHESWAR BORA, H.No.-9, Vill/Town-

GOHAIN GAON, P.O.-KAMARBANDHA ALI,

P.S.-GOLAGHAT, Dist.-Golaghat, State-ASSAM,

Pin-785625

18.11.2019

Page - 3

Page 4: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

035NHM/SWC/

0486

PARIKSHIT

DEKA

HIRANYA

KUMAR DEKANo

C/o-HIRANYA KUMAR DEKA, H.No.-52,

Vill/Town-BEZERA, P.O.-BEZERA, P.S.-

BAIHATA CHARIALI, Dist.-Kamrup Rural, State-

ASSAM, Pin-781121

18.11.2019

036NHM/SWC/

0901

PRASANTA

KUMAR NATH

NAMAL CH

NATHNo

C/o-NAMAL CH NATH, H.No.-186, Vill/Town-

NO 2 KALAIGAON, P.O.-KALAIGAON, P.S.-

KALAIGAON, Dist.-Udalguri, State-ASSAM, Pin-

784525

18.11.2019

037NHM/SWC/

1008

MONTU

KONWAR

LATE

INDRESWAR

KONWAR

No

C/o-LATE INDRESWAR KONWAR, H.No.-113,

Vill/Town-KONWAR DEHINGIA GAON, P.O.-

DEMOW, P.S.-DEMOW, Dist.-Sivasagar, State-

ASSAM, Pin-785662

18.11.2019

038NHM/SWC/

1082

GAUTAM

BASUMATARY

DINESH

BASUMATARYNo

C/o-DINESH BASUMATARY, H.No.-122,

Vill/Town-UDMARI, P.O.-BOGPURI, P.S.-

TANGLA, Dist.-Udalguri, State-ASSAM, Pin-

784522

18.11.2019

039NHM/SWC/

1240ABDUR RAHIM

NUR

MAHAMMAD

ALI

No

C/o-NUR MAHMMAD ALI, H.No.-61, Vill/Town-

NO 2 SIALMARI, P.O.-DALGAON, P.S.-

DALGAON, Dist.-Darrang, State-ASSAM, Pin-

784116

18.11.2019

040NHM/SWC/

1367

MAZIDUL

HOQUE

AHMED

MOZAMMEL

HOQUE

AHMED

No

C/o-SELF, H.No.-83, Vill/Town-BARAIBARI,

P.O.-BARAIBARI, P.S.-GAURIPUR, Dist.-Dhubri,

State-ASSAM, Pin-783339

18.11.2019

041NHM/SWC/

1377

SANJAY

BARMAN

SANDHI RAM

BARMANNo

C/o-SANDHI RAM BARMAN, H.No.-HOUSE NO

136, Vill/Town-NEAR DIPHU GOVT BOYS HS

SCHOOL DIPHU, P.O.-DIPHU, P.S.-DIPHU, Dist.-

Karbi Anglong, State-ASSAM, Pin-782460

18.11.2019

042NHM/SWC/

1694

JAYANTA

PHUKON

LATE GHANA

KT PHUKONNo

C/o-JAYANTA PHUKON, H.No.-161, Vill/Town-

TENGABARI GAON, P.O.-SELENGHAT, P.S.-

TEOK, Dist.-Jorhat, State-ASSAM, Pin-785636

18.11.2019

043NHM/SWC/

19940

IMRAN

HASSAN

BARBHUIYA

ROBIUL

RAHMAN

BARBHUIYA

Yes

C/o-ROBIUL RAHMAN BARBHUIYA, H.No.-3,

Vill/Town-DHANEHARI PART II, P.O.-SILDUBI,

P.S.-SONAI, Dist.-Cachar, State-ASSAM, Pin-

788112

18.11.2019

044NHM/SWC/

2092

ANJAN

KALITALt. Ananda kalita No

C/o-Lt Ananda Kalita, H.No.-N/A, Vill/Town-

TATIMARA, P.O.-CHANDRAPUR, P.S.-

PRAGJYOTISHPUR, Dist.-Kamrup Metro, State-

ASSAM, Pin-781150

18.11.2019

045NHM/SWC/

4965

SUDHIR

RANJAN DEKA

LATE UPEN

CHANDRA

DEKA

No

C/o-SRI MAHIMA DEKA, H.No.-119, Vill/Town-

SALMARA, P.O.-BEZERA, P.S.-BAIHATA

CHARIALI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781121

18.11.2019

046NHM/SWC/

5062

NILKAMAL

DEKA

LATE

JOGESWAR

DEKA

No

C/o-SRI SUSHILA DEKA, H.No.-88, Vill/Town-

DADARA, P.O.-DADARA, P.S.-HAJO, Dist.-

Kamrup Rural, State-ASSAM, Pin-781104

18.11.2019

Page - 4

Page 5: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

047NHM/SWC/

5990

SRI.

PRASANTA

KUMAR DEKA

SRI

BHADRESWAR

DEKA

No

C/o-SRI JITENDRA KUMAR DEKA, H.No.-37,

Vill/Town-TINSUKIA, P.O.-TENGAGURI, P.S.-

LAHARIGHAT, Dist.-Morigaon, State-ASSAM,

Pin-782127

18.11.2019

048NHM/SWC/

6836

PANKAJ

PHUKAN

NAGEN

PHUKANNo

C/o-NAGEN PHUKAN, H.No.-, Vill/Town-SEUJ

NAGAR, P.O.-CHAPAKHOWA, P.S.-

CHAPAKHOWA, Dist.-Tinsukia, State-ASSAM,

Pin-786157

18.11.2019

049NHM/SWC/

1396

RIPUL KR

BARO

DHARMESWA

R BARONo

C/o-DHARMESWAR BARO, H.No.-251,

Vill/Town-Simlabari, P.O.-Nayabasti, P.S.-Barbari,

Dist.-Baksa, State-Assam, Pin-781344

18.11.2019

050NHM/SWC/

0339

ANUPAM

CHOUDHURY

Lt. Bhupen

KalitaNo

C/o-Latika Kalita, H.No.-284, Vill/Town-Dubapara,

P.O.-Dubapara, P.S.-Mornai, Dist.-Goalpara, State-

Assam, Pin-783101

18.11.2019

051NHM/SWC/

0356

FOYEZ UDDIN

AHMED

ABDUL BARIK

PORAMANIKNo

C/o-ABDUL BARIK PORAMANIK, H.No.-367,

Vill/Town-MADHYA SIMULBARI, P.O.-

AOLATOLI, P.S.-LAKHIPUR, Dist.-Goalpara,

State-ASSAM, Pin-783129

18.11.2019

052NHM/SWC/

0391

GAUTAM

KALITAThaneswar Kalita No

C/o-Thaneswar Kalita, H.No.-121, Vill/Town-

Dhantola, P.O.-Ambari, P.S.-Dhupdhara, Dist.-

Goalpara, State-Assam, Pin-783123

18.11.2019

053NHM/SWC/

0474

KRISHNAJYOT

I BORAH

LATE RAMANI

MOHAN

BORAH

No

C/o-LATE RAMANI MOHAN BORAH, H.No.-

287, Vill/Town-DIHING SATRA, P.O.-NORTH

GUWAHATI, P.S.-NORTH GUWAHATI, Dist.-

Kamrup Rural, State-ASSAM, Pin-781030

18.11.2019

054NHM/SWC/

0975

SHANTI

RANJAN

GHOSH

LATE

NARAYAN

CHANDRA

GHOSH

No

C/o-LATE NARAYAN CHANDRA GHOSH,

H.No.-134, Vill/Town-HARIBHANGA, P.O.-

LAILURI, P.S.-RUPAHIHAT, Dist.-Nagaon, State-

ASSAM, Pin-782120

18.11.2019

055NHM/SWC/

1080

NABAJIT

BHUYAN

LT

INDRESWAR

BHUYAN

No

C/o-LT INDRESWAR BHUYAN, H.No.-11,

Vill/Town-MARANAKURI, P.O.-

NANDIKESWAR, P.S.-JAMUGURIHAT, Dist.-

Sonitpur, State-ASSAM, Pin-784180

18.11.2019

056NHM/SWC/

11881

VERONA

CHINDEILHIN

G HAOLAI

LATE

CHUNGKHOPE

NG HAOLAI

No

C/o-HENJANGAM HAOLAI, H.No.-113,

Vill/Town-VILLAGE SONGPIJANG, P.O.-

HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao,

State-ASSAM, Pin-788819

18.11.2019

057NHM/SWC/

1261

CHANDAN

DEKA

KHARGESWAR

DEKANo

C/o-KHARGESWAR DEKA, H.No.-124,

Vill/Town-BALIKARIA, P.O.-BALIKARIA, P.S.-

NALBARI, Dist.-Nalbari, State-ASSAM, Pin-

781341

18.11.2019

058NHM/SWC/

1298

HEMANTA

SAIKIA

LATE

BHADRESWAR

SAIKIA

No

C/o-LATE BHADRESWAR SAIKIA, H.No.-

KALONGPAR, Vill/Town-HALUAGAON, P.O.-

KALANGPAR HALUAGAON, P.S.-

RUPAHIHAT, Dist.-Nagaon, State-Assam, Pin-

782141

18.11.2019

Page - 5

Page 6: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

059NHM/SWC/

1546

MD. IMRAN

HUSSAINLT. JUBED ALI No

C/o-LT. JUBED ALI, H.No.-13, Vill/Town-

RAMPUR SATRA, P.O.-KADAMONI, P.S.-

BATADRAVA, Dist.-Nagaon, State-ASSAM, Pin-

782122

18.11.2019

060NHM/SWC/

18077

SAPNA

ENGTIPIDAVID ENGTI No

C/o-PRIMROSE MILLICKPI, H.No.-53, Vill/Town-

RONGMILI, P.O.-DIPHU, P.S.-DIPHU, Dist.-

Karbi Anglong, State-ASSAM, Pin-782460

18.11.2019

061NHM/SWC/

19149

HEMANTA

HAZARIKAAnil Hazarika No

C/o-Anil Hazarika, H.No.-18, Vill/Town-Na-Sadiya

(7th Mile), P.O.-Kundil, P.S.-Sadiya, Dist.-

Tinsukia, State-Assam, Pin-786158

18.11.2019

062NHM/SWC/

1954BIJOY PATOR

KONPAI

PATORNo

C/o-KONPAI PATOR, H.No.-HOUSE NO 86,

Vill/Town-THANA ROAD NEAR POLICE

STATION DIPHU, P.O.-DIPHU, P.S.-DIPHU,

Dist.-Karbi Anglong, State-ASSAM, Pin-782460

18.11.2019

063NHM/SWC/

3381

MANOJ

KUMAR DEKA

GAKUL BIHARI

DEKANo

C/o-GAKUL BIHARI DEKA, H.No.-6, Vill/Town-

ALTA, P.O.-BAIHATA, P.S.-KAMALPUR, Dist.-

Kamrup Rural, State-ASSAM, Pin-781380

18.11.2019

064NHM/SWC/

4581

MANJIT

THAKURIA

KANAK

THAKURIANo

C/o-LT KANAK THAKURIA, H.No.-99,

Vill/Town-CHAMUA GAON, P.O.-CHAMUA

GAON, P.S.-DHING, Dist.-Nagaon, State-ASSAM,

Pin-782123

18.11.2019

065NHM/SWC/

4091BINITA BARUA

KHANGIDHAR

BARUAHNo

C/o-ANIRUDDHA SARMA, H.No.-48, Vill/Town-

NIZ SARABARI, P.O.-DEODHANIGHAT, P.S.-

SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784147

18.11.2019

066NHM/SWC/

13598ANJALI NATH

LATE ARUN

NATHNo

C/o-Mrs. RATNA NATH, H.No.-93(Ka),

Vill/Town-BRAHMANGRAM (S R COLLEGE

ROAD), P.O.-KALAIN, P.S.-KATIGORAH, Dist.-

Cachar, State-ASSAM, Pin-788815

18.11.2019

067NHM/SWC/

9691DIPIKA BORAH

GAKUL

BORAHNo

C/o-KUSHAL PHUKAN, H.No.-0, Vill/Town-BOR

AJUHA, P.O.-KALAKATA, P.S.-DHEMAJI, Dist.-

Dhemaji, State-ASSAM, Pin-787057

18.11.2019

068NHM/SWC/

17347LILIMAI NATH

BANI KANTA

NATHNo

C/o-BANI KANTA NATH, H.No.-136(KA),

Vill/Town-CHINABARI, P.O.-BAGUAN, P.S.-

BAGUAN, Dist.-Goalpara, State-ASSAM, Pin-

783129

18.11.2019

069NHM/SWC/

5825

ANITA

BARMAN

DHARANI

KANTA

BARMAN

No

C/o-DWIJENDRA NATH ROY, H.No.-324,

Vill/Town-KISMATHASDAHA PT IV, P.O.-

KISMATHASDAHA, P.S.-DHURBI, Dist.-Dhubri,

State-ASSAM, Pin-783334

18.11.2019

Page - 6

Page 7: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

070NHM/SWC/

10888

CHANDAN

ADHIKARI

LATE BINODE

MOHAN

ADHIKARI

Yes

C/o-CHANDAN ADHIKARI, H.No.-12, Vill/Town-

PACHIM AMRAKANDA, P.O.-GARAJAN

BAZAR, P.S.-RUPAHIHAT, Dist.-Nagaon, State-

ASSAM, Pin-782128

18.11.2019

071NHM/SWC/

14743

HONUFA

KHATUN

HASMAT ALI

BEPARINo

C/o-JAMSHED ALI SHEIKH, H.No.-31-A,

Vill/Town-ALAMGANJ Pt. II, P.O.-ALAMGANJ,

P.S.-GAURIPUR, Dist.-Dhubri, State-ASSAM, Pin-

783339

18.11.2019

072NHM/SWC/

18880

JYOTSHNA

SARMA

RAJANI KR

SARMANo

C/o-LABA KUMAR SARMA, H.No.-35,

Vill/Town-BYASPARA, P.O.-BYASPARA, P.S.-

SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784145

18.11.2019

073NHM/SWC/

13594

RINA DEVI

SEDAI

SIBA PRASAD

SARMANo

C/o-LAKSHMI SEDAI, H.No.-117, Vill/Town-

MARADHANSIRI, P.O.-ROWTA, P.S.-ROWTA,

Dist.-Udalguri, State-ASSAM, Pin-784508

18.11.2019

074NHM/SWC/

16606DIPA DEVI

PUSPA

POKWALNo

C/o-JYOTISH NATH, H.No.-221, Vill/Town-

GOHAIN ALI, P.O.-MAZ ROWMARI, P.S.-

DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, Pin-

784117

18.11.2019

075NHM/SWC/

3678

BANALATA

BARMAN

LT

KHARGESWAR

BARMAN

No

C/o-PARESH MEDHI, H.No.-194, Vill/Town-

BORKHATA, P.O.-BOITAMARI, P.S.-

ABHAYAPURI, Dist.-Bongaigaon, State-ASSAM,

Pin-783389

18.11.2019

076NHM/SWC/

5081

DALIMI

BORAH

KAMALA

KANTA

BORAH

No

C/o-GOURI KANTA RABHA, H.No.-37,

Vill/Town-BUDURAGAON, P.O.-PANISHELI,

P.S.-TANGLA, Dist.-Udalguri, State-ASSAM, Pin-

784522

18.11.2019

077NHM/SWC/

10195

JUNMONI

DUTTA SAIKIA

PHANIDHAR

DUTTANo

C/o-BALURAM SAIKIA, H.No.-TPB-570,

Vill/Town-TIPONG, P.O.-TIPONG, P.S.-

LEKHAPANI, Dist.-Tinsukia, State-Assam, Pin-

786179

18.11.2019

078NHM/SWC/

14673

NADIRA

KHANAM

LASKAR

ATAR ALI

LASKARNo

C/o-SIRAJ UDDIN LASKAR, H.No.-75, Vill/Town-

SAIDPUR PART III, P.O.-SAIDPUR MUKAM,

P.S.-SILCHAR SADAR, Dist.-Cachar, State-

ASSAM, Pin-788013

18.11.2019

079NHM/SWC/

17095

PALLAVI

SAIKIAAJIT SAIKIA No

C/o-SATYANATH GOGOI, H.No.-86, Vill/Town-

BANIPUR BY LANE 4, P.O.-BANIPUR, P.S.-

DIBRUGARH, Dist.-Dibrugarh, State-ASSAM, Pin-

786003

18.11.2019

080NHM/SWC/

17763RUNU DAS

HEM

CHANDRA DASNo

C/o-HEM CHANDRA DAS, H.No.-119, Vill/Town-

RANGCHALI, P.O.-BATIAMARI, P.S.-BEHALI,

Dist.-Sonitpur, State-ASSAM, Pin-784179

18.11.2019

Page - 7

Page 8: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

081NHM/SWC/

20177PURBA ROY

LATE

JATINDRA

MOHAN ROY

No

C/o-ASHIM KUMAR DAS, H.No.-281, Vill/Town-

BORAIBASTI, P.O.-SACHINPUR, P.S.-DHOLAI,

Dist.-Cachar, State-ASSAM, Pin-788116

18.11.2019

082NHM/SWC/

5424

KHANJANA

BASUMATARY

MANJIT

BASUMATARYNo

C/o-PRANAB BORO, H.No.-395 (A), Vill/Town-

NO1 UTTAR DIMAKUCHI, P.O.-DIMAKUCHI,

P.S.-DIMAKUCHI, Dist.-Udalguri, State-ASSAM,

Pin-784526

18.11.2019

083NHM/SWC/

11043Karishma Saikia

Sri Harakanta

SaikiaNo

C/o-Ritul Chandra Borah, H.No.-99, Vill/Town-

Nizgoroimari, P.O.-Bokajan, P.S.-Tezpur, Dist.-

Sonitpur, State-Assam, Pin-784105

18.11.2019

084NHM/SWC/

11583

KABITA

KALITA

PUSPA RAM

KALITANo

C/o-MANASH PRATIM BARUAH, H.No.-0,

Vill/Town-NIZ CHAPAI, P.O.-NAHARBARI, P.S.-

MANGALDAI, Dist.-Darrang, State-ASSAM, Pin-

784147

18.11.2019

085NHM/SWC/

0948

DHARMESWA

R HAZARIKA

LATE

DOMBARU

HAZARIKA

No

C/o-LATE DOMBARU HAZARIKA, H.No.-41,

Vill/Town-NAM-KARAIYANI, P.O.-MAHKHULI,

P.S.-NAGAON SADAR, Dist.-Nagaon, State-

ASSAM, Pin-782003

18.11.2019

086NHM/SWC/

10065RUMPA PAUL

GOPAL

CHANDRA

DHAR

No

C/o-DILIP KUMAR PAUL, H.No.-438, Vill/Town-

JOYPUR PART-1, P.O.-JOYPUR RAJABAZAR,

P.S.-JOYPUR, Dist.-Cachar, State-ASSAM, Pin-

788107

18.11.2019

087NHM/SWC/

10741NAMITA DAS

GOVINDA

CHANDRA DASNo

C/o-PANNA LAL DAS, H.No.-167, Vill/Town-

NORTH NARAINPUR PT-II, P.O.-NORTH

NARAINPUR, P.S.-ALGAPUR, Dist.-Hailakandi,

State-ASSAM, Pin-788801

18.11.2019

088NHM/SWC/

10808bharati chetia kaliman chetia No

C/o-prasanna kumar chetia, H.No.-101, Vill/Town-

borhulla jutlibari, P.O.-nowholia, P.S.-duliajan,

Dist.-Dibrugarh, State-assam, Pin-786191

18.11.2019

089NHM/SWC/

10809

MOUSUMI

SHYAM

LATE

BAPUKAN

SHYAM

No

C/o-SUSILTURUNG, H.No.-HOUSE NO 45,

Vill/Town-NO 1.RAJAPUKHURITURUNG

GAON, P.O.-URIAMGHAT, P.S.-URIAMGHAT,

Dist.-Golaghat, State-ASSAM, Pin-785601

18.11.2019

090NHM/SWC/

11246

MAJEDA

KHATUN

MAFIJUDDIN

AHMEDNo

C/o-MAJIBAR RAHMAN, H.No.-140, Vill/Town-

MADHUPUR, P.O.-LALPUL BAZAR, P.S.-

DALGAON, Dist.-Darrang, State-Assam, Pin-

784514

18.11.2019

091NHM/SWC/

11554

RINKU MONI

GOGOI

Late Robin

GogoiNo

C/o-MR MAHENDRA BARUAH, H.No.-0,

Vill/Town-KAKOPATHER SEUJPUR, P.O.-

KAKOPATHER, P.S.-KAKOPATHER, Dist.-

Tinsukia, State-ASSAM, Pin-786152

18.11.2019

Page - 8

Page 9: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

092NHM/SWC/

11557

HEMONTI

DUARAH

KAMAL

DUARAHNo

C/o-KAMAL DUARAH, H.No.-143, Vill/Town-

DENKA VILLAGE, P.O.-BORGAON MAKUM,

P.S.-BAREKURI, Dist.-Tinsukia, State-ASSAM,

Pin-786170

18.11.2019

093NHM/SWC/

11806

POPY

SENCHOWA

GOGOI

SISHURAM

SENCHOWANo

C/o-JITEN GOGOI, H.No.-1, Vill/Town-

AZIZBAGH T.E., P.O.-RAJGARH, P.S.-

TINGKHONG, Dist.-Dibrugarh, State-ASSAM, Pin-

786611

18.11.2019

094NHM/SWC/

11903

KHALAD

AHMED

MAZUMDER

ALLA UDDIN

MAZUMDERNo

C/o-ALLA UDDIN MAZUMDER, H.No.-9,

Vill/Town-MAZIRGRAM, P.O.-SONAIMUKH,

P.S.-SONAI, Dist.-Cachar, State-ASSAM, Pin-

788119

18.11.2019

095NHM/SWC/

12032

BHAGYAWATI

DEKA SAIKIA

DHATU RAM

DEKANo

C/o-CHENI RAM SAIKIA, H.No.-122A,

Vill/Town-SAIKIA PARA, P.O.-SAIKIA PARA,

P.S.-KHOIRABARI, Dist.-Udalguri, State-ASSAM,

Pin-784522

18.11.2019

096NHM/SWC/

12068ARU KONCH

DHARMESWA

R KONCHNo

C/o-DILIP KALITA, H.No.-14, Vill/Town-

BISHNUPUR KALITA GAON, P.O.-JAMUGURI

PANCHALI, P.S.-DHEMAJI, Dist.-Dhemaji, State-

ASSAM, Pin-787057

18.11.2019

097NHM/SWC/

12346APARNA ROY

ANIL KUMAR

ROYNo

C/o-AJIT KUMAR ROY, H.No.-20 KO, Vill/Town-

MATIJURI, P.O.-MATIJURI, P.S.-HAILAKANDI,

Dist.-Hailakandi, State-ASSAM, Pin-788155

18.11.2019

098NHM/SWC/

12385ILORA DEORI

LATE ISHAN

DEORINo

C/o-PANKAJ CHETIA, H.No.-619, Vill/Town-

GOLAI NO 1, P.O.-GOLAI, P.S.-DIGBOI, Dist.-

Tinsukia, State-ASSAM, Pin-786171

18.11.2019

099NHM/SWC/

12927

REEJUMONI

KHAMON

JUGA

KHAMONNo

C/o-Prabhat ch.Gogoi, H.No.-106, Vill/Town-

Suratonibam, P.O.-Kenduguri, P.S.-Rajgarh, Dist.-

Dibrugarh, State-ASSAM, Pin-786611

18.11.2019

100NHM/SWC/

12966

PROTIVA

NGATE

KUMAR

NGATENo

C/o-BISHESWAR NARAH, H.No.-19, Vill/Town-

BATUAMUKH, P.O.-MATIKHULA, P.S.-

DHEMAJI, Dist.-Dhemaji, State-ASSAM, Pin-

787057

18.11.2019

101NHM/SWC/

13062

BHARATI

DEBNATH

LT HIRALAL

DEBNATHNo

C/o-JAWAHAR LAL NATH, H.No.-175,

Vill/Town-MOHANPUR PT II, P.O.-ALGAPUR

PT V, P.S.-ALGAPUR, Dist.-Hailakandi, State-

ASSAM, Pin-788150

18.11.2019

102NHM/SWC/

13160SWAPNA PEGU JITEN PEGU No

C/o-JITEN PEGU, H.No.-21, Vill/Town-JIADHAL

DIGHALGARAH, P.O.-JIADHAL CHARIALI,

P.S.-DHEMAJI, Dist.-Dhemaji, State-ASSAM, Pin-

787057

18.11.2019

103NHM/SWC/

13263PRATIMA DAS NAU RAM DAS No

C/o-UTPAL NATH, H.No.-23, Vill/Town-PUB

KHAGRABARI, P.O.-JALAHGHAT, P.S.-SIMLA,

Dist.-Baksa, State-ASSAM, Pin-781327

18.11.2019

Page - 9

Page 10: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

104NHM/SWC/

13430

BHAGYAWATI

DEKA SAIKIA

DHATU RAM

DEKANo

C/o-CHENI RAM SAIKIA, H.No.-122 A,

Vill/Town-SAIKIAPARA, P.O.-BARALAKHAT,

P.S.-KHOIRABARI, Dist.-Udalguri, State-ASSAM,

Pin-784522

18.11.2019

105NHM/SWC/

13475

SWAPNA

SULTANA

BARBHUIYA

KUTUB UDDIN

BARBHUIYANo

C/o-NAZRUL ISLAM LASKAR, H.No.-184,

Vill/Town-NITAINAGAR PART 3, P.O.-

NITAINGAR, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-Assam, Pin-788155

18.11.2019

106NHM/SWC/

13497

PRANATI

DEKA

GAURANGA

DEKANo

C/o-C/O - GAURANGA DEKA, H.No.-0,

Vill/Town-SUB MAHALIAPARA, P.O.-

RANGAJULI, P.S.-KHOIRABARI, Dist.-Udalguri,

State-ASSAM, Pin-784522

18.11.2019

107NHM/SWC/

13509LUCKY DAS

LT BIRANDRA

CHANDRA DASNo

C/o-SUSHANTA KUMAR DAS, H.No.-35 K,

Vill/Town-BAKRIHAWAR PT I, P.O.-

PANCHGARM, P.S.-PANCHGRAM, Dist.-

Hailakandi, State-ASSAM, Pin-788801

18.11.2019

108NHM/SWC/

13526DIPIKA GOGOI

DRUNA

KANTA GOGOINo

C/o-RAJU GOGOI, H.No.-65, Vill/Town-

DANGPORA, P.O.-DANGPORA, P.S.-

TINGKHONG, Dist.-Dibrugarh, State-ASSAM, Pin-

786611

18.11.2019

109NHM/SWC/

13571

SWAPNA

BHUYAN

PROBIN

BHUYANNo

C/o-PROBIN BHUYAN, H.No.-65, Vill/Town-

NAHARSAKU GAON, P.O.-CHIRINGHULLA,

P.S.-LAHOWAL, Dist.-Dibrugarh, State-ASSAM,

Pin-786010

18.11.2019

110NHM/SWC/

13685

DIBYAJYOTI

BORAHTulshi Borah No

C/o-NABAKUMAR BORGOHAIN, H.No.-0,

Vill/Town-KHOWANG AZARGURI, P.O.-

KHOWANG GHAT, P.S.-KHOWANG, Dist.-

Dibrugarh, State-ASSAM, Pin-785676

18.11.2019

111NHM/SWC/

13887

DIPTI

THAKURIA

SAMBU

THAKURIANo

C/o-AMULYA SONOWAL, H.No.-BOLIMORA

VILLAGE, Vill/Town-DULIAJAN, P.O.-

KACHARI PATHER, P.S.-DULIAJAN, Dist.-

Dibrugarh, State-ASSAM, Pin-786602

18.11.2019

112NHM/SWC/

13910

PURABI

SONOWAL

NABAKANTA

SONOWALNo

C/o-BOLIN GOHAIN, H.No.-45, Vill/Town-NIZ

CHABUA NEAR CINEMA HALL ROAD, P.O.-

CHABUA, P.S.-CHABUA, Dist.-Dibrugarh, State-

ASSAM, Pin-786184

18.11.2019

113NHM/SWC/

13934

DHANESWARI

DAS

KANDURA

DAS RABHANo

C/o-RAMESH KACHARI, H.No.-51, Vill/Town-

TANGLA WARD NO.2, P.O.-TANGLA, P.S.-

TANGLA, Dist.-Udalguri, State-ASSAM, Pin-

784521

18.11.2019

114NHM/SWC/

14561

SANKAR

MALAKAR

LT RAM HARI

MALAKARNo

C/o-LT RAM HARI MALAKAR, H.No.-5,

Vill/Town-SARUMOTORIA, DISPUR, P.O.-

DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro, State-

ASSAM, Pin-781006

18.11.2019

Page - 10

Page 11: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

115NHM/SWC/

15280MOMI GOGOI HAREN GOGOI No

C/o-BIJON HAZARIKA, H.No.-56, Vill/Town-

BISHNU NAGAR PATH OPPOSITE B/G RLY

LINE, P.O.-KODOMONI, P.S.-

GABHARUPATHAR, Dist.-Dibrugarh, State-

Assam, Pin-786001

18.11.2019

116NHM/SWC/

15342

RUMI

SARANIA

LT

DHANESWAR

SARANIA

No

C/o-MANGAL BARO, H.No.-357, Vill/Town-

RAMKRISHNA SEVA ASHRAM ROAD, P.O.-

UDALGURI, P.S.-UDALGURI, Dist.-Udalguri,

State-ASSAM, Pin-784509

18.11.2019

117NHM/SWC/

15446

BEGUM

MANJUMA

AHMED

KHAIMUDDIN

AHMEDNo

C/o-MD.IMAN ALI, H.No.-491, Vill/Town-

MONAKOSHA, P.O.-GORAIMARI, P.S.-

MANIKPUR, Dist.-Bongaigaon, State-ASSAM, Pin-

783390

18.11.2019

118NHM/SWC/

16484

JAYASHREE

SAIKIA

BHUGESWAR

SAIKIANo

C/o-DURGESWAR GOGOI, H.No.-98, Vill/Town-

LAKHTAKIA, P.O.-GHUGUHA, P.S.-DHEMAJI,

Dist.-Dhemaji, State-ASSAM, Pin-787057

18.11.2019

119NHM/SWC/

16521

RUMEE

HAZARIKA

Bhogeswar

HazarikaNo

C/o-Babli Rajkumar, H.No.-NA, Vill/Town-Lalpahr

pothar gaon, P.O.-Tipong, P.S.-Lekhapani, Dist.-

Tinsukia, State-Assam, Pin-786179

18.11.2019

120NHM/SWC/

17088

MINU RAY

CHOUDHURY

LT. BHABANI

PRASAD DASNo

C/o-BISHNU RAY CHOUDHURY, H.No.-NA,

Vill/Town-GERUKABARI, P.O.-GERUKABARI,

P.S.-MANIKPUR, Dist.-Bongaigaon, State-

ASSAM, Pin-783390

18.11.2019

121NHM/SWC/

17126PAPORI GOGOI

SIVA PRASAD

SAIKIANo

C/o-DEEPAK KR GOGOI, H.No.-9, Vill/Town-

GAURIPUR GAON, P.O.-GARUDHARIA, P.S.-

BARBARUAH, Dist.-Dibrugarh, State-ASSAM,

Pin-786007

18.11.2019

122NHM/SWC/

17568

MS SABITA

RAY BARUAH

LATE

ABHIRAM RAYNo

C/o-PRADIP BARUAH, H.No.-227, Vill/Town-

NORTH SALMARA PART -II, P.O.-NORTH

SALMARA, P.S.-ABHAYAPURI, Dist.-

Bongaigaon, State-ASSAM, Pin-783382

18.11.2019

123NHM/SWC/

17660MANJU GOGOI

LT

MAGHASHYA

M GOGOI

No

C/o-ANANTA BORUAH, H.No.-0, Vill/Town-

SANTIPUR, P.O.-RUPAI SIDING, P.S.-

DOOMDOOMA, Dist.-Tinsukia, State-ASSAM,

Pin-786153

18.11.2019

124NHM/SWC/

18005RUBI MECH

PHATIK

CHANDRA

BORDOLOI

No

C/o-MADHAB MECH, H.No.-0, Vill/Town-

BOKPORA GAON, P.O.-LAHOWAL, P.S.-

GABHARUPATHAR, Dist.-Dibrugarh, State-

ASSAM, Pin-786010

18.11.2019

125NHM/SWC/

18112

TUTUMONI

BAILUNG

CHUTIA

HARIKANTA

BAILUNGNo

C/o-KALYAN CHUTIA, H.No.-40, Vill/Town-

SARU ABHOYPURIA, P.O.-TENGAKHAT, P.S.-

TENGAKHAT, Dist.-Dibrugarh, State-ASSAM,

Pin-786103

18.11.2019

Page - 11

Page 12: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

126NHM/SWC/

18232

BHARATI

SARKAR

LATE

AMARENDRA

SARKAR

No

C/o-NOBENDU ROY, H.No.-0, Vill/Town-ASEB

QUATER MEHERPUR (NEAR 33/11 KV SUB

STATION MEHERPUR), P.O.-MEHERPUR, P.S.-

SILCHAR, Dist.-Cachar, State-ASSAM, Pin-

788015

18.11.2019

127NHM/SWC/

18660

BIJU RANI

BARUAH

HARA KANTA

BARUAHNo

C/o-HARA KANTA BARUAH, H.No.-0,

Vill/Town-BAHMOLLA, P.O.-BAHMOLLA, P.S.-

KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin-

784522

18.11.2019

128NHM/SWC/

18965

RINALI

CHAWRAK

LATE

PREMESWAR

CHAWRAK

No

C/o-LATE MUHIN CH. DANGARIA, H.No.-39,

Vill/Town-BANGALI BALIJAN, P.O.-

MAMORANI, P.S.-DIGBOI, Dist.-Tinsukia, State-

ASSAM, Pin-786170

18.11.2019

129NHM/SWC/

19469

DEBESWORI

KARDONG

DOLEY

LT.

DAMUDHAR

KARDONG

No

C/o-LAKHI PRASAD DOLEY(, H.No.-141,

Vill/Town-2 NO MECHAKI TONGANI, P.O.-

MECHAKI TONGANI, P.S.-SILAPATHAR, Dist.-

Dhemaji, State-ASSAM, Pin-787110

18.11.2019

130NHM/SWC/

19724

TARAMAI

MEDAK

LT.

KHAGESWAR

MEDAK

No

C/o-LT. PRANJAL LAMA, H.No.-84, Vill/Town-

DIMOW GULAI, P.O.-BHAGAWAN CHARIALI,

P.S.-SILAPATHAR, Dist.-Dhemaji, State-Assam,

Pin-787059

18.11.2019

131NHM/SWC/

19889Pallabi Dutta Praffulla Dutta No

C/o-Jiten Borah, H.No.-, Vill/Town-Kakopather,

P.O.-Kakopather, P.S.-Kakopather, Dist.-Tinsukia,

State-Assam, Pin-786152

18.11.2019

132NHM/SWC/

19991DIPEE BORAH HAREN BORAH No

C/o-KUSHAL GOGOI, H.No.-112 C, Vill/Town-

KHUBALIA, P.O.-KHUBALIA, P.S.-DHEMAJI,

Dist.-Dhemaji, State-ASSAM, Pin-787057

18.11.2019

133NHM/SWC/

20100

BIJAYKRISHN

A SARMAH

SRI

KAMESWAR

SARMAH

Yes

C/o-KAMESWAR SARMAH, H.No.-24(B)39,

Vill/Town-PINGALESWAR, P.O.-

PINGALESWAR, P.S.-BAIHATA CHARIALI,

Dist.-Kamrup Rural, State-ASSAM, Pin-781381

18.11.2019

134NHM/SWC/

20104

DHANESWARI

DOLEY

TARASON

DOLEYNo

C/o-TARASON DOLEY, H.No.-1, Vill/Town-

MECHAKI TONGANI, P.O.-MECHAKI

TONGANI, P.S.-SIAPATHAR, Dist.-Dhemaji,

State-Assam, Pin-787110

18.11.2019

135NHM/SWC/

2028

NIBEDITA

DEVI

KABYEN

BARMANNo

C/o-AMIYO ADHIKARY, H.No.-128, Vill/Town-

BIDYAPUR, P.O.-BIDYAPUR, P.S.-

BONGAIGAON, Dist.-Bongaigaon, State-ASSAM,

Pin-783372

18.11.2019

136NHM/SWC/

20458

DEBESWORI

KARDONG

LT.

DAMUDHAR

KARDONG

No

C/o-LAKHI PRASAD DOLEY, H.No.-141,

Vill/Town-MECHAKI TONGANI, P.O.-

MECHAKI TONGANI, P.S.-SILAPATHAR, Dist.-

Dhemaji, State-Assam, Pin-787110

18.11.2019

Page - 12

Page 13: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

137NHM/SWC/

20786

PABITRA

DIHINGIA

LT. JILASWAR

DIHINGIANo

C/o-LOKNATH SAIKIA, H.No.-5, Vill/Town-

BARUAHOLA VILLAGE, P.O.-PANITOLA, P.S.-

TINSUKIA, Dist.-Tinsukia, State-ASSAM, Pin-

786183

18.11.2019

138NHM/SWC/

21435

DAYAWATI

TAYE

LT

TANKESWAR

TAYE

No

C/o-LT. TANKESWAR TAYE, H.No.-84,

Vill/Town-KULAJAN PAM, P.O.-SILAPATHAR,

P.S.-SILAPATHAR, Dist.-Dhemaji, State-Assam,

Pin-787059

18.11.2019

139NHM/SWC/

21551

ARCHANA

MAHARA

LATE- AJIT

LAL MAHARANo

C/o-LATE- AJIT LAL MAHARA, H.No.-1747,

Vill/Town-JOYPUR PART-1, P.O.-JOYPUR RAJA

BAZAR, P.S.-JOYPUR, Dist.-Cachar, State-

ASSAM, Pin-788107

18.11.2019

140NHM/SWC/

21729

ZAHIDA

ZAZREEN

LASKAR

MATAHIR ALI

LASKARNo

C/o-ZAKIR MD KABIR LASKAR, H.No.-365

(KHA), Vill/Town-TULARGRAM PART I, P.O.-

SONAIMUKH, P.S.-SONAI, Dist.-Cachar, State-

ASSAM, Pin-788119

18.11.2019

141NHM/SWC/

21765

JANAWATI

PEGUNilo Kanta Pegu No

C/o-Jagat Kumbang, H.No.-113, Vill/Town-Aarchi

Borgarah, P.O.-Dipa, P.S.-Silapathar, Dist.-

Dhemaji, State-Assam, Pin-787059

18.11.2019

142NHM/SWC/

22085

PRANBI PEGU

MILI

PADMESWAR

PEGUNo

C/o-BIPUL MILI, H.No.-71, Vill/Town-RUPAHI

MISING GOAN, P.O.-POTHALIPAM, P.S.-

BOGINADI, Dist.-Lakhimpur, State-Assam, Pin-

787056

18.11.2019

143NHM/SWC/

23152RUNU DEKA Mani Ram Deka No

C/o-Mani Ram Deka, H.No.-434, Vill/Town-

Milanpur Tangla, P.O.-Tangla Town, P.S.-Tangla,

Dist.-Udalguri, State-Assam, Pin-784521

18.11.2019

144NHM/SWC/

23178Biju Moni Saikia Robind Saikia No

C/o-Sonaram Saikia, H.No.-6, Vill/Town-

Silapathar, P.O.-Silapathar, P.S.-Silapathar, Dist.-

Dhemaji, State-787059, Pin-787059

18.11.2019

145NHM/SWC/

3707

ARPANA RANI

NATH

lt HARENDRA

KUMAR NATHNo

C/o-SASSANKA SEKHAR NATH MAZUMDER,

H.No.-190, Vill/Town-ALGAPUR PT I, P.O.-

KALIBARI BAZAR, P.S.-ALGAPUR, Dist.-

Hailakandi, State-ASSAM, Pin-788150

18.11.2019

146NHM/SWC/

3752

RUBJAHAN

NEHAR

CHOUDHURY

ALA UDDIN

CHOUDHURYNo

C/o-ANWAR HUSSAIN LASKAR, H.No.-11,

Vill/Town-MOHANPUR PT 1, P.O.-ALGAPUR

PT 5, P.S.-ALGAPUR, Dist.-Hailakandi, State-

ASSAM, Pin-788150

18.11.2019

147NHM/SWC/

3764

RITUMONI

SAIKIAKALIA SAIKIA No

C/o-JOGENDRA BHUYAN, H.No.-29A,

Vill/Town-TEKJURI RAJABARI, P.O.-

BISHNUPUR, P.S.-DHEMAJI, Dist.-Dhemaji,

State-ASSAM, Pin-787057

18.11.2019

148NHM/SWC/

3933

MONALISHA

GOGOI

MANIK CH

GOGOINo

C/o-TULSHI GOGOI, H.No.-105, Vill/Town-

NAHARANI(KONWARI GAON), P.O.-

KONWARI GAON, P.S.-NAHARKATIA, Dist.-

Dibrugarh, State-ASSAM, Pin-786610

18.11.2019

Page - 13

Page 14: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

149NHM/SWC/

4059

PODUMI

MORAN

BIRESWAR

MORANNo

C/o-PRODIP MORAN, H.No.-0, Vill/Town-

OUGURI BIJOY NAGAR, P.O.-RUPAI SIDING,

P.S.-DOOMDOOMA, Dist.-Tinsukia, State-

ASSAM, Pin-786153

18.11.2019

150NHM/SWC/

4209

HALIMA

KHANOM

BARBHUIYA

ABDUS

SUBHAN

BARBHUIYA

No

C/o-JAYNAL UDDIN MAZUMDER, H.No.-232,

Vill/Town-BARJURAI, P.O.-BOALIPAR BAZAR,

P.S.-HAILAKANDI, Dist.-Hailakandi, State-

ASSAM, Pin-788155

18.11.2019

151NHM/SWC/

4495

HIMA MONI

GOGOI

PRAFULLA

GOGOINo

C/o-PRODIP GOGOI, H.No.-ROBORGURI

SONOWAL GAON, Vill/Town-ROBORGURI

SONOWAL GAON, P.O.-PHILLOBARI, P.S.-

PHILLOBARI, Dist.-Tinsukia, State-ASSAM, Pin-

786160

18.11.2019

152NHM/SWC/

4805

JYOSTNA

GOGOI

RAMAKANTA

GOGOINo

C/o-MOHENDRA GOGOI, H.No.-137, Vill/Town-

DIBRUWAL CHANGMAI GAON, P.O.-

LAHOWAL, P.S.-LAHOWAL, Dist.-Dibrugarh,

State-ASSAM, Pin-786010

18.11.2019

153NHM/SWC/

4831

JYOTSNA

GOGOI

RAMAKANTA

GOGOINo

C/o-MOHENDRA GOGOI, H.No.-137, Vill/Town-

DIBRUWAL CHNAGMAI GAON, P.O.-

LAHOWAL, P.S.-LAHOWAL, Dist.-Dibrugarh,

State-ASSAM, Pin-786010

18.11.2019

154NHM/SWC/

5245

Sri Dibyajyoti

Sarmah

Phuleswar

SarmahNo

C/o-Hemanta Sarmah, H.No.-5, Vill/Town-Tezpur

P & T Quater, P.O.-Tezpur Head Post Office, P.S.-

Tezpur Sadar Thana, Dist.-Sonitpur, State-Assam,

Pin-784001

18.11.2019

155NHM/SWC/

5407

PARBIN

JAHERA

BEGAM

LASKAR

AFTAB UDDIN

LASKARNo

C/o-SIRAZUR RAHMAN BARBHUIYA, H.No.-

736, Vill/Town-NIZ KATIGORAH PART III, P.O.-

LATTIMARA, P.S.-KATIGORAH, Dist.-Cachar,

State-ASSAM, Pin-788805

18.11.2019

156NHM/SWC/

5444RANU GOGOI

HARENDRA

GOGOINo

C/o-SUBAL TAYENG, H.No.-440, Vill/Town-

SILAPATHAR MISING GAON, P.O.-

SILAPATHAR, P.S.-SILAPATHAR, Dist.-

Dhemaji, State-ASSAM, Pin-787059

18.11.2019

157NHM/SWC/

5561NAMITA DAS

LATE

HORENDRA

NATH DAS

No

C/o-PRASANTA RAY, H.No.-21, Vill/Town-

DEOHATI TAHABILDARPARA, P.O.-

DEOHATI, P.S.-ABHAYAPURI, Dist.-

Bongaigaon, State-ASSAM, Pin-783384

18.11.2019

158NHM/SWC/

5754

SONALI

BISWAS

Lt. Rakesh

BiswasNo

C/o-Sonali Biswas, H.No.-NA, Vill/Town-Salganga,

P.O.-Salgangs, P.S.-Udharbond, Dist.-Cachar, State-

Assam, Pin-788031

18.11.2019

159NHM/SWC/

6528

GITARASHMI

KONWARDUTI KONWAR No

C/o-RAMESH DEKARAJA, H.No.-68, Vill/Town-

NAHARKATIA, P.O.-NAHARKATIA, P.S.-

NAHARKATIA, Dist.-Dibrugarh, State-ASSAM,

Pin-786610

18.11.2019

160NHM/SWC/

6678RUMA DHAR

Late Nikhil

Kumar DharNo

C/o-Arnab Dhar, H.No.-30, Vill/Town-Baleswar

Grant, P.O.-Jalalpur, P.S.-katigorah, Dist.-Cachar,

State-Assam, Pin-788816

18.11.2019

Page - 14

Page 15: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

161NHM/SWC/

7053MOHUA DAS

Late Binoy

Krishna DasNo

C/o-Subhendu Paul, H.No.-5, Vill/Town-Kurkuro

Part I, P.O.-Kalain, P.S.-Katigorah, Dist.-Cachar,

State-Assam, Pin-788815

18.11.2019

162NHM/SWC/

7066UTTARA NATH

BHARENDRA

CHANDRA

NATH

No

C/o-BHARENDRA CHANDRA NATH, H.No.-78,

Vill/Town-RASHIGAON, P.O.-NORTH

BOITAMARI, P.S.-BONGAIGAON, Dist.-

Bongaigaon, State-ASSAM, Pin-783380

18.11.2019

163NHM/SWC/

7102ANJU ROY

ASHUTOSH

ROYNo

C/o-Amalendu Roy, H.No.-134 Ka, Vill/Town-

Monipur Part I, P.O.-Kalain, P.S.-Katigorah, Dist.-

Cachar, State-Assam, Pin-788815

18.11.2019

164NHM/SWC/

7114

ARUNJYOTI

BORUAH

PADMA

BORUAHNo

C/o-KRISHNA KANTA BORA, H.No.-0,

Vill/Town-PARBOTIPUR, P.O.-GERUKAMUKH,

P.S.-GOGAMUKH, Dist.-Dhemaji, State-ASSAM,

Pin-787035

18.11.2019

165NHM/SWC/

7255

DIBYA JYOTI

SONOWAL

DHARMASWA

R SONOWALNo

C/o-RATUL HAZARIKA, H.No.-45, Vill/Town-

BISHNU NAGAR, P.O.-RUPAI SIDING, P.S.-

DOOMDOOMA, Dist.-Tinsukia, State-ASSAM,

Pin-786153

18.11.2019

166NHM/SWC/

7287

RUNUMI

SAHARIA

GOPINATH

SAHARIANo

C/o-NRIPEN BARUAH, H.No.-223, Vill/Town-

BAHMOLLA, P.O.-BAHMOLLA, P.S.-

KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin-

784522

18.11.2019

167NHM/SWC/

7499

MORIAM

BEGUM

LASKAR

ABDUL HAMID

LASKARNo

C/o-NOZIB UDDIN LASKAR, H.No.-255,

Vill/Town-BOALIPAR PART 3, P.O.-BOALIPAR

BAZAR, P.S.-HAILAKANDI, Dist.-Hailakandi,

State-ASSAM, Pin-788155

18.11.2019

168NHM/SWC/

7560

JAMILA

BEGUM

BARBHUIYA

ABDUR

RAHMAN

BARBHUIYA

No

C/o-NURUL ISLAM BARBHUIYA, H.No.-131,

Vill/Town-LAKSHIRBOND PT 2, P.O.-

LAKSHIRBOND, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-ASSAM, Pin-788155

18.11.2019

169NHM/SWC/

7783

RUPALI

BORUAH

BAKUL

BARUAHNo

C/o-RANJAN SAIKIA, H.No.-149, Vill/Town-

CHAMONI NATUN GAON, P.O.-GORPARA,

P.S.-RAHMARIA, Dist.-Dibrugarh, State-ASSAM,

Pin-786101

18.11.2019

170NHM/SWC/

8286

SWAPNALI

BURHAGOHAI

N PHUKAN

PURNANANDA

BURHAGOHAI

N

No

C/o-TANKESWAR PHUKAN, H.No.-49,

Vill/Town-LEZAI GAON, P.O.-LEZAI, P.S.-

BARBARUAH, Dist.-Dibrugarh, State-ASSAM,

Pin-786007

18.11.2019

171NHM/SWC/

8369

SUNMONI

LAHONGOJEN LAHAN No

C/o-GOJEN LAHAN, H.No.-25, Vill/Town-

DIGHOLIA, P.O.-DIGHOLIA, P.S.-

TENGAKHAT, Dist.-Dibrugarh, State-ASSAM,

Pin-786101

18.11.2019

172NHM/SWC/

8398NAMITA DAS

GOBINDA

CHANDRA DASNo

C/o-PANNA LAL DAS, H.No.-167, Vill/Town-

NORTH NARAINPUR PT-II, P.O.-NORTH

NARAINPUR, P.S.-ALGAPUR, Dist.-Hailakandi,

State-ASSAM, Pin-788801

18.11.2019

Page - 15

Page 16: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

173NHM/SWC/

8508

MONALISHA

BORUAH

BIREN

BORUAHNo

C/o-RANJU BORAUH, H.No.-103, Vill/Town-

NO.2 FAKIAL, P.O.-KETETONG, P.S.-

MARGHERITA, Dist.-Tinsukia, State-ASSAM, Pin-

786181

18.11.2019

174NHM/SWC/

8566

DIPANNITA

DEVROY

DILIP KR

SARKARNo

C/o-JOYDEEP DEVROY, H.No.-KACHUGAON,

Vill/Town-KACHUGAON, P.O.-KACHUGAON,

P.S.-KACHUGAON, Dist.-Kokrajhar, State-

ASSAM, Pin-783350

18.11.2019

175NHM/SWC/

8573DEVI CHUTIA

NARAYAN

CHUTIANo

C/o-TIJEN GOGOI, H.No.-22, Vill/Town-

PANDHUWA, P.O.-TENGAKHAT, P.S.-

TENGAKHAT, Dist.-Dibrugarh, State-ASSAM,

Pin-786103

18.11.2019

176NHM/SWC/

8659RIMA GOGOI

LAKHESWAR

GOGOINo

C/o-KARUN CHETIA, H.No.-22, Vill/Town-NIZ

TENGAKHAT, P.O.-TENGAKHAT, P.S.-

TENGAKHAT, Dist.-Dibrugarh, State-ASSAM,

Pin-786103

18.11.2019

177NHM/SWC/

8787

PUROBI

GOHAINJATIN GOHAIN No

C/o-MOUNKEN CHAKHAP, H.No.-8, Vill/Town-

BORFAKIAL GAON, P.O.-KETETONG, P.S.-

MARGHERITA, Dist.-Tinsukia, State-ASSAM, Pin-

786181

18.11.2019

178NHM/SWC/

8824

KUSUMI

BARUAH

UGESH

BARUAHNo

C/o-NIPUL SAIKIA, H.No.-NIL, Vill/Town-

RAHMORIA CHAMONI NATUN GAON, P.O.-

GORPARA, DIKON, P.S.-RAHMORIA, Dist.-

Dibrugarh, State-ASSAM, Pin-786101

18.11.2019

179NHM/SWC/

8900

KALPANA

BARMAN

UDAY

CHANDRA

BARMAN

No

C/o-KALYAN CH ROY, H.No.-39, Vill/Town-

DEOHATI UJANPARA, P.O.-DEOHATI, P.S.-

ABHAYAPURI, Dist.-Bongaigaon, State-ASSAM,

Pin-783384

18.11.2019

180NHM/SWC/

9064SABITA RAY ABHIRAM RAY No

C/o-PRADIP BARUAH, H.No.-227, Vill/Town-

NORTH SALMARA PART- II, P.O.-NORTH

SALMARA, P.S.-ABHAYAPURI, Dist.-

Bongaigaon, State-ASSAM, Pin-783383

18.11.2019

181NHM/SWC/

9179

Sultana Begam

Talukdar

Iskandar Ali

TalukdarNo

C/o-Aftab Uddin Laskar, H.No.-42, Vill/Town-

Panchgram old market, P.O.-Panchgram, P.S.-

Panchgram, Dist.-Hailakandi, State-Assam, Pin-

788801

18.11.2019

182NHM/SWC/

9259

SNAHALATA

RABHA

HARIDAS

RABHANo

C/o-HARIDAS RABHA, H.No.-38, Vill/Town-

KACHARIPARA, P.O.-MALEGARH, P.S.-

JOGIGHOPA, Dist.-Bongaigaon, State-ASSAM,

Pin-783382

18.11.2019

183NHM/SWC/

9415

MINATI

SWARGIARY

RUKUNA

BARONo

C/o-LOHIT CH RABHA, H.No.--, Vill/Town-

SELAIMARI, P.O.-KHOIRABARI, P.S.-

KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin-

784522

18.11.2019

Page - 16

Page 17: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

184NHM/SWC/

9575

RANJUMONI

SAIKIA

KACHARI

LATE

BHADERSWAR

SAIKIA

No

C/o-DINESH KACHARI, H.No.-BORBIL NOI. 3

RAMNAGAR DIGBOI, Vill/Town-DIGBOI, P.O.-

DIGBOI, P.S.-DIGBOI, Dist.-Tinsukia, State-

ASSAM, Pin-786171

18.11.2019

185NHM/SWC/

9581

SUNITA

KUMARI PEGU

LAKHINDAR

PEGUNo

C/o-BROJ KUMAR DOLEY, H.No.-19, Vill/Town-

KANGKAN NAGAR, P.O.-SILAPATHAR, P.S.-

SILAPATHAR, Dist.-Dhemaji, State-ASSAM, Pin-

787059

18.11.2019

186NHM/SWC/

9582

RANJITA

RABHANAREN RABHA No

C/o-NAREN RABHA, H.No.-110, Vill/Town-

ROWTA BAGAN, P.O.-ROWTA CHARIALI, P.S.-

ROWTA, Dist.-Udalguri, State-ASSAM, Pin-

784508

18.11.2019

187NHM/SWC/

9720

MRINANJALI

KNOWAR

CHANGMAI

SHRI JUGEN

KNOWARNo

C/o-JUGEN KNOWAR, H.No.-175, Vill/Town-

BURAHAZAR, P.O.-BARBARUAH, P.S.-

BARBARUAH, Dist.-Dibrugarh, State-ASSAM,

Pin-786007

18.11.2019

188NHM/SWC/

9829

GUNESWARI

BARO

DHANI RAM

BARONo

C/o-BHABID BASUMATARY, H.No.-51,

Vill/Town-DOULCHUBA (BAGARIBARI), P.O.-

BHERGAON, P.S.-TANGLA, Dist.-Udalguri, State-

ASSAM, Pin-784522

18.11.2019

189NHM/SWC/

9975

PRANATI

DEKA

LATE

GOURANGA

DEKA

No

C/o-NABIN CH DEKA, H.No.-, Vill/Town-

RUPAKHAT, P.O.-PURANI TANGLA, P.S.-

TANGLA, Dist.-Udalguri, State-ASSAM, Pin-

784528

18.11.2019

190NHM/SWC/

0456

KANCHAI

BORO

RABIRAM

BORONo

C/o-RABIRAM BORO, H.No.-0, Vill/Town-

LAOKRIGURI, P.O.-BETINI, P.S.-AMGURI, Dist.-

Chirang, State-ASSAM, Pin-783393

18.11.2019

191NHM/SWC/

10240TULU GOGOI

PREMADHAR

GOGOINo

C/o-SUKHEN SAIKIA, H.No.-77, Vill/Town-

MODINOGAR ADARSHAR GAON, P.O.-

GELAKEY, P.S.-GELAKEY, Dist.-Sivasagar, State-

ASSAM, Pin-785696

18.11.2019

192NHM/SWC/

10377REKHA BORA

LATE BHOLA

BORANo

C/o-KANAK BORA, H.No.-59, Vill/Town-1 NO

KAKI 1 NO GAON, P.O.-KAKI, P.S.-KAKI, Dist.-

Nagaon, State-ASSAM, Pin-782442

18.11.2019

193NHM/SWC/

10399

Mridula Chetia

HandiqeLt. No

C/o-Mr. kailash Handique, H.No.-, Vill/Town-

Lakwa Tea Estate, P.O.-Lakwa, P.S.-Simaluguri,

Dist.-Sivasagar, State-Assam, Pin-785688

18.11.2019

194NHM/SWC/

10456

BORNALI

SAIKIA

Late Nobin

Chandra SaikiaNo

C/o-Poragjyoti Saikia, H.No.-100, Vill/Town-

Kalakhowa Gaon, P.O.-Kalakhowa, P.S.-Jorhat(

Bhogdai Outpost), Dist.-Jorhat, State-Assam, Pin-

785010

18.11.2019

195NHM/SWC/

10496

NAZREEN

AHMED

LT Nasir Uddin

AhmedNo

C/o-Mokbul Hussain, H.No.-668 K, Vill/Town-

Motirchar PT-I, P.O.-Howrarpar, P.S.-Dhubri, Dist.-

Dhubri, State-Assam, Pin-783324

18.11.2019

Page - 17

Page 18: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

196NHM/SWC/

10921RUMI SINHA

LAKHINDRA

SINHANo

C/o-LAKHINDRA SINHA, H.No.-66, Vill/Town-

PATORKUCHI, P.O.-BASISTHA, P.S.-

BASISTHA, Dist.-Kamrup Metro, State-ASSAM,

Pin-781029

18.11.2019

197NHM/SWC/

10926SUKTA DAS

SURAMANI

DASNo

C/o-SUKANTA DAS, H.No.-427, Vill/Town-

IRONGMARA, P.O.-IRONGMARA, P.S.-

SILCHAR, Dist.-Cachar, State-ASSAM, Pin-

788011

18.11.2019

198NHM/SWC/

11341

PAPORI NEOG

DUTTAPRODIP NEOG No

C/o-TAPAN DUTTA, H.No.-55, Vill/Town-

KAMALDOI PULL, P.O.-NOHAT, P.S.-DEMOW,

Dist.-Sivasagar, State-ASSAM, Pin-785662

18.11.2019

199NHM/SWC/

11431

BINU

HAZARIKA

LATE BHUBAN

HAZARIKANo

C/o-DIGANTA GOGOI, H.No.-45, Vill/Town-

DEMOW MILON NAGAR, P.O.-DEHAJAN, P.S.-

DEMOW, Dist.-Sivasagar, State-ASSAM, Pin-

785662

18.11.2019

200NHM/SWC/

11471

MINAKSHI

KALITABIREN KALITA No

C/o-DUGDHA DEKA, H.No.-42, Vill/Town-

PATIDARRANG, P.O.-DEOMORNOI, P.S.-

SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784147

18.11.2019

201NHM/SWC/

11477

JOYMATI

DEKA

TANKESWAR

DEKANo

C/o-TILAK NATH, H.No.-111, Vill/Town-PUNIA,

P.O.-KHANDAJAN, P.S.-SIPAJHAR, Dist.-

Darrang, State-ASSAM, Pin-784145

18.11.2019

202NHM/SWC/

11495

BINU

HAZARIKA

GOGOI

LATE BHUBAN

HAZARIKANo

C/o-DIGANTA GOGOI, H.No.-45, Vill/Town-

DEMOW MILON NAGAR, P.O.-DEHANJAN,

P.S.-DEMOW, Dist.-Sivasagar, State-ASSAM, Pin-

785662

18.11.2019

203NHM/SWC/

11512

LAXMI

MAGAR

AMBAR

BAHADUR

MAGAR

No

C/o-BIJOY THAPA, H.No.-83, Vill/Town-

GANGAPUR, P.O.-GORMARA, P.S.-

DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, Pin-

784111

18.11.2019

204NHM/SWC/

11685

SMRITY

REKHA BORAH

BORUAH

TUNIRAM

BORUAHNo

C/o-NABAJIT BORUAH, H.No.-56, Vill/Town-

ATHABARI HILOIDARI, P.O.-KHORAHAT, P.S.-

DEMOW, Dist.-Sivasagar, State-ASSAM, Pin-

785662

18.11.2019

205NHM/SWC/

11748

DIPALI

ADHIKARY

JITENDRA

NARAYAN

ADHIKARY

No

C/o-PRODIP KUMAR ROY, H.No.-270,

Vill/Town-DUMARDAHA PT -III, P.O.-

BALAJAN, P.S.-GAURIPUR, Dist.-Dhubri, State-

ASSAM, Pin-783331

18.11.2019

206NHM/SWC/

11807

ANJUMONI

RAJKUMARI

JITEN

RAJKONWARNo

C/o-ACHYUT KR GOGOI, H.No.-NILL,

Vill/Town-KHANGIA GAON, P.O.-

CHEPANGANI, P.S.-NAMTI, Dist.-Sivasagar,

State-ASSAM, Pin-785685

18.11.2019

207NHM/SWC/

12109

SIKHA MONI

SARMAH

BIMAL CH

SARMAHNo

C/o-BIMAL CH SARMAH, H.No.-32, Vill/Town-

BAM PARBATIA BAMUN CHUBURI, P.O.-

TEZPUR, P.S.-TEZPUR, Dist.-Sonitpur, State-

ASSAM, Pin-784001

18.11.2019

Page - 18

Page 19: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

208NHM/SWC/

12165

GOUTOMI

BARUAH

PROMUD

BARUAHNo

C/o-BHABEN DUTTA, H.No.-12, Vill/Town-

NAKATANI KALUGAON, P.O.-BHARALUA

TINI ALI, P.S.-GAURISAGAR, Dist.-Sivasagar,

State-ASSAM, Pin-785664

18.11.2019

209NHM/SWC/

12452

BIJAYA

RAJBANGSHI

BHABI RAM

RAJBANGSHINo

C/o-SHYAM PRASHAD DEKA, H.No.-141,

Vill/Town-DARRANG, P.O.-TENGERA, P.S.-

SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784148

18.11.2019

210NHM/SWC/

12719

DIPIKA

BORUAH

JUGADHAR

BARUAHNo

C/o-JUGADHAR BARUAH, H.No.-16 A,

Vill/Town-BALIJAN KENDUGURI TINALI, P.O.-

BALIJAN, P.S.-DIGBOI, Dist.-Tinsukia, State-

Assam, Pin-786171

18.11.2019

211NHM/SWC/

12727

RUNMONI

HAZARIKA

PADMADHAR

HAZARIKANo

C/o-PADMADHAR HAZARIKA, H.No.-

TITABAR, Vill/Town-NA CHUNGI GAON, P.O.-

JALUKANIBARI, P.S.-TITABAR, Dist.-Jorhat,

State-ASSAM, Pin-785630

18.11.2019

212NHM/SWC/

12783

RAJASHREE

NEOG

LATE

MUKHESWAR

NEOG

No

C/o-BINUD KACHARI, H.No.-TITABAR,

Vill/Town-BAJAL BARI, P.O.-BARUAHJAN, P.S.-

TITABAR, Dist.-Jorhat, State-ASSAM, Pin-785630

18.11.2019

213NHM/SWC/

12894

KANAN

KALITA

PANCHANAN

KALITANo

C/o-MRIGEN PATGIRI, H.No.-365, Vill/Town-

BAMAKHATA, P.O.-BAMAKHATA, P.S.-

PATACHRKUCHI, Dist.-Barpeta, State-ASSAM,

Pin-781325

18.11.2019

214NHM/SWC/

12996ELIZA BEGUM

MD

NIZAMUDDIN

AHMED

No

C/o-YEAR HUSSAIN, H.No.-100, Vill/Town-

BHELLA, P.O.-BHELLA, P.S.-BARPETA, Dist.-

Barpeta, State-ASSAM, Pin-781309

18.11.2019

215NHM/SWC/

13139

SWAPNALI

DUTTA

JAGYESWAR

DUTTANo

C/o-MR.JAGYESWAR DUTTA, H.No.-296,

Vill/Town-SARBAIBONDHA DIMORUGURIA

GAON, P.O.-JORHAT, P.S.-JORHAT, Dist.-

Jorhat, State-ASSAM, Pin-785001

18.11.2019

216NHM/SWC/

13232

MONIKA

BORUAH

BORGOHAIN

Late Rangai

BoruahNo

C/o-Dijen Borgohain, H.No.-32, Vill/Town-Patsaku

Gohaingaon, P.O.-Patsaku, P.S.-Nemuguri, Dist.-

Sivasagar, State-Assam, Pin-785673

18.11.2019

217NHM/SWC/

13283

Hiranya

HandiqueGopal Handique No

C/o-Kesha Phukon, H.No.-172, Vill/Town-Patsaku

Bailung Gaon, P.O.-Patsaku, P.S.-Nemuguri, Dist.-

Sivasagar, State-Assam, Pin-785673

18.11.2019

218NHM/SWC/

13305

DILWARA

BEGUM

LT. ABDUL

MOTINNo

C/o-LT. ABDUL MOTIN, H.No.-0, Vill/Town-

GELAKEY, P.O.-GELAKEY, P.S.-GELAKEY,

Dist.-Sivasagar, State-ASSAM, Pin-785696

18.11.2019

219NHM/SWC/

13329MONJU DAS JOGEN DAS No

C/o-MR. PHOTICK HAZARIKA, H.No.-0,

Vill/Town-GARMUR ITAKHULI, P.O.-JEC, P.S.-

JORHAT, Dist.-Jorhat, State-ASSAM, Pin-785007

18.11.2019

Page - 19

Page 20: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

220NHM/SWC/

13358RUMI SAIKIA

SATYENDRA

NATH SAIKIANo

C/o-PARAG DHAR BARUAH, H.No.-222,

Vill/Town-BHAKATGAON, P.O.-RUPAHI, P.S.-

RUPAHI HAT, Dist.-Nagaon, State-ASSAM, Pin-

782125

18.11.2019

221NHM/SWC/

13392

SANTANA

BORUAH

KAMALESWAR

BORUAHNo

C/o-KAMALESWAR BORUAH, H.No.-0,

Vill/Town-LEPHERA GAON, P.O.-SILASAKU,

P.S.-SIMALUGURI, Dist.-Sivasagar, State-

ASSAM, Pin-785686

18.11.2019

222NHM/SWC/

13604

JURI BORA

HAZARIKA

AMBURAM

BORANo

C/o-ARUP HAZARIKA, H.No.-8, Vill/Town-

MATIKHULA GAON, P.O.-RAIDANGJURI, P.S.-

BORHOLLA, Dist.-Jorhat, State-ASSAM, Pin-

785631

18.11.2019

223NHM/SWC/

13693MAMITA DEVI ATUL SARMA No

C/o-MANORANJAN SARMA, H.No.-17,

Vill/Town-SANDHELI, P.O.-SANDHELI, P.S.-

BELSOR, Dist.-Nalbari, State-Assam, Pin-781353

18.11.2019

224NHM/SWC/

13757

PANNA

BEGUMABDUL SAMED No

C/o-NURUL ISLAM TALUKDRA, H.No.-180,

Vill/Town-EAST TONGIBARI, P.O.-RATABARI,

P.S.-RATABARI, Dist.-Karimganj, State-ASSAM,

Pin-788735

18.11.2019

225NHM/SWC/

13915

FATEMA

KHANAMARFIZ ALI No

C/o-FARUQUE UDDIN AHMED, H.No.-109,

Vill/Town-RATABARI, P.O.-RATABARI, P.S.-

RATABARI, Dist.-Karimganj, State-ASSAM, Pin-

788735

18.11.2019

226NHM/SWC/

14042

SANGITA

BORAH

NUMOL

BORAHNo

C/o-PULIN CH NEOG, H.No.-8, Vill/Town-

PATUACHALA, P.O.-HATIGHULI, P.S.-

GAURISAGAR, Dist.-Sivasagar, State-ASSAM,

Pin-785664

18.11.2019

227NHM/SWC/

14131REBA KALITA NALINI DAS No

C/o-PUNYA CH DAS, H.No.-71, Vill/Town-

SANTIPUR, P.O.-SAPATGRAM, P.S.-

SAPATGRAM, Dist.-Dhubri, State-ASSAM, Pin-

783337

18.11.2019

228NHM/SWC/

14162

Mrs. Purnima

Gogoi Rajkhowa

Sri Gunaban

GogoiNo

C/o-Sri Badiynath Rajkhowa, H.No.-0, Vill/Town-

Santok Nagaon, P.O.-Nimaigarh Habi, P.S.-

Bihubor, Dist.-Sivasagar, State-Assam, Pin-785687

18.11.2019

229NHM/SWC/

14177

CHANDANA

HAZARIKA

LATE KESHAB

HAZARIKANo

C/o-ARUP TALUKDAR, H.No.-22, Vill/Town-

AKANA, P.O.-BORAJOL, P.S.-GHOGRAPAR,

Dist.-Nalbari, State-ASSAM, Pin-781369

18.11.2019

230NHM/SWC/

14384Nurjahan Begum Abdur Rahim No

C/o-Inamul Hoque, H.No.-73, Vill/Town-Solmari,

P.O.-Magurmari, P.S.-Kaoimari, Dist.-Nagaon,

State-Assam, Pin-782140

18.11.2019

231NHM/SWC/

14479MINATI BANIA

NABIN CH.

BANIANo

C/o-LAKHI KANTA SAHARIA, H.No.-3,

Vill/Town-GELAIDINGI, P.O.-MENAPARA, P.S.-

MANGALDAI, Dist.-Darrang, State-ASSAM, Pin-

784146

18.11.2019

Page - 20

Page 21: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

232NHM/SWC/

14490

BANDANA

BARUA

PADMA NATH

BARUANo

C/o-HOMENDRA KUMAR NATH, H.No.-544,

Vill/Town-DAKSHIN CHUBURI, P.O.-

SIPAJHAR, P.S.-SIPAJHAR, Dist.-Darrang, State-

ASSAM, Pin-784145

18.11.2019

233NHM/SWC/

14562Rupa Hazarika

Kehu Ram

HazarikaNo

C/o-Late Bharat Ch Nath, H.No.-76 a, Vill/Town-

Dalimbari, P.O.-Gashpara, P.S.-Raha, Dist.-Nagaon,

State-Assam, Pin-782425

18.11.2019

234NHM/SWC/

14709

ANJALI

BORUAH

Late Kamal

Chandra BoruahNo

C/o-Dip Buragohain, H.No.-155, Vill/Town-South

Amolapatty, P.O.-Mohanaghat, P.S.-Dibrugarh,

Dist.-Dibrugarh, State-Assam, Pin-786008

18.11.2019

235NHM/SWC/

14793

MAMTAZ

BEGUM

ABUL

HUSSAINNo

C/o-JAKIR HUSSAIN, H.No.-155, Vill/Town-

BHATIPARA, P.O.-KOKRAJHAR, P.S.-

KOKRAJHAR, Dist.-Kokrajhar, State-ASSAM, Pin-

783370

18.11.2019

236NHM/SWC/

14801

RASHMITA

BORAH DAS

PADMESWAR

BORAHNo

C/o-KALYAN TIRTHA DAS, H.No.-26,

Vill/Town-MILANPUR KOCHAR CHUBURI,

P.O.-DIPOTA, P.S.-TEZPUR, Dist.-Sonitpur, State-

ASSAM, Pin-784150

18.11.2019

237NHM/SWC/

1515

TUTUMONI

SAIKIA

Dhani Ram

BoruahNo

C/o-Dipankar Saikia, H.No.-197, Vill/Town-

Mazgaon Tamuli Chuburi, P.O.-Tezpur, P.S.-

Tezpur, Dist.-Sonitpur, State-Assam, Pin-784001

18.11.2019

238NHM/SWC/

15210

BASIDA

BEGOM

BAZLUR

RAHAMANNo

C/o-RABIUL AOWAL SARKAR, H.No.-1,

Vill/Town-BIDYARDABRI PART V, P.O.-

MAHAMAYAHAT, P.S.-GOLAKGANJ, Dist.-

Dhubri, State-ASSAM, Pin-783335

18.11.2019

239NHM/SWC/

15381

FARIDA

BEGUM

MD KHALILUR

RAHMANNo

C/o-SAHA ALI AHMED, H.No.-72, Vill/Town-

BARANGABARI, P.O.-JANGALPARA, P.S.-

KHARUPETIA, Dist.-Darrang, State-ASSAM, Pin-

784116

18.11.2019

240NHM/SWC/

15506

MARAMI

BHUYAN

BHULANATH

BHUYANNo

C/o-DIBEN BORA, H.No.-107, Vill/Town-

BHERBHERI NEDHARGAON, P.O.-

HALOWAGAON, P.S.-SAMAGURI, Dist.-

Nagaon, State-ASSAM, Pin-782141

18.11.2019

241NHM/SWC/

16248

PRANITA

RABHA

LT JOGESWAR

RABHANo

C/o-LT JOGESWAR RABHA, H.No.-38,

Vill/Town-BEJENI, P.O.-HAHARA, P.S.-

SONAPUR, Dist.-Kamrup Metro, State-ASSAM,

Pin-782402

18.11.2019

242NHM/SWC/

16374

MARAMI

HAZARIKA

RAMESH

HAZARIKANo

C/o-RAJEN BHUYAN, H.No.-249, Vill/Town-2

NO KAKI DEWBALI, P.O.-THAISUPAR, P.S.-

KAKI, Dist.-Nagaon, State-ASSAM, Pin-782446

18.11.2019

243NHM/SWC/

16435

RINU DAS

MEDHI

KANTA RAM

DASNo

C/o-KANTA RAM DAS, H.No.-47, Vill/Town-

MITANI, P.O.-MALAYBARI, P.S.-KHETRI, Dist.-

Kamrup Metro, State-ASSAM, Pin-782403

18.11.2019

Page - 21

Page 22: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

244NHM/SWC/

16487

ANJANA

PATOWARY

BARUN

PATWARYNo

C/o-BIJAY MEDHI, H.No.-102, Vill/Town-

BELSOR, P.O.-BELSOR, P.S.-BELSOR, Dist.-

Nalbari, State-ASSAN, Pin-781304

18.11.2019

245NHM/SWC/

16553

JIMLEE

BORAH

CHUTIA

TARUN

CHANDRA

BORAH

No

C/o-HOREN CHUTIA, H.No.-12, Vill/Town-ERA

GAON, P.O.-LAHING, P.S.-TEOK, Dist.-Jorhat,

State-ASSAM, Pin-785635

18.11.2019

246NHM/SWC/

16584

PRASTUTI

KASHYAP

BHADRA Kt.

SARMAHNo

C/o-Late Arup Sarma, H.No.-36, Vill/Town-

Puronigudam town, P.O.-Puronigudam, P.S.-

Samaguri, Dist.-Nagaon, State-Assam, Pin-782141

18.11.2019

247NHM/SWC/

16627ANJALI MEDHI

DEBENDRA

NATH MEDHINo

C/o-DEBENDRA NATH MEDHI, H.No.-73,

Vill/Town-TETELIGURI, P.O.-GANDHINAGAR,

P.S.-KHETRI, Dist.-Kamrup Metro, State-ASSAM,

Pin-782403

18.11.2019

248NHM/SWC/

16741

TRISHNA

BORAH

GANGADHAR

BORAHNo

C/o-TRIPTI BORAH, H.No.-89, Vill/Town-

JHANJI MUKH BHAKAT GAON, P.O.-JHANJI

MUKH, P.S.-TEOK, Dist.-Jorhat, State-ASSAM,

Pin-785112

18.11.2019

249NHM/SWC/

17053Aklima Khatun Rajab Ali No

C/o-Rafiqul Islam, H.No.-241, Vill/Town-

Tarangapur Part-I, P.O.-Chapar, P.S.-Chapar, Dist.-

Dhubri, State-Assam, Pin-783371

18.11.2019

250NHM/SWC/

17090

MANJULA DAS

BORAH

TAPESWAR

DASNo

C/o-BANIKANTA BORAH, H.No.-127, Vill/Town-

NAMCHUBURI PANBARI, P.O.-UPPER

PANBARI, P.S.-DHEKIAJULI, Dist.-Sonitpur,

State-ASSAM, Pin-784110

18.11.2019

251NHM/SWC/

17183

MINUWARA

BEGUM

MD JABBAR

ALINo

C/o-JABBAR ALI, H.No.-69, Vill/Town-

GAHERPAM, P.O.-PATBAUSI, P.S.-BARPETA,

Dist.-Barpeta, State-ASSAM, Pin-781314

18.11.2019

252NHM/SWC/

17221

FULKAN

BEGUM

LATE CHAND

MAHAMMAD

ALI

No

C/o-LATE CHAND MAHAMMAD ALI, H.No.-

750, Vill/Town-CHENGA, P.O.-CHENGA, P.S.-

TARABARI, Dist.-Barpeta, State-ASSAM, Pin-

781305

18.11.2019

253NHM/SWC/

17454KARABI BORA

LT KAMAL

BORANo

C/o-LT. KAMAL BORA, H.No.-127, Vill/Town-

NAGSANKAR JAKHALABANDHA, P.O.-

JAKHALABANDHA, P.S.-JAKHALABANDHA,

Dist.-Nagaon, State-ASSAM, Pin-782136

18.11.2019

254NHM/SWC/

17654

RITU MONI

DEVI

SIDDHESWAR

NATHNo

C/o-JADAB CH NATH, H.No.-295, Vill/Town-

NIZ HATICHUNG KALBARI, P.O.-

CHAKALAGHAT, P.S.-JAJORI, Dist.-Nagaon,

State-ASSAM, Pin-782142

18.11.2019

255NHM/SWC/

17674

MOFIDA

KHATUN

MOYEZ UDDIN

SHEIKHNo

C/o-ABDUL GAFUR SHEIKH, H.No.-189,

Vill/Town-DHARMASALA PT-V, P.O.-

DHARMASALA, P.S.-DHUBRI, Dist.-Dhubri,

State-ASSAM, Pin-783324

18.11.2019

Page - 22

Page 23: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

256NHM/SWC/

17798

MAMLI

HAZARIKA

PITAMBAR

HAZARIKANo

C/o-PRABIN RAY, H.No.-3, Vill/Town-

MURHADOL, P.O.-BAKOLA, P.S.-JAMUGURI,

Dist.-Sonitpur, State-ASSAM, Pin-784182

18.11.2019

257NHM/SWC/

18043

ANJANA

HALOI

SATYA RAM

HALOINo

C/o-MADAN DAS, H.No.-0, Vill/Town-

JALKHANA, P.O.-JALKHANA, P.S.-TIHU, Dist.-

Nalbari, State-ASSAM, Pin-781374

18.11.2019

258NHM/SWC/

18162

PUNYAJYOTI

DEVI

RAMESWAR

NATHNo

C/o-PRAFULLA BORA, H.No.-175, Vill/Town-

BARANGABARI, P.O.-KUMURAGURI, P.S.-

MORIGAON, Dist.-Morigaon, State-ASSAM, Pin-

782105

18.11.2019

259NHM/SWC/

18298

NAMITA

SINHA

LATE BIPIN

CHANDRA

SINHA

No

C/o-KRISHNENDU SINHA, H.No.-17, Vill/Town-

RAJARGAON, P.O.-PATHARKANDI, P.S.-

PATHARKANDI, Dist.-Karimganj, State-ASSAM,

Pin-788724

18.11.2019

260NHM/SWC/

18379ANJANA ROY

GAJENDRA

ROYNo

C/o-SUMAN SEN, H.No.-29, Vill/Town-

DEBOTTAR HASDAHA PT V, P.O.-DEBOTTAR

HASDAHA, P.S.-GOLAKGANJ, Dist.-Dhubri,

State-ASSAM, Pin-783334

18.11.2019

261NHM/SWC/

18477

MAMANI

MEDHI

PADMA KT

MEDHINo

C/o-CHANDU KUMAR PATAR, H.No.-155,

Vill/Town-UDARI NA GASARGURI, P.O.-

UDARI, P.S.-MORIGAON, Dist.-Morigaon, State-

ASSAM, Pin-782105

18.11.2019

262NHM/SWC/

18569

APARNA

BORUAH

LT. PROFULLA

BORUAHNo

C/o-SUNIT KALITA, H.No.-68, Vill/Town-

PURANIMATI SATRA, P.O.-PANICHAKUA,

P.S.-PULIBOR, Dist.-Jorhat, State-ASSAM, Pin-

785006

18.11.2019

263NHM/SWC/

18738Shahida Ahmed

Shahjahan Ali

AhmedNo

C/o-Dewan Abdur Rahim, H.No.-94, Vill/Town-

Vill-Majergaon, P.O.-Majergaon, P.S.-Chapar, Dist.-

Dhubri, State-Assam, Pin-783376

18.11.2019

264NHM/SWC/

18792

SHAHENA

KHATUN

SONAB UDDIN

SHEIKHNo

C/o-ROFIQUL ISLAM, H.No.-419, Vill/Town-

GOBARDHANPARA, P.O.-GOBARDHANPARA,

P.S.-BILASIPARA, Dist.-Dhubri, State-ASSAM,

Pin-783348

18.11.2019

265NHM/SWC/

18900

DIPA MONI

DEVI

MANURANJAN

NATHNo

C/o-PANKAJ KUMAR NATH, H.No.-240,

Vill/Town-UPPER DOOMDOOMIA, P.O.-

BALISATRA, P.S.-BATADRAVA, Dist.-Nagaon,

State-ASSAM, Pin-782122

18.11.2019

266NHM/SWC/

19008

RINA BORA

HAZARIKAUMA BORA No

C/o-RATUL HAZARIKA, H.No.-61, Vill/Town-

DERKURIA GAON, P.O.-PANICHAKUA, P.S.-

PULIBOR, Dist.-Jorhat, State-ASSAM, Pin-785006

18.11.2019

267NHM/SWC/

19084MONIKA PAO

LAKHESWAR

PAONo

C/o-SANJIB MONDAL, H.No.-79, Vill/Town-

SEUJ NAGAR, P.O.-CHAPAKHOWA, P.S.-

SADIYA, Dist.-Tinsukia, State-ASSAM, Pin-

786157

18.11.2019

Page - 23

Page 24: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

268NHM/SWC/

19207LALITA SAHU

RAGHU NATH

SAHUNo

C/o-MADAN PRASAD SAHU, H.No.-122,

Vill/Town-THAN BEHALI, P.O.-BEHALI, P.S.-

BEHALI, Dist.-Sonitpur, State-ASSAM, Pin-

784166

18.11.2019

269NHM/SWC/

19226NILIMA DEKA Bihu Ram Deka No

C/o-Munindra Bora, H.No.-86, Vill/Town-

Kuiyapani, P.O.-Aulachowka, P.S.-Mangaldai, Dist.-

Darrang, State-Assam, Pin-784529

18.11.2019

270NHM/SWC/

19403

JULI SAIKIA

BORA

LATE

GHANASYAM

SAIKIA

No

C/o-PRANJAL BORA, H.No.-165, Vill/Town-

DIMORUGURI CHECK GET NEAR MUKUL

STORE, P.O.-DIMORUGURI, P.S.-SADAR, Dist.-

Nagaon, State-ASSAM, Pin-782003

18.11.2019

271NHM/SWC/

19706

PALLAVIKA

GOGOI

RATAN

CHANDRA

GOGOI

No

C/o-RATAM CHANDRA GOGOI, H.No.-0,

Vill/Town-UDOI NAGAR, P.O.-CHAPAKHOWA,

P.S.-SADIYA, Dist.-Tinsukia, State-ASSAM, Pin-

786157

18.11.2019

272NHM/SWC/

19828

KHUDEZA

KHATUN

MD MAFIZ

UDDIN AHMEDNo

C/o-KHALILUR RAHMAN, H.No.-151, Vill/Town-

SONAPUR, P.O.-BALIKURI, P.S.-KALGACHIA,

Dist.-Barpeta, State-ASSAM, Pin-781319

18.11.2019

273NHM/SWC/

20078Mozida Bhuyan

Abdul Kuddus

BhuyanNo

C/o-Rafique Uddin Ahmed, H.No.-86, Vill/Town-

Vill-Pthimari, P.O.-Puthimari Pt-ii, P.S.-Chapar,

Dist.-Dhubri, State-Assam, Pin-783371

18.11.2019

274NHM/SWC/

20686NILIMA DAS

LT.

KHAGESWAR

DAS

No

C/o-GOKUL DAS, H.No.-, Vill/Town-

PAKHIAJHAR, P.O.-BINDUKURI, P.S.-TEZPUR,

Dist.-Sonitpur, State-Assam, Pin-784502

18.11.2019

275NHM/SWC/

20866

ARUNA

BORAH

MADAN

BORAHNo

C/o-BHARAT BORMUDAI, H.No.-20, Vill/Town-

NORTH GINGIA, P.O.-GINGIA, P.S.-GINGIA,

Dist.-Sonitpur, State-ASSAM, Pin-784184

18.11.2019

276NHM/SWC/

20936

ILU SONOWAL

BARUAH

LATE

TANKESWAR

SONOWAL

No

C/o-DEBOJYOTI BARUAH, H.No.-NA,

Vill/Town-BORDOLOI NAGAR PRONAMI

PATH, P.O.-TINSUKIA, P.S.-TINSUKIA, Dist.-

Tinsukia, State-ASSAM, Pin-786125

18.11.2019

277NHM/SWC/

21079

NIKU MONI

BORA

HAZARIKA

GOPALBORA No

C/o-JAYANTA HAZARIKA, H.No.-0, Vill/Town-

KOCHAR GAON, P.O.-CHAKALAGHAT, P.S.-

JAJARI, Dist.-Nagaon, State-ASSAM, Pin-782142

18.11.2019

278NHM/SWC/

21080

AZHARUL

ISLAM

ANSARY

ABDUS

SAMAD

ANSARY

Yes

C/o-ABDUS SAMAD ANSARY, H.No.-375,

Vill/Town-SALKATA, P.O.-BARKOLIA

SHERSHOW, P.S.-FAKIRGANJ, Dist.-Dhubri,

State-ASSAM, Pin-783330

18.11.2019

279NHM/SWC/

21206

ELU RANI

BORA SUTBHOLA BORA No

C/o-PHUKAN CH. SUT, H.No.-16, Vill/Town-

DEWRIGAON, P.O.-DEWRIGAON, P.S.-SADAR

NAGAON, Dist.-Nagaon, State-ASSAM, Pin-

782144

18.11.2019

Page - 24

Page 25: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

280NHM/SWC/

21687GARIMA DEVI

JAMINI KANTA

SARMANo

C/o-KHANINDRA NATH SARMA, H.No.-81,

Vill/Town-BALIKARIA, P.O.-GOPAL BAZAR,

P.S.-NALBARI, Dist.-Nalbari, State-ASSAM, Pin-

781353

18.11.2019

281NHM/SWC/

21711

PAPORI

BORAH

MAHESWAR

BORANo

C/o-TARUN KUMAR BORA, H.No.-96,

Vill/Town-HATIGARH, P.O.-BALIGAON, P.S.-

SADAR NAGAON, Dist.-Nagaon, State-ASSAM,

Pin-782144

18.11.2019

282NHM/SWC/

21903ANJU SINHA NIMAI SINHA No

C/o-SASHI KUMAR SINHA, H.No.-99, Vill/Town-

BAITAKHAL TEA, P.O.-KATABARI, P.S.-

PATHARKANDI, Dist.-Karimganj, State-ASSAM,

Pin-788725

18.11.2019

283NHM/SWC/

21973

HIRAMANI

PATOWARY

LATE KMALA

KANTA

PATOWARY

No

C/o-NABA KUMAR DAS, H.No.--, Vill/Town-

KEOTKUCHI, P.O.-KEOTKUCHI, P.S.-

BARPETA, Dist.-Barpeta, State-ASSAM, Pin-

781309

18.11.2019

284NHM/SWC/

22046

ROWSHONARA

BEGUM

MAZIBAR

RAHAMANNo

C/o-ABDUL MALEQUE, H.No.-108 KA,

Vill/Town-HATIPOTA PT 1, P.O.-SUAPATA, P.S.-

BILASIPARA, Dist.-Dhubri, State-ASSAM, Pin-

783348

18.11.2019

285NHM/SWC/

22281

ZAHIDA

ZAZREEN

LASKAR.

MATAHIR ALI

LASKAR.No

C/o-Zakir Md. Kabir Laskar, H.No.-365, Vill/Town-

Tulargram Part I, P.O.-Sonaimukh, P.S.-Sonai, Dist.-

Cachar, State-Assam, Pin-788119

18.11.2019

286NHM/SWC/

23194

KABERI

BHATTACHAR

JEE

LATE GITESH

RANJAN

BHATTACHAR

JEE

No

C/o-RANJAN KUMAR BHATTACHARJEE,

H.No.-45, Vill/Town-HAILAKANDI, P.O.-

HAILAKANDI, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-ASSAM, Pin-788151

18.11.2019

287NHM/SWC/

23817

MADHBI

DUTTA

KHUDI

RAMDUTTANo

C/o-GANESH SHAH, H.No.-, Vill/Town-UPSHI

PT-I, P.O.-KZIGAON, P.S.-KAZIGAON, Dist.-

Dhubri, State-ASSAM, Pin-783331

18.11.2019

288NHM/SWC/

2968

Niharika

Rajkhanikar

Lt. Jayanta

RajkhanikarNo

C/o-Pronab Jyoti Gogoi, H.No.-35, Vill/Town-

Kakotibari, P.O.-Kakotibari, P.S.-Kakotibari, Dist.-

Sivasagar, State-Assam, Pin-785691

18.11.2019

289NHM/SWC/

3755

AMINA

KHANOM

LASKAR

NAMWAR ALI

LASKARNo

C/o-NAZIM UDDIN LASKAR, H.No.-119 KO,

Vill/Town-BORJOPUR PART-I, P.O.-

BORJOPUR, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-ASSAM, Pin-788155

18.11.2019

290NHM/SWC/

4017

ANIMA BARUA

DEKA

BANCHIT

BARUANo

C/o-BIPUL DEKA, H.No.-214, Vill/Town-NO 2

KOUPATI GRANT, P.O.-KOUPATI, P.S.-

DALGAON, Dist.-Darrang, State-ASSAM, Pin-

784113

18.11.2019

291NHM/SWC/

4947

PAPARI

SARMA

LATE

NARAYAN

SARMA

No

C/o-GAJEN DAS, H.No.-117, Vill/Town-SHILA,

P.O.-BHELLA, P.S.-BARPETA, Dist.-Barpeta,

State-ASSAM, Pin-781309

18.11.2019

Page - 25

Page 26: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

292NHM/SWC/

4997

BANDANA

HAZARIKA

BUDHESWAR

HAZARIKANo

C/o-PRASANTA DUTTA, H.No.-112, Vill/Town-

KRISHNACHIGA ,DIKHOWMUKH, P.O.-

BHARLUA TINI ALI, P.S.-GAURISAGAR, Dist.-

Sivasagar, State-ASSAM, Pin-785664

18.11.2019

293NHM/SWC/

5546

MRIDULA

RAJBONGSHI

SAIKIA

DHANESWAR

RAJBONGSHINo

C/o-DIPANJIT SAIKIA, H.No.-229, Vill/Town-

SONOWAL GAON, P.O.-KAMARGAON, P.S.-

KAMARGAON, Dist.-Golaghat, State-ASSAM, Pin-

785619

18.11.2019

294NHM/SWC/

5711

MANWARA

BEGUM

LATE HAJI

MONIR UDDINNo

C/o-MD NIZAM UDDIN, H.No.-NA, Vill/Town-

LANKA PATTY WARD NO 1, P.O.-LANKA, P.S.-

LANKA, Dist.-Nagaon, State-ASSAM, Pin-782446

18.11.2019

295NHM/SWC/

5736

BEGUM

SUMSUM

NIGAR AHMED

SAMSER ALI

SHEIKHNo

C/o-REZAUL HOQUE PRODHANI, H.No.-197,

Vill/Town-JHAGRARPAR PT-I, P.O.-

SAGOLCHARA, P.S.-DHUBRI, Dist.-Dhubri,

State-ASSAM, Pin-783324

18.11.2019

296NHM/SWC/

5885

PUSPANJALI

DAS

SURATH CH

DASNo

C/o-JAYANTA KALITA, H.No.-87, Vill/Town-

BAGHMARA, P.O.-BAGHMARA BAZAR, P.S.-

PATACHARKUCHI, Dist.-Barpeta, State-ASSAM,

Pin-781328

18.11.2019

297NHM/SWC/

6439

RANJUMONI

DUARAH

PHUKAN

PHUKAN CH

DUARAHNo

C/o-RAJIB PHUKAN, H.No.-97, Vill/Town-

NAOJAN BILPATHAR, P.O.-NAOJAN, P.S.-

SARUPATHAR, Dist.-Golaghat, State-ASSAM,

Pin-785601

18.11.2019

298NHM/SWC/

6442SAMPA DAS Dinesh Ch Das No

C/o-Moti Lal Das, H.No.-72, Vill/Town-Umarpur,

P.O.-Umarpur, P.S.-Badarpur, Dist.-Karimganj,

State-Assam, Pin-788806

18.11.2019

299NHM/SWC/

6868

ABANITA

GOGOI

BONGSHIDHA

R GOGOINo

C/o-JITU CHANGMAI, H.No.-NA, Vill/Town-

BOKATA KHAMUN GAON(MAHKHUWA

BARI), P.O.-KHAMUN, P.S.-NEMUGURI, Dist.-

Sivasagar, State-ASSAM, Pin-785674

18.11.2019

300NHM/SWC/

6875

ARCHANA

GOGOI

CHUTIA

CHANDRA

KANTA GOGOINo

C/o-BIPUL CHUTIA, H.No.-346, Vill/Town-

CHEREKAPAR CHANGMAI GAON, P.O.-

CHEREKAPAR, P.S.-SIVASAGAR, Dist.-

Sivasagar, State-ASSAM, Pin-785640

18.11.2019

301NHM/SWC/

6937

RANJU RANI

BRAHMA

ULLESWAR

BORONo

C/o-ULLESWAR BORO, H.No.-152, Vill/Town-

SIMILA, P.O.-SIMILA TARABARI, P.S.-BOKO,

Dist.-Kamrup Rural, State-ASSAM, Pin-781135

18.11.2019

302NHM/SWC/

7472

MRS

REKHAMONI

CHUTIA

MOHANTA

Joyram Chutia No

C/o-Mr. Krishna Pran Mahanta, H.No.-105,

Vill/Town-Sumdar Gaon, P.O.-Dikshu, P.S.-Namti,

Dist.-Sivasagar, State-Assam, Pin-785684

18.11.2019

Page - 26

Page 27: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

303NHM/SWC/

7670

NISSAD

RASHIDA

ABDUL HEKIM

MUNSHINo

C/o-ABDUL MOTALIB, H.No.-118, Vill/Town-

LENGRIBORI, P.O.-SAHARIAGAON, P.S.-

MOIRABARI, Dist.-Morigaon, State-ASSAM, Pin-

782126

18.11.2019

304NHM/SWC/

7686Runumi Saikia Deuti Saikia No

C/o-Lohit Saikia, H.No.-93, Vill/Town-Malowpam

gaon, P.O.-Malowpathar, P.S.-Pulibor, Dist.-Jorhat,

State-Assam, Pin-785108

18.11.2019

305NHM/SWC/

7735Shafia Khatun Hazrat Ali No

C/o-Shohidul Islam, H.No.-82 (Ka), Vill/Town-

Satsia, P.O.-Jamadarhat, P.S.-Fakirganj, Dist.-

Dhubri, State-Assam, Pin-783330

18.11.2019

306NHM/SWC/

7899

GOLAPI BALA

BHAKAT

KAMINI

KANTA

BHAKAT

No

C/o-W/O:- GANESH CH ROY, H.No.-120,

Vill/Town-JINKATA PT II, P.O.-

MAHAMAYAHAT, P.S.-GOLAKGANJ, Dist.-

Dhubri, State-ASSAM, Pin-783335

18.11.2019

307NHM/SWC/

7975RINKU SINHA

LAKHINDRA

SINHANo

C/o-KAJAL SINHA, H.No.-11, Vill/Town-

NARAINPUR, P.O.-PATHARKANDI BLOCK,

P.S.-PATHERKANDI, Dist.-Karimganj, State-

ASSAM, Pin-788724

18.11.2019

308NHM/SWC/

8119

DIPSIKHA

BORAH

MOHAN

BORAHNo

C/o-DIPANKAR SAIKIA, H.No.-45, Vill/Town-

GEREKICHUK, P.O.-JAMUGURIHAT, P.S.-

JAMUGURI, Dist.-Sonitpur, State-ASSAM, Pin-

784180

18.11.2019

309NHM/SWC/

8314BINITA GOGOI

LATE

SISURAM

GOGOI

No

C/o-MR. BIREN CHUTIA, H.No.-39, Vill/Town-

BOKATA FORBANDHIA, P.O.-PATSAKU, P.S.-

BOKATA NEMUGURI, Dist.-Sivasagar, State-

ASSAM, Pin-785673

18.11.2019

310NHM/SWC/

8527

DHARITRI

DEKA

MANI RAM

DEKANo

C/o-BIRENDRA KALITA, H.No.-55, Vill/Town-

BAGHMARA, P.O.-GHOGRAPAR, P.S.-

GHOGRAPAR, Dist.-Nalbari, State-ASSAM, Pin-

781369

18.11.2019

311NHM/SWC/

8615

MONUJITA

DAS

CHUNURAM

DASNo

C/o-KRISHNA KANTA HANDIQUE, H.No.-0,

Vill/Town-DORIKAPAR KHATAPOTHER, P.O.-

NAMTIAL PATHER, P.S.-SIVASAGAR, Dist.-

Sivasagar, State-ASSAM, Pin-785640

18.11.2019

312NHM/SWC/

8645

DIBYALATA

SAIKIAAKANI SAIKIA No

C/o-KESHAB BORUAH, H.No.-20, Vill/Town-

TIPOMIA LEFERA, P.O.-SILASAKU, P.S.-

SIMALUGURI, Dist.-Sivasagar, State-ASSAM, Pin-

785686

18.11.2019

313NHM/SWC/

8763Mahila Baishya

Late Kuhiram

BaishyaNo

C/o-Tikendrajit Das, H.No.-100, Vill/Town-

Bagibari Amguri, P.O.-Hahara, P.S.-Sonapur, Dist.-

Kamrup Metro, State-Assam, Pin-782402

18.11.2019

314NHM/SWC/

8779

JAN MONI

SAIKIA

LATE

DIMBESWAR

SAIKIA

No

C/o-LATE DIMBESWAR SAIKIA, H.No.-34,

Vill/Town-MOWAMARI, P.O.-BINDUKURI, P.S.-

TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-

784502

18.11.2019

Page - 27

Page 28: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

315NHM/SWC/

8799

ARCHANA

DUTTA

NABA KANTA

DUTTANo

C/o-ALIP BORDOLOI, H.No.-0, Vill/Town-

HAHCHARA DHEKERI GAON, P.O.-DAYA

CHARIALI, P.S.-SIVASAGAR, Dist.-Sivasagar,

State-ASSAM, Pin-785701

18.11.2019

316NHM/SWC/

8966

INDIRA

BHARALI

JAGNYA

BHARALINo

C/o-PABIN CH MEDHI, H.No.-206, Vill/Town-

NO 2 LOHARKATHA, P.O.-ADABARI, P.S.-

MUKALMUA, Dist.-Nalbari, State-ASSAM, Pin-

781126

18.11.2019

317NHM/SWC/

9102RINKU DAS

GIRINDRA

NATH DASNo

C/o-PRONABASISH ROY, H.No.-88 G, Vill/Town-

WARD NO 3 CHARMAIN ROAD BYLANE, P.O.-

DHUBRI, P.S.-DHUBRI, Dist.-Dhubri, State-

ASSAM, Pin-783301

18.11.2019

318NHM/SWC/

9195

SOYEDA

TALUKDAR

ABDUS

SATTAR

TALUKDER

No

C/o-JOYNAL ABDIN, H.No.-274, Vill/Town-

RAMPUR, P.O.-NIZ RAMPUR, P.S.-

KALGACHIA, Dist.-Barpeta, State-ASSAM, Pin-

781319

18.11.2019

319NHM/SWC/

9269

LILIMA

BEGUM

LATE ABDUL

KADIRNo

C/o-MAINUL HOQUE, H.No.-, Vill/Town-

DUMUNICHOWKI, P.O.-MARUACHOWKI, P.S.-

SIAPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784145

18.11.2019

320NHM/SWC/

9318

IMRANA

KHATUNAFTAB UDDIN No

C/o-ABU SAYED AHMED, H.No.-VILL

JHAGRARPAR PT III, Vill/Town-DHUBRI, P.O.-

JHAGRARPAR, P.S.-DHUBRI, Dist.-Dhubri, State-

ASSAM, Pin-783325

18.11.2019

321NHM/SWC/

9333

MRITANJALI

GOGOI

BURAGOHAIN

MUNIN GOGOI No

C/o-MONUJ BURAGOHAIN, H.No.-NILL,

Vill/Town-GARGAON, P.O.-GARGAON, P.S.-

SIMALUGURI, Dist.-Sivasagar, State-ASSAM, Pin-

785685

18.11.2019

322NHM/SWC/

9448

MOUSUMI

BORUAH

BISHESWAR

BORUAHNo

C/o-RANA PROTAP GOGOI, H.No.-19,

Vill/Town-GELAKEY COLLEGE ROAD, P.O.-

GELAKEY, P.S.-GELAKEY, Dist.-Sivasagar, State-

ASSAM, Pin-785696

18.11.2019

323NHM/SWC/

9673

SHAFIA

BEGUM

ABDUL

KHALEQUENo

C/o-SAMSUL HOQUE, H.No.-3, Vill/Town-

HATIMURIA, P.O.-MOIRABARI, P.S.-

MOIRABARI, Dist.-Morigaon, State-ASSAM, Pin-

782126

18.11.2019

324NHM/SWC/

9730

RAHILA

MANZUARAABDUR ROUF No

C/o-IDRIS ALI AHMED, H.No.-70 A, Vill/Town-

GARALIPAM, P.O.-BONGHUGI, P.S.-

KALGACHIA, Dist.-Barpeta, State-ASSAM, Pin-

781321

18.11.2019

325NHM/SWC/

9803

BORNALI

BORTHAKUR

GOPAL

CHANDRA

BORTHAKUR

No

C/o-ANIMESH SARMAH, H.No.-0, Vill/Town-

AKHOIPHUTIA, P.O.-AKHOIPHUTIA, P.S.-

SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-

785640

18.11.2019

Page - 28

Page 29: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

326NHM/SWC/

9892

LALITA

MORANG

LATE

PREMDHAR

KAMAN

No

C/o-HEMAKANTA MORANG, H.No.-7,

Vill/Town-SILAPATHAR MISING GAON, P.O.-

SILAPATHAR, P.S.-SILAPATHAR, Dist.-

Dhemaji, State-ASSAM, Pin-787059

18.11.2019

327NHM/SWC/

9953

CHINU

BORGOHAIN

DHANBOR

BORGOHAINNo

C/o-MINTU BOSA, H.No.-4, Vill/Town-

GELAKEY CHARIALI, P.O.-GELAKEY, P.S.-

GELAKEY, Dist.-Sivasagar, State-ASSAM, Pin-

785696

18.11.2019

328NHM/SWC/

0377

HIRU BALA

DAS

SANTI RAM

DASNo

C/o-PHANI BHUSHAN DAS, H.No.-519,

Vill/Town-MORNAI, P.O.-MORNAI, P.S.-

MORNAI, Dist.-Goalpara, State-ASSAM, Pin-

783101

18.11.2019

329NHM/SWC/

10109ARCHANA DAS

MANORANJAN

DASNo

C/o-DILIP DAS, H.No.-27, Vill/Town-SURIPARA

PART 2, P.O.-DHANPUR, P.S.-SAPATGRAM,

Dist.-Dhubri, State-ASSAM, Pin-783337

18.11.2019

330NHM/SWC/

16899ALAKA DAS

NARAYAN CH

DASNo

C/o-SUKUMAR MANDAL, H.No.-118 A,

Vill/Town-KONWARPUR KUTUKAI, P.O.-

HARIBOR NAHORONI, P.S.-LALUK, Dist.-

Lakhimpur, State-ASSAM, Pin-784160

18.11.2019

331NHM/SWC/

17057

BIJAYA RANI

SUKLABAIDY

A

BIRENDRA

KUMAR

SUKLABAIDY

A

No

C/o-BIRENDRA KUMAR SUKLABAIDYA,

H.No.-NA, Vill/Town-VILL GHORAMARA, P.O.-

CHAITANYANAGAR, P.S.-BADARPUR, Dist.-

Karimganj, State-ASSAM, Pin-788720

18.11.2019

332NHM/SWC/

17640ALAKA DEKA

RAMESH

CHANDRA

DEKA

No

C/o-DHRUBAJYOTI CHETIA, H.No.-23A,

Vill/Town-CHOWKHAMGHAT, P.O.-

GHILAMARA, P.S.-GHILAMARA, Dist.-

Lakhimpur, State-ASSAM, Pin-787053

18.11.2019

333NHM/SWC/

17973ALAKA DAS

LATE

NARAYAN

CHANDRA DAS

No

C/o-SUKUMAR MANDAL, H.No.-118(A),

Vill/Town-KONWARPUR KUTUKAI, P.O.-

HARIBOR NAHARONI, P.S.-LALUK, Dist.-

Lakhimpur, State-ASSAM, Pin-784160

18.11.2019

334NHM/SWC/

18546

KHADEZATUL

KUBRA

LT

MANIRUDDIN

AHMED

No

C/o-TAJIR CHOUDHURY, H.No.-208, Vill/Town-

CHANGSARI, P.O.-CHANGSARI, P.S.-

CHANGSARI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781101

18.11.2019

335NHM/SWC/

19379

PABITRA

GOGOINAREN GOGOI Yes

C/o-NAREN GOGOI, H.No.-100, Vill/Town-

JAPARA GAON, P.O.-MOHANAGHAT, P.S.-

DIBRUGARH, Dist.-Dibrugarh, State-ASSAM, Pin-

786008

18.11.2019

336NHM/SWC/

22419

SUJATA

GOALA

HARI

NARAYAN

GOALA

Yes

C/o-KARISHANA PROSAD GOALA, H.No.-87/2,

Vill/Town-BAITAKHAL TE, P.O.-KATABARI,

P.S.-PATHARKANDI, Dist.-Karimganj, State-

ASSAM, Pin-788726

18.11.2019

Page - 29

Page 30: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

337NHM/SWC/

22923

LAKHIMAI

DAS

LATE GHANA

KANTA DASNo

C/o-ANIL CH. DAS, H.No.-121, Vill/Town-

RANDHANIJAN GAON, P.O.-MALOW

PATHER, P.S.-PULIBOR, Dist.-Jorhat, State-

ASSAM, Pin-785108

18.11.2019

338NHM/SWC/

5104

RUPANJALI

BORAH

LATE

SONESWAR

BORAH

No

C/o-GIRISH KONWAR, H.No.-., Vill/Town-

KACHUA URIAMGURI, P.O.-DHALPUR, P.S.-

BIHPURIA, Dist.-Lakhimpur, State-ASSAM, Pin-

784165

18.11.2019

339NHM/SWC/

5715

HIMANI

KALITA

PROMOD

CHANDRA

KALITA

No

C/o-PROMOD CHANDRA KALITA, H.No.-112,

Vill/Town-BARBHITA, P.O.-BARBHITA, P.S.-

GOALPARA, Dist.-Goalpara, State-ASSAM, Pin-

783101

18.11.2019

340NHM/SWC/

6525

PARAG JYOTI

KALITA

BHOLA

KALITANo

C/o-BHOLA KALITA, H.No.-57, Vill/Town-

DHEKIAL GAON, P.O.-DHEKIAL, P.S.-

GOLAGHAT, Dist.-Golaghat, State-ASSAM, Pin-

785622

18.11.2019

341NHM/SWC/

8380

JOYA

KONWER

NOMAL

KONWERNo

C/o-SUKHESWAR BHUYAN, H.No.-268,

Vill/Town-SINGIBILL GAON, P.O.-

SUKANPUKHURI, P.S.-SIVASAGAR, Dist.-

Sivasagar, State-ASSAM, Pin-785640

18.11.2019

342NHM/SWC/

9055

DIPAMANI

DEKA

LT LUHIT

CHANDRA

DEKA

No

C/o-LT GAGAN DEKA, H.No.-448, Vill/Town-

VILL BIHDIA, P.O.-BIHDIA, P.S.-BAIHATA

CHARIALI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781381

18.11.2019

343NHM/SWC/

13213

APORNA

LANGTHASA

LATE

PRASANNA

LANGTHASA

No

C/o-SUMITA THAOSEN, H.No.-226, Vill/Town-

VILLAGE DAMADI HAWAR MAIBANG NEAR

PETROL PUMP, P.O.-MAIBANG, P.S.-

MAIBANG, Dist.-Dima Hasao, State-ASSAM, Pin-

788831

18.11.2019

344NHM/SWC/

13331

ANITA

LANGTHASA

LATE DAUBEY

LANGTHASANo

C/o-SHYAMAL LANGTHASA, H.No.-66,

Vill/Town-VILLAGE BOILDHURA, P.O.-

HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao,

State-ASSAM, Pin-788819

18.11.2019

345NHM/SWC/

20206

MARAMI

BORUAH

SAIKIA

LATE HARI

PRASAD

BORUAH

No

C/o-NETRD MONI SAIKIA, H.No.-66/A,

Vill/Town-DEOGHARIA, P.O.-MACHKHOWA,

P.S.-DHEMAJI, Dist.-Dhemaji, State-ASSAM, Pin-

787058

18.11.2019

346NHM/SWC/

11096

SUKUMAR

CHAKRABART

Y

SRI SUREN

CHAKRABART

Y

No

C/o-SRI SUREN SARMA, H.No.-8, Vill/Town-SRI

KRISHNA PATH, KRISHNA NAGAR,

JAPORIGOG, GHY 5, P.O.-DISPUR, P.S.-

DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-

781005

18.11.2019

347NHM/SWC/

12713RAJIB BORAH

BOKUL

BORAHNo

C/o-BOKUL BORAH, H.No.-619, Vill/Town-1

NO. ASSOMIYA VILLAGE, P.O.-TINGRAI

BAZAR, P.S.-DIGBOI, Dist.-Tinsukia, State-

ASSAM, Pin-786171

18.11.2019

Page - 30

Page 31: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

348NHM/SWC/

13582

PURNIMA

BORA

PURNA

CHANDRA

BORA

No

C/o-BANI KANTA MEDHI, H.No.-61, Vill/Town-

CHERAKANI GAON, P.O.-DOKMOKA, P.S.-

DOKMOKA, Dist.-Karbi Anglong, State-ASSAM,

Pin-782441

18.11.2019

349NHM/SWC/

13750MANTU DAS

LT NARESWAR

DASYes

C/o-LT NARESWAR DAS, H.No.-NA, Vill/Town-

SONPUR, WARD NO 9, P.O.-NALBARI, P.S.-

NALBARI, Dist.-Nalbari, State-ASSAM, Pin-

781335

18.11.2019

350NHM/SWC/

14425

MAMONI

BORAH

LATE UPEN

BORAHNo

C/o-TANKESWARI BORAH, H.No.-0, Vill/Town-

AMGURI GAON, P.O.-MORANHAT, P.S.-

MORANHAT, Dist.-Sivasagar, State-ASSAM, Pin-

785670

18.11.2019

351NHM/SWC/

14827

MEHTAZ

RAHMAN

MAZIBAR

RAHMANNo

C/o-MAZIBAR RAHMAN, H.No.-168, Vill/Town-

JHAGRAPAR PT I, P.O.-JHAGRAPAR, P.S.-

DHUBRI, Dist.-Dhubri, State-ASSAM, Pin-783325

18.11.2019

352NHM/SWC/

14953

PRANITA

KALITA

LATE BAPU

RAM KALITANo

C/o-PRANAB DAS, H.No.-798, Vill/Town-

NAHIRA, P.O.-NAHIRA, P.S.-PALASBARI, Dist.-

Kamrup Rural, State-ASSAM, Pin-781132

18.11.2019

353NHM/SWC/

15788

BAHARUL

ISLAM

TALUKDAR

LATE NAZRUL

ISLAM

TALUKDAR

No

C/o-O/O SDM&HO ,CHAPAKHOWA SADIYA,

H.No.-CHAPAKHOWA FRU QUATER NO 6,

Vill/Town-CHAPAKHOWA, P.O.-

CHAPAKHOWA, P.S.-CHAPAKHOWA, Dist.-

Tinsukia, State-ASSAM, Pin-786157

18.11.2019

354NHM/SWC/

16999NUR HUSSAIN JAFOR ALI No

C/o-JAFOR ALI, H.No.-77 A, Vill/Town-BALA

GAON, P.O.-BALA GAON, P.S.-KALGACHIA,

Dist.-Barpeta, State-ASSAM, Pin-781319

18.11.2019

355NHM/SWC/

17478

LAKHIMI

TAMULY

PRABHAT CH.

TAMULYNo

C/o-MRIDUL NEOG, H.No.-119, Vill/Town-

PAMGAON, P.O.-LANGHIN, P.S.-DOKMOKA,

Dist.-Karbi Anglong, State-ASSAM, Pin-782441

18.11.2019

356NHM/SWC/

17717

DIBYA JYOTI

BORA

LATE RAJANI

KANTA BORANo

C/o-Mrs. LAUPATI BORA, H.No.-186, Vill/Town-

NAHARBARI, P.O.-DEOMORNOI, P.S.-

MANGALDAI, Dist.-Darrang, State-ASSAM, Pin-

784147

18.11.2019

357NHM/SWC/

19023

PROBHAWATI

ENGHIPI

AMOL

CHANDRA

ENGHI

No

C/o-LEENSON TERON, H.No.-10, Vill/Town-

BAITHALANGSO, P.O.-BAITHALANGSO, P.S.-

BAITHALANGSO, Dist.-Karbi Anglong, State-

ASSAM, Pin-782450

18.11.2019

358NHM/SWC/

2108

MRS. MINTO

HAZARIKA

(KAKATI)

MR.

INDESWAR

HAZARIKA

No

C/o-MR. MUKUTA NANDAN KAKATI, H.No.-

N/A, Vill/Town-JAMUNAKHAT, P.O.-

JARABARI, P.S.-NARAYANPUR, Dist.-

Lakhimpur, State-ASSAM, Pin-784164

18.11.2019

359NHM/SWC/

21294

Mrs Ranjita

Buragohain

Golap

BuragohainNo

C/o-Mr jyoti pad. Konwar, H.No.-17, Vill/Town-

Dangari, P.O.-Dangari, P.S.-Doom dooma, Dist.-

Tinsukia, State-Assam, Pin-786156

18.11.2019

Page - 31

Page 32: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

360NHM/SWC/

3057

ASHRAFUL

ALOM AHMED.

Lt. Sukur Ali

AhmedNo

C/o-Lt. Sukur Ali Ahmed, H.No.-306, Vill/Town-

Helapakhri., P.O.-Baladmari Char., P.S.-Mornoi,

Dist.-Goalpara, State-Assam, Pin-783101

18.11.2019

361NHM/SWC/

3231

NAZMUL

HUSSAIN

CHOUDHURY

ABUL HASON

CHOUDHURYNo

C/o-ABUL HASON CHOUDHURY, H.No.-102,

Vill/Town-VILL - JABDA, P.O.-MANIKGANJ,

P.S.-KARIMGANJ, Dist.-Karimganj, State-

ASSAM, Pin-788712

18.11.2019

362NHM/SWC/

3424

ASHRAFUL

ALOM AHMED

LATE SUKUR

ALI AHMEDNo

C/o-LATE SUKUR ALI AHMED, H.No.-306,

Vill/Town-HELAPAKHRI, P.O.-

BALADMARICHAR, P.S.-MORNAI, Dist.-

Goalpara, State-ASSAM, Pin-783101

18.11.2019

363NHM/SWC/

3891

MANJURI

BARUAH

PUTUL

BARUAHNo

C/o-JAYANTA DEKA, H.No.-83, Vill/Town-

BELOGURI, P.O.-HOWRAGHAT, P.S.-

HOWRAGHAT, Dist.-Karbi Anglong, State-

ASSAM, Pin-782481

18.11.2019

364NHM/SWC/

3926

PRABITA

BAGLARY

GUNESWAR

BAGLARYNo

C/o-TILAK CHANDRA BORO, H.No.-22,

Vill/Town-DIGHALPANI, P.O.-OK-KERENG,

P.S.-HOWRAGHAT, Dist.-Karbi Anglong, State-

ASSAM, Pin-782481

18.11.2019

365NHM/SWC/

4082

BHIM KANTA

DOLEYCHAHU DOLEY No

C/o-DR. G K LAGACHU, H.No.-224, Vill/Town-

LISANG DOLUNG, P.O.-JONAI, P.S.-JONAI,

Dist.-Dhemaji, State-ASSAM, Pin-787060

18.11.2019

366NHM/SWC/

5874

MARIA

LALROSIAMPU

II PACHUAU

LATE

ROCHANA

PACHUAU

No

C/o-THANGHNEMI PACHUAU, H.No.-9,

Vill/Town-SURAT NAGAR(NEAR NRL PETROL

PUMP), P.O.-SARKARI BAGAN, P.S.-

HAFLONG, Dist.-Dima Hasao, State-ASSAM, Pin-

788820

18.11.2019

367NHM/SWC/

6892

JOONMONI

DASSIBA RAM DAS No

C/o-SIBA RAM DAS, H.No.-18, Vill/Town-

PITHAKHOWA, P.O.-PITHAKHOWA, P.S.-

TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-

784153

18.11.2019

368NHM/SWC/

9199

Vanlalring

Keivom

Hrangneilien

KeivomNo

C/o-Hrangneilien Keivom, H.No.-10, Vill/Town-

Mahur Garden, P.O.-Mahur, P.S.-Mahur, Dist.-

Dima Hasao, State-Assam, Pin-788830

18.11.2019

369NHM/SWC/

0069

BHASKAR

DUTTA

JAIKANTA

DUTTANo

C/o-JAIKANTA DUTTA, H.No.-28, Vill/Town-

KOWAPHALA GAON, P.O.-KHUBALIA, P.S.-

DHEMAJI, Dist.-Dhemaji, State-ASSAM, Pin-

787057

18.11.2019

370NHM/SWC/

0087

BIJOY

KRISHNA

KHOUND

LT. TILAK CH.

KHOUNDNo

C/o-MRS MAMONI KHOUND, H.No.-45,

Vill/Town-JORHATIA, P.O.-CHARAIMORIA,

P.S.-BOGINADI, Dist.-Lakhimpur, State-ASSAM,

Pin-787032

18.11.2019

371NHM/SWC/

0109

MUNINDRA

NEOG

SOMESWAR

NEOGNo

C/o-SOMESWAR NEOG, H.No.-84, Vill/Town-

RAJBARI, P.O.-BIHPURIA, P.S.-BHIPURIA,

Dist.-Lakhimpur, State-ASSAM, Pin-784161

18.11.2019

Page - 32

Page 33: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

372NHM/SWC/

0129

MRINAL

RABHADUREN RABHA No

C/o-DUREN RABHA, H.No.-138, Vill/Town-

SALPARA, P.O.-KRISHNAI, P.S.-KRISHNAI,

Dist.-Goalpara, State-ASSAM, Pin-783126

18.11.2019

373NHM/SWC/

0143

LAKHYAJIT

DUTTA

BOLINDRA

NATH DUTTANo

C/o-BOLINDRA NATH DUTTA, H.No.-0,

Vill/Town-BOLIAGHAT KAKOTY GAON, P.O.-

BOLIAGHAT, P.S.-SIVASAGAR, Dist.-Sivasagar,

State-ASSAM, Pin-785667

18.11.2019

374NHM/SWC/

0149

KUKIL KUMAR

BHARALI

THAGESWAR

BHARALINo

C/o-THAGESWAR BHARALI, H.No.-22,

Vill/Town-NO. 1 GOSAI PATHER, P.O.-

BIHPURIA, P.S.-BIHPURIA, Dist.-Lakhimpur,

State-ASSAM, Pin-784161

18.11.2019

375NHM/SWC/

0180

UTTAM

KUMAR PEGU

MAHESWAR

PEGUNo

C/o-MAHESWAR PEGU, H.No.-36, Vill/Town-

TARIONI JENGRAI, P.O.-BHIMPARA

BALIAJAN, P.S.-BOGINADI, Dist.-Lakhimpur,

State-ASSAM, Pin-787032

18.11.2019

376NHM/SWC/

0191

PRABIN

BORGOYARY

CHILARAY

BORGOYARYNo

C/o-CHILARAY BORGOYARY, H.No.-3,

Vill/Town-BASHBARI, P.O.-RUNIKHATA, P.S.-

RUNIKHATA, Dist.-Chirang, State-ASSAM, Pin-

783375

18.11.2019

377NHM/SWC/

0199Haragabinda Das

Lt. Rabindra

Narayan DasNo

C/o-Smt. Niroda Bala Das, H.No.-32, Vill/Town-

Barvita, P.O.-Barvita, P.S.-Goalpara, Dist.-

Goalpara, State-Assam, Pin-783101

18.11.2019

378NHM/SWC/

0218

JAYANTA

TAYE

LT. RAMLAL

TAYENo

C/o-RAMLAL TAYE, H.No.-77, Vill/Town-

BAMUNDOLONI (KULAMON MIRI), P.O.-

POHUMARA, P.S.-KHELMATI, Dist.-Lakhimpur,

State-ASSAM, Pin-787031

18.11.2019

379NHM/SWC/

0245

NAVA KUMAR

DOLEY

PUNINESWAR

DOLEYNo

C/o-PUNINESWAR DOLEY, H.No.-8, Vill/Town-

AMTOLA NAHARBARI, P.O.-AMTOLA, P.S.-

PANI GAON, Dist.-Lakhimpur, State-ASSAM, Pin-

787052

18.11.2019

380NHM/SWC/

0262DIPAK DUTTA

LT. KAMAL

DUTTANo

C/o-MRS BIJUMAI DUTTA, H.No.-21, Vill/Town-

KHAT GAON, P.O.-BAHADUR CHUK, P.S.-

NORTH LAKHIMPUR, Dist.-Lakhimpur, State-

ASSAM, Pin-787031

18.11.2019

381NHM/SWC/

0265

RAMESWAR

BRAHMA

LATE GOKUL

Ch. BRAHMANo

C/o-LATE GOKUL Ch. BRAHMA, H.No.-4,

Vill/Town-VILL- DIABARI, P.O.-K/BHOTGAON,

P.S.-KOKRAJHAR, Dist.-Kokrajhar, State-

ASSAM, Pin-783370

18.11.2019

382NHM/SWC/

0291

RANJIT

BHATTA

LATE TULASHI

BHATTANo

C/o-LATE TULSHI BHATTA, H.No.-344,

Vill/Town-ROHAN BORTANI, P.O.-ROHAN, P.S.-

SAPEKHATI, Dist.-Sivasagar, State-ASSAM, Pin-

785692

18.11.2019

383NHM/SWC/

0299

AJOY KUMAR

BRAHMA

BISHNU

CHARAN

BRAHMA

No

C/o-BISHNU CHARAN BRAHMA, H.No.-166,

Vill/Town-SILGURI, P.O.-SIMLAGURI, P.S.-

DHALIGAON, Dist.-Chirang, State-ASSAM, Pin-

783381

18.11.2019

Page - 33

Page 34: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

384NHM/SWC/

0302

APURBA

DOLEY

KARTAMUL

DOLEYNo

C/o-ANU DOLEY, H.No.-0, Vill/Town-TIKIRAI,

P.O.-MEROMUKH, P.S.-NARAYANPUR, Dist.-

Lakhimpur, State-ASSAM, Pin-784164

18.11.2019

385NHM/SWC/

0309

PRABIN

KUMAR NATH

KSHIROD

CHANDRA

NATH

No

C/o-KSHIROD CHANDRA NATH, H.No.-138

KHA, Vill/Town-GAROBHAT KHOWA, P.O.-

BAGUAN, P.S.-BAGUAN, Dist.-Goalpara, State-

ASSAM, Pin-783129

18.11.2019

386NHM/SWC/

0310

KANAK CH

BARUAH

NANDESWAR

BARUAHNo

C/o-LATE NANDESWAR BARUAH, H.No.-164,

Vill/Town-POTAPUKHURI, P.O.-BARAMPUR,

P.S.-SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784144

18.11.2019

387NHM/SWC/

0363Momruz Zaman

Lt. Mozibor

RahmanNo

C/o-Lt. Mozibor Rahman, H.No.-137, Vill/Town-

Sowari Poitari, P.O.-Joybhum, P.S.-Baguan, Dist.-

Goalpara, State-Assam, Pin-783129

18.11.2019

388NHM/SWC/

0382

HARENDRA

SARMAH

HIRANATH

SARMAHNo

C/o-HIRANATH SARMAH, H.No.-10, Vill/Town-

KONCH GAON, P.O.-BORDOLONI, P.S.-

BORDOLONI, Dist.-Dhemaji, State-ASSAM, Pin-

787026

18.11.2019

389NHM/SWC/

0388RUPAM BORA

KAHURAM

BORANo

C/o-KAHURAM BORA, H.No.-175, Vill/Town-

KATHKOTIA BENGENAKHOWA, P.O.-

GOLAGHAT, P.S.-GOLAGHAT, Dist.-Golaghat,

State-ASSAM, Pin-785621

18.11.2019

390NHM/SWC/

0403

HEM

CHANDRA

SARKAR

LT HARENDRA

SARKARNo

C/o-LT HARENDRA SARKAR, H.No.-12,

Vill/Town-JALAKHATA, P.O.-DHANTOLA

BAZAR, P.S.-ABHAYAPURI, Dist.-Bongaigaon,

State-ASSAM, Pin-783372

18.11.2019

391NHM/SWC/

0412

BIDHAN

NARZARY

CHANDRA

DIBAKAR

NARZARY

No

C/o-CHANDRA DIBAKAR NARZARY, H.No.-89,

Vill/Town-CHATTO BAMUNKURA, P.O.-

BINYAKHATA, P.S.-GOSSAIGAON, Dist.-

Kokrajhar, State-ASSAM, Pin-783336

18.11.2019

392NHM/SWC/

0442

SIB CHARAN

RAY

UPEN

CHANDRA

RAY

No

C/o-UPEN CHANDRA RAY, H.No.-272,

Vill/Town-MAJGAON, P.O.-CHAKAPARA, P.S.-

BONGAIGAON, Dist.-Bongaigaon, State-ASSAM,

Pin-783380

18.11.2019

393NHM/SWC/

0459

JATIN

NARZARY

LATE LAKEN

NARZARYNo

C/o-JATIN NARZARY, H.No.-54, Vill/Town-

VILL- KUMGURI, P.O.-SERFANGURI, P.S.-

DOTMA, Dist.-Kokrajhar, State-ASSAM, Pin-

783346

18.11.2019

394NHM/SWC/

0461

RUDRESWAR

DULAKAKHAR

IA

DHANESAWR

DULAKAKHAR

IA

No

C/o-DHANESAWR DULAKAKHARIA, H.No.-16,

Vill/Town-MECHU NALANI PAM, P.O.-

SILAPATHAR, P.S.-SILAPATHAR, Dist.-

Dhemaji, State-ASSAM, Pin-787059

18.11.2019

395NHM/SWC/

0479

MD.

NASIMUDDIN

AHMED

LT.

NEKIBUDDIN

AHMED

No

C/o-MD NASIMUDDIN AHMED, H.No.-97,

Vill/Town-BORHOLLA, P.O.-BORHOLLA, P.S.-

BORHOLLA, Dist.-Jorhat, State-ASSAM, Pin-

785631

18.11.2019

Page - 34

Page 35: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

396NHM/SWC/

0495

THANESWAR

DOLEYKANTA DOLEY No

C/o-KANTA DOLEY, H.No.-91, Vill/Town-

SILAPATHAR HS ROAD, P.O.-SILAPATHAR,

P.S.-SILAPATHAR, Dist.-Dhemaji, State-ASSAM,

Pin-787059

18.11.2019

397NHM/SWC/

0499

PARTHA

PROTIM

DUARAH

KHIRESWAR

DUARAHNo

C/o-KHIRESWAR DUARAH, H.No.-7, Vill/Town-

RANGAJAN HATICHUNGI GAON, P.O.-

RANGAJAN, P.S.-TITABAR, Dist.-Jorhat, State-

ASSAM, Pin-785630

18.11.2019

398NHM/SWC/

0574

NETRA

KAMAL

CHAKRABART

Y

MANORANJAN

CHAKRABART

Y

No

C/o-MANORANJAN CHAKRABARTY, H.No.-

176, Vill/Town-ALEGJARI (CHHAYGAON), P.O.-

CHHAYAGAON, P.S.-CHHAYAGAON, Dist.-

Kamrup Rural, State-ASSAM, Pin-781124

18.11.2019

399NHM/SWC/

0672

HIROK JYOTI

MAHANTA

BIREN

MAHANTANo

C/o-BIREN MAHANTA, H.No.-HOUSE NO. 140,

Vill/Town-BARHOIBARI, P.O.-JALUKONIBARI,

P.S.-TITABOR, Dist.-Jorhat, State-ASSAM, Pin-

785630

18.11.2019

400NHM/SWC/

0728

JAYANTA

BORAH

TULA KANTA

BORAHNo

C/o-TULA KANTA BORAH, H.No.-HOUSE NO.

239, Vill/Town-KHATOWAL GAON, P.O.-NA

ALI DHEKIAJULI, P.S.-TITABAR, Dist.-Jorhat,

State-ASSAM, Pin-785009

18.11.2019

401NHM/SWC/

0749DAVID RAY

Ananta Kumar

RayNo

C/o-Ananta Kumar Ray, H.No.-123, Vill/Town-

Joypur, P.O.-Kokrajhar, P.S.-Kokrajhar, Dist.-

Kokrajhar, State-Assam, Pin-783370

19.11.2019

402NHM/SWC/

0878

SRIMANTA

HAZARIKA

LATE

BUDHIDHAR

HAZARIKA

No

C/o-ARUN HAZARIKA, H.No.-6, Vill/Town-

SAGAR GAON, P.O.-RANGAMATI, P.S.-

DERGAON, Dist.-Golaghat, State-ASSAM, Pin-

785614

19.11.2019

403NHM/SWC/

0894

RATUL

KONWAR

LATE PREMA

KONWARNo

C/o-LATE PREMA KONWAR, H.No.-139,

Vill/Town-METEKA LAIMAKURI GAON, P.O.-

METEKA, P.S.-SIVASAGAR, Dist.-Sivasagar,

State-ASSAM, Pin-785697

19.11.2019

404NHM/SWC/

0911

BARUN

SUTRADHAR

RADHA

RAMAN

SUTRADHAR

No

C/o-RADHA RAMAN SUTRADHAR, H.No.-0,

Vill/Town-BHAKAT GAON, P.O.-DHING, P.S.-

DHING, Dist.-Nagaon, State-ASSAM, Pin-784212

19.11.2019

405NHM/SWC/

0974

LAKHYA

PHUKON

LATE

PRAFULLA

PHUKON

No

C/o-LATE PRAFULLA PHUKON, H.No.-0,

Vill/Town-MAJPATHAR GAON, NEAR

DOOMOR DOLONG PHC, P.O.-MORANHAT,

P.S.-MORANHAT, Dist.-Sivasagar, State-ASSAM,

Pin-786613

19.11.2019

406NHM/SWC/

0988

DIPOK KR.

DAS

BUDHESWAR

DASNo

C/o-BUDHESWAR DAS, H.No.-NIL, Vill/Town-

NO 2 GHORAJAN, P.O.-GHORAJAN, P.S.-

SAPEKHATI, Dist.-Sivasagar, State-ASSAM, Pin-

785692

19.11.2019

Page - 35

Page 36: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

407NHM/SWC/

1013GIAS UDDIN

ABDUL

RASHIDNo

C/o-ABDUL RASHID, H.No.-154, Vill/Town-

ROWMARI, P.O.-ROWMARI BILL, P.S.-DHING,

Dist.-Nagaon, State-ASSAM, Pin-782123

19.11.2019

408NHM/SWC/

1014

SUNIL KUMAR

LOYING

DIGHALA

LOYINGNo

C/o-DIGHALA LOYING, H.No.-NA, Vill/Town-

BONKUAL, P.O.-BONKUAL, P.S.-

KAMARGAON, Dist.-Golaghat, State-ASSAM, Pin-

785619

19.11.2019

409NHM/SWC/

1051

SANJIB

TALUKDAR

LATE HAREN

TALUKDARNo

C/o-SANJIB TALUKDAR, H.No.-15, Vill/Town-

MEZENGJULI, P.O.-MEZENGJULI, P.S.-

MISSAMARI, Dist.-Sonitpur, State-ASSAM, Pin-

784111

19.11.2019

410NHM/SWC/

1058ARUN GOGOI

SARURAM

GOGOINo

C/o-ARUN GOGOI, H.No.-140, Vill/Town-

TENGABARI GAON, P.O.-SELENGHAT, P.S.-

TEOK, Dist.-Jorhat, State-ASSAM, Pin-785636

19.11.2019

411NHM/SWC/

1064

BIPLOB JYOTI

DEKA

DINESWAR

DEKANo

C/o-NABA KUMAR DEKA, H.No.-123, Vill/Town-

CHAMUAGAON, P.O.-ORANG, P.S.-ORANG,

Dist.-Udalguri, State-ASSAM, Pin-784114

19.11.2019

412NHM/SWC/

1065

MANASH

PROTIM BORA

LATE DINEN

CHANDRA

BORA

No

C/o-LATE DINEN CHANDRA BORA, H.No.-47,

Vill/Town-AIBHETI, PAHUKATA, P.O.-

AIBHETI, P.S.-JAJARI, Dist.-Nagaon, State-

ASSAM, Pin-782002

19.11.2019

413NHM/SWC/

1092

SAMUEL

HAOLAI

NGAMPAO

HAOLAINo

C/o-NGAMPAO HAOLAI, H.No.-28, Vill/Town-

VILLAGE.SONGPIJANG HAFLONG, P.O.-

HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao,

State-ASSAM, Pin-788819

19.11.2019

414NHM/SWC/

1096

CHUNGMINJA

O HAOLAI

LATE

HENJAHAO

HAOLAI

No

C/o-KIMJANEM HAOLAI, H.No.-241, Vill/Town-

VILLAGE SONGPIJANG HAFLONG, P.O.-

HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao,

State-ASSAM, Pin-788819

19.11.2019

415NHM/SWC/

1120

GOPAL

SANNYASI

BHENDU

SANNYASINo

C/o-BHENDU SANNYASI, H.No.-224, Vill/Town-

KHAIRABARI, P.O.-KHAIRABARI, P.S.-

BARPETA ROAD, Dist.-Barpeta, State-ASSAM,

Pin-781315

19.11.2019

416NHM/SWC/

1129

BASANTA

HAZARIKA

DEBEN

HAZARIKANo

C/o-DEBEN HAZARIKA, H.No.-19, Vill/Town-

BARABHUYAN, P.O.-SOOTEA, P.S.-SOOTEA,

Dist.-Sonitpur, State-ASSAM, Pin-784175

19.11.2019

417NHM/SWC/

1134

MRIDUL

BORAH

HEMENDRA

KUMAR

BORAH

No

C/o-HEMENDRA KUMAR BORAH, H.No.-19,

Vill/Town-KUJIDAH, P.O.-HATICHUNG, P.S.-

JAJARI, Dist.-Nagaon, State-ASSAM, Pin-782142

19.11.2019

418NHM/SWC/

1135

ILIALUNGBE

PAMEMIKABE PAME No

C/o-MIKABE PAME, H.No.-30, Vill/Town-

VILLAGE.BALADHAN, P.O.-MAHUR, P.S.-

MAHUR, Dist.-Dima Hasao, State-ASSAM, Pin-

788830

19.11.2019

Page - 36

Page 37: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

419NHM/SWC/

1141ARUN BORAH

GHANA

BORAHNo

C/o-GHANA BORAH, H.No.-73, Vill/Town-KARI

GAON, P.O.-DOOLAHATI, P.S.-NORTH

LAKHIMPUR, Dist.-Lakhimpur, State-ASSAM,

Pin-787023

19.11.2019

420NHM/SWC/

1158

PROBODH

NAIDING

JAORAO

NAIDINGNo

C/o-JAORAO NAIDING, H.No.-44, Vill/Town-

GERESO-1, P.O.-LANGTING, P.S.-LANGTING,

Dist.-Dima Hasao, State-ASSAM, Pin-788832

19.11.2019

421NHM/SWC/

1170

JAYANTA

BORAH

LATE UMA

KANTA

BORAH

No

C/o-LATE UMA KANTA BORAH, H.No.-

KAKAMARI, Vill/Town-KAKAMARI GAON,

P.O.-GOSAIBORI, P.S.-JAJARI, Dist.-Nagaon,

State-ASSAM, Pin-782142

19.11.2019

422NHM/SWC/

1173DIPAK GOGOI

KHEMESWAR

GOGOINo

C/o-KHEMESWAR GOGOI, H.No.-73, Vill/Town-

GORMARA, P.O.-CHARIDUAR, P.S.-

CHARIDUAR, Dist.-Sonitpur, State-ASSAM, Pin-

784103

19.11.2019

423NHM/SWC/

1174

SINDHU

RAJIYUNG

BORJON

RAJIYUNGNo

C/o-BORJON RAJIYUNG, H.No.-47, Vill/Town-

HAPLAI RAJI, P.O.-UMRANGSO, P.S.-

UMRANGSO, Dist.-Dima Hasao, State-ASSAM,

Pin-788931

19.11.2019

424NHM/SWC/

1179

KHARGESWAR

BASUMATARY

RATI RAM

BARONo

C/o-RATI RAM BARO, H.No.-10, Vill/Town-

SELAIMARI, P.O.-KHOIRABARI, P.S.-

KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin-

784522

19.11.2019

425NHM/SWC/

1185

PREMJIT

HASNUDOCTO HASNU No

C/o-DOCTO HASNU, H.No.-6, Vill/Town-

VILLAGE GRAYUNG, P.O.-THAIJUWARI, P.S.-

DIYUNGMUKH, Dist.-Dima Hasao, State-

ASSAM, Pin-788819

19.11.2019

426NHM/SWC/

1188

BALEN

DAIMARI

LT HAREN

DAIMARINo

C/o-DODI DAIMARI, H.No.-161, Vill/Town-

KAHIBARI, P.O.-UDALGURI, P.S.-UDALGURI,

Dist.-Udalguri, State-ASSAM, Pin-784509

19.11.2019

427NHM/SWC/

1189LALIT BORAH

HEMA RAM

BORAHNo

C/o-LATE HEMA RAM BORAH, H.No.-101,

Vill/Town-MAJARATI, P.O.-MAJARATI, P.S.-

NAGAON SADAR, Dist.-Nagaon, State-ASSAM,

Pin-782002

19.11.2019

428NHM/SWC/

1190BABUR ALI MASHEB ALI No

C/o-MASHEB ALI, H.No.-240, Vill/Town-

AGGATHURI, P.O.-DADARA, P.S.-HAJO, Dist.-

Kamrup Rural, State-ASSAM, Pin-781104

19.11.2019

429NHM/SWC/

1198

MD NURUL

ISLAM

LATE MOSLEM

ALINo

C/o-MRS JABEDA BEGUM, H.No.-209,

Vill/Town-WARD NO 2 NALBARI TOWN

BIJULI NAGAR, P.O.-NALBARI, P.S.-NALBARI,

Dist.-Nalbari, State-ASSAM, Pin-781335

19.11.2019

430NHM/SWC/

1199

SANJIB

BAISHYA

PROMOD

BAISHYANo

C/o-PROMOD BAISHYA, H.No.-175, Vill/Town-

UDALGURI TOWN, WARD NO.3, P.O.-

UDALGURI, P.S.-UDALGURI, Dist.-Udalguri,

State-ASSAM, Pin-784509

19.11.2019

Page - 37

Page 38: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

431NHM/SWC/

1201

BIJUMONI

BORAH

LATE HARA

BORAHNo

C/o-HARA BORAH, H.No.-11, Vill/Town-

BHELEGURI, P.O.-BHELEGURI, P.S.-

SAMAGURI, Dist.-Nagaon, State-ASSAM, Pin-

782140

19.11.2019

432NHM/SWC/

1208

MD MAINUL

HAQUE

CHOUDHURY

MD GARJAN

ALINo

C/o-MD GARJAN ALI, H.No.-310, Vill/Town-

MANDAKATA, P.O.-MANDAKATA, P.S.-

BAIHATA CHARIALI, Dist.-Kamrup Rural, State-

ASSAM, Pin-781121

19.11.2019

433NHM/SWC/

12142Ratan Lal Yadav

Late Kanai Lal

YadavNo

C/o-Panna Lal Yadav, H.No.-280, Vill/Town-Vill

Maguracherra, P.O.-Olivacherra, P.S.-Ratabari,

Dist.-Karimganj, State-ASSAM, Pin-788737

19.11.2019

434NHM/SWC/

1218

BHADRASING

LOR

SRI JAMUNA

LORNo

C/o-SRI JAMUNA LOR, H.No.-118, Vill/Town-

TOPAKUCHI, P.O.-RAHA, P.S.-RAHA, Dist.-

Nagaon, State-ASSAM, Pin-782103

19.11.2019

435NHM/SWC/

1220SAMIN CH DAS

SANTA RAM

DASNo

C/o-SANTA RAM DAS, H.No.-18, Vill/Town-

PAKORKONA, P.O.-ROWMARI, P.S.-HAJO,

Dist.-Kamrup Rural, State-ASSAM, Pin-781104

19.11.2019

436NHM/SWC/

1221

AMIT KUMAR

THAOSEN

LATE

MAIMUNSING

THAOSEN

No

C/o-JHONHAM THAOSEN, H.No.-2, Vill/Town-

VILLAGE KHAILIMDISA, P.O.-MAIBANG, P.S.-

MAIBANG, Dist.-Dima Hasao, State-ASSAM, Pin-

788831

19.11.2019

437NHM/SWC/

1222SOKIAT ALI

LT. SHAHID

ALINo

C/o-SELF, H.No.-59B, Vill/Town-ISLAM NAGAR

(BOGULAMARI), P.O.-AM CO ROAD, P.S.-

DHUBRI, Dist.-Dhubri, State-ASSAM, Pin-783323

19.11.2019

438NHM/SWC/

1224KAMAL DEURI

SITA RAM

DEURINo

C/o-SITA RAM DEURI, H.No.-18, Vill/Town-

BAHGORAH DEURI GAON, P.O.-BAHGORAH,

P.S.-BIHPURIA, Dist.-Lakhimpur, State-ASSAM,

Pin-784161

19.11.2019

439NHM/SWC/

1227

DHANAJIT

BAISHYA

KANAK

CHANDRA

BAISHYA

No

C/o-KANAK CHANDRA BAISHYA, H.No.-318,

Vill/Town-BHAWANIPUR(SANTIPUR), P.O.-

BHAWANIPUR, P.S.-BARPETA, Dist.-Barpeta,

State-ASSAM, Pin-781352

19.11.2019

440NHM/SWC/

1235

APORUP

KEMPRAI

LATE.

ANANTA

KEMPRAI

No

C/o-LATE.ANANTA KEMPRAI, H.No.-145,

Vill/Town-VILLAGE. DESWALI BASTI

(SIBRAIPUR) HARANGAJAO, P.O.-

HARANGAJAO, P.S.-HARANGAJAO, Dist.-Dima

Hasao, State-ASSAM, Pin-788818

19.11.2019

441NHM/SWC/

1258

JILFIKAR ALI

AHMED

AMAN UDDIN

AHMEDNo

C/o-AMAN UDDIN AHMED, H.No.-326,

Vill/Town-BIDYAPARA STATION ROAD

WARD NO 9 DHUBRI ASSAM, P.O.-DHUBRI,

P.S.-DHUBRI, Dist.-Dhubri, State-ASSAM, Pin-

783301

19.11.2019

442NHM/SWC/

1265

JOYSING

TERANG

PAWAN

TERANGNo

C/o-PAWAN TERANG, H.No.-TOPACHUK,

Vill/Town-TOPACHUK, P.O.-NIBUKALI, P.S.-

SADAR, Dist.-Nagaon, State-ASAAM, Pin-782102

19.11.2019

Page - 38

Page 39: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

443NHM/SWC/

1274

SANKAR

RAJBONGSHI

DEBEN

RAJBONGSHINo

C/o-DEBEN RAJBONGSHI, H.No.-319, Vill/Town-

SAJEI, P.O.-DAGAON, P.S.-BAIHATA

CHARIALI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781380

19.11.2019

444NHM/SWC/

1276

RAJEN CH

KALITA

PODORAM

KALITANo

C/o-PODORAM KALITA, H.No.-43, Vill/Town-

SATGAON (UTTAR LENGA), P.O.-BORBAKA,

P.S.-BAIHATA CHARIALI, Dist.-Kamrup Rural,

State-ASSAM, Pin-781030

19.11.2019

445NHM/SWC/

1291

DIPANKAR CH

DAS

BHABEN CH

DASNo

C/o-BHABEN CH DAS, H.No.-21, Vill/Town-

PHULUNG, P.O.-RANGMAHAL, P.S.-

CHANGSARI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781030

19.11.2019

446NHM/SWC/

1301

PRANAB

MAHANTA

SACHINDRA

MAHANTANo

C/o-SACHINDRA MAHANTA, H.No.-117,

Vill/Town-GHOPLA, P.O.-KANIHA, P.S.-

KAMALPUR, Dist.-Kamrup Rural, State-ASSAM,

Pin-781380

19.11.2019

447NHM/SWC/

13165

PUNA

DAIMARI

KHAGEN

DAIMARINo

C/o-KHAGEN DAIMARI, H.No.-288, Vill/Town-

NO.1 MAIDANGURI, P.O.-UDALGURI, P.S.-

UDALGURI, Dist.-Udalguri, State-ASSAM, Pin-

784509

19.11.2019

448NHM/SWC/

1323

MD SHAHID

ULLAH

MD AMIR

UDDINNo

C/o-AMIR UDDIN, H.No.-104, Vill/Town-

PUTHIKHAITY, P.O.-KAOIMARI, P.S.-

RUPAHIHAT, Dist.-Nagaon, State-ASSAM, Pin-

782140

19.11.2019

449NHM/SWC/

1324

DHANMANI

DAS

AMRIT

CHANDRA DASNo

C/o-AMRIT CH DAS, H.No.-, Vill/Town-

KUMERIA, P.O.-AMRANGA, P.S.-

PALASHBARI, Dist.-Kamrup Rural, State-

ASSAM, Pin-781125

19.11.2019

450NHM/SWC/

1332

MOINUL

HOQUEWAHED ALI No

C/o-WAHED ALI, H.No.-205, Vill/Town-

ADABARI PART-II, P.O.-SAGALCHARA, P.S.-

DHUBRI, Dist.-Dhubri, State-ASSAM, Pin-783324

19.11.2019

451NHM/SWC/

1341PRANJIT DAS BHARAT DAS No

C/o-BHARAT DAS, H.No.-20, Vill/Town-4 NO

BARTALA, P.O.-BARTALA, P.S.-MUKALMUA,

Dist.-Nalbari, State-ASSAM, Pin-781138

19.11.2019

452NHM/SWC/

1342

MOSTAFA

ABDUL ROUF

MOTIOR

RAHMANNo

C/o-MOTIOR RAHMAN, H.No.-145, Vill/Town-

KARAITARI, P.O.-FAKIRAGRAM, P.S.-

FAKIRAGRAM, Dist.-Kokrajhar, State-ASSAM,

Pin-783345

19.11.2019

453NHM/SWC/

1362

SIDDHARTHA

HAZARIKA

NITYA

HAZARIKANo

C/o-NITYA HAZARIKA, H.No.-0, Vill/Town-

KAMALABARI, P.O.-KAMALABARI, P.S.-

MAJULI KAMALABARI, Dist.-Jorhat, State-

ASSAM, Pin-785106

19.11.2019

Page - 39

Page 40: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

454NHM/SWC/

13630BIJU PATHAK

LATE

JAYANTA

PATHAK

No

C/o-SUBHADRA PATHAK, H.No.-167, Vill/Town-

JHAWBARI, P.O.-NOWAGAON, P.S.-

MANIKPUR, Dist.-Bongaigaon, State-ASSAM, Pin-

783392

19.11.2019

455NHM/SWC/

1373SibCharan Ray

Upen Chandra

RayNo

C/o-Upen Chandra Ray, H.No.-272, Vill/Town-

Majgaon Part - II, P.O.-Chakapara, P.S.-

Bongaigaon, Dist.-Bongaigaon, State-Assam, Pin-

783380

19.11.2019

456NHM/SWC/

1383PHATIK GOGOI

BHADRA

KANTA GOGOINo

C/o-BHADRA KANTA GOGOI, H.No.-157,

Vill/Town-PODUMONI, P.O.-TENGAKHAT, P.S.-

TENGAKHAT, Dist.-Dibrugarh, State-ASSAM,

Pin-786103

19.11.2019

457NHM/SWC/

1405

BHADRESWAR

MUNDA

MANGRA

MUNDANo

C/o-MANGRA MUNDA, H.No.-19, Vill/Town-

NO. 1 BATIAMARI, P.O.-KUMARIKATA, P.S.-

TAMULPUR, Dist.-Baksa, State-ASSAM, Pin-

781360

19.11.2019

458NHM/SWC/

1429

BASANTA

HALOI

LATE.

HIRENDRA

HALOI

No

C/o-KASWLYA HALOI, H.No.-205, Vill/Town-

LAKSHMIPUR (A BLOCK), P.O.-NIKASHI, P.S.-

MUSHALPUR, Dist.-Baksa, State-ASSAM, Pin-

781372

19.11.2019

459NHM/SWC/

1430

MRIGANGA

MOULI DAS

MOHITOSH

DASNo

C/o-MOHITOSH DAS, H.No.-59, Vill/Town-

BIDYANAGAR, P.O.-NILAMBAZAR, P.S.-

NILAMBAZAR, Dist.-Karimganj, State-ASSAM,

Pin-788722

19.11.2019

460NHM/SWC/

1450

RAJESH

KUMAR

GHOSH

BASANTA

KUMAR

GHOSH

No

C/o-BASANTA KUMAR GHOSH, H.No.-389,

Vill/Town-CHANDIPUR TE, P.O.-CHANDIPUR,

P.S.-ALGAPUR, Dist.-Hailakandi, State-ASSAM,

Pin-788150

19.11.2019

461NHM/SWC/

1459AMAL DAS KAREN DAS No

C/o-KAREN DAS, H.No.-130, Vill/Town-

AMBARI, P.O.-MUSHALPUR, P.S.-

MUSHALPUR, Dist.-Baksa, State-ASSAM, Pin-

781372

19.11.2019

462NHM/SWC/

1476

SRI PRATIM

BORBORA

SRI RUHIT

BORBORANo

C/o-SRI RUHIT BORBORA, H.No.-262,

Vill/Town-GOLAGHAT RONGPUR WARD NO

11, P.O.-GOLAGHAT, P.S.-GOLAGHAT, Dist.-

Golaghat, State-ASSAM, Pin-785621

19.11.2019

463NHM/SWC/

1484NRIPEN DAS

KUSHAL

CHANDRA DASNo

C/o-KUSHAL CHANDRA DAS, H.No.-65,

Vill/Town-NATUN GAON, P.O.-BISWANATH

GHAT, P.S.-BISWANATH CHARIALI, Dist.-

Sonitpur, State-ASSAM, Pin-784177

19.11.2019

464NHM/SWC/

1491

HEMANTA

BHARALI

LOHIT

BHARALINo

C/o-LOHIT BHARALI, H.No.-109, Vill/Town-

GARAMDEW, P.O.-GARAMDEW, P.S.-

MUSHALPUR, Dist.-Baksa, State-ASSAM, Pin-

781377

19.11.2019

Page - 40

Page 41: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

465NHM/SWC/

1506BIPLAB NATH

LATE

BRAJOHARI

NATH

No

C/o-LATE BRAJOHARI NATH, H.No.-WARD

NO.03, Vill/Town-HAILAKANDI, P.O.-

HAILAKANDI, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-ASSAM, Pin-788151

19.11.2019

466NHM/SWC/

1509

MAHAMMAD

ALISADEK ALI No

C/o-SADEK ALI, H.No.-278, Vill/Town-NIZ

BISWANATH( NABAZAR), P.O.-BISWANATH

GHAT, P.S.-BISWANATH CHARIALI, Dist.-

Sonitpur, State-ASSAM, Pin-784177

19.11.2019

467NHM/SWC/

1523

SRI MONTU

PHUKON

LT.

TANKESWAR

PHUKON

No

C/o-LT. TANKESWAR PHUKON, H.No.-NO,

Vill/Town-NORAGAON ANGERGAPARA, P.O.-

GOLAGHAT, P.S.-GOLAGHAT, Dist.-Golaghat,

State-ASSAM, Pin-785621

19.11.2019

468NHM/SWC/

15290

FAKRUL

ISLAM KHAN

Abdul Hasib

KhanYes

C/o-Abdul Hasib Khan, H.No.-584, Vill/Town-

VILL-Kachukhauri, P.O.-Ratabari, P.S.-Ratabari,

Dist.-Karimganj, State-ASSAM, Pin-788735

19.11.2019

469NHM/SWC/

1547

MD. AJMIRUL

RAHMAN

LT. LATIFUR

RAHMANNo

C/o-LT. LATIFUR RAHMAN, H.No.-16 A,

Vill/Town-GOLAGHAT WARD NO 2, P.O.-

GOLAGHAT, P.S.-GOLAGHAT, Dist.-Golaghat,

State-ASSAM, Pin-785621

19.11.2019

470NHM/SWC/

1550ATUL SAIKIA RAJANI SAIKIA No

C/o-RAJANI SAIKIA, H.No.-10, Vill/Town-

KALSHILAPAR, P.O.-RAJAMAYONG, P.S.-

MAYONG, Dist.-Morigaon, State-ASSAM, Pin-

782411

19.11.2019

471NHM/SWC/

1552

GULSHAN

AKTAR

CHOUDHURY

NURUL ISLAM

CHOUDHURYNo

C/o-NURUL ISLAM CHOUDHURY, H.No.-101,

Vill/Town-BROJAPUR PART 1, P.O.-

BROJAPUR, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-ASSAM, Pin-788155

19.11.2019

472NHM/SWC/

1559

KAMAL

HUSSAIN

TAPADAR

SAMS UDDIN

TAPADARNo

C/o-SAMSUDDIN TAPADAR, H.No.-39,

Vill/Town-TAPADAR PARA, P.O.-

PATHARKANDI, P.S.-PATHARKANDI, Dist.-

Karimganj, State-ASSAM, Pin-788724

19.11.2019

473NHM/SWC/

15678

MRS NIRMALI

DEVI

SRI KHIROD

SAVAPANDITNo

C/o-SRI JOGENDRA NATH SARMA, H.No.-94,

Vill/Town-SARUKACHARI GAON, P.O.-

BAMBORAHI, P.S.-GOLAGHAT, Dist.-Golaghat,

State-ASSAM, Pin-785702

19.11.2019

474NHM/SWC/

1577

SHOHIDUR

ROHMAN

AROJUDDIN

SKNo

C/o-AROJUDDIN SK, H.No.-234, Vill/Town-

HATSINGIMARI, P.O.-HATSINGIMARI, P.S.-

SOUTH SALMARA, Dist.-Dhubri, State-ASSAM,

Pin-783135

19.11.2019

475NHM/SWC/

1587

PRADIP

BORAH

LATE GOLAP

BORAHNo

C/o-DILIP BORAH, H.No.-NA, Vill/Town-

BOGORIONI GAON, P.O.-NA-BHANGA, P.S.-

DERGAON, Dist.-Golaghat, State-ASSAM, Pin-

785614

19.11.2019

476NHM/SWC/

15934

PRIYANGSHU

SARM

KAMAL

SARMAYes

C/o-Kamal Sarma, H.No.-173, Vill/Town-Gopal

Bazar, P.O.-Gopal Bazar, P.S.-Nalbari, Dist.-

Nalbari, State-Assam, Pin-781353

19.11.2019

Page - 41

Page 42: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

477NHM/SWC/

1594

NESIMUDDIN

AHMED

NEKIB UDDIN

AHMEDNo

C/o-NESIMUDDIN AHMED, H.No.-42, Vill/Town-

BORHOLLA, P.O.-BORHOLLA, P.S.-

BORHOLLA, Dist.-Jorhat, State-ASSAM, Pin-

785631

19.11.2019

478NHM/SWC/

15986

PRIYANGSHU

SARMA

KAMAL

SARMAYes

C/o-KAMAL SARMA, H.No.-173, Vill/Town-

GOPAL BAZAR, P.O.-GOPAL BAZAR, P.S.-

NALBARI, Dist.-Nalbari, State-ASSAM, Pin-

781353

19.11.2019

479NHM/SWC/

1633PINKU ROY

BENU BUSHAN

ROYNo

C/o-BENU BUSHAN ROY, H.No.-227, Vill/Town-

BORKHOLA PT. I, P.O.-BORKHOLA, P.S.-

BORKHOLA, Dist.-Cachar, State-ASSAM, Pin-

788110

19.11.2019

480NHM/SWC/

1641SAMAR SAIKIA

LATE LALIT

SAIKIANo

C/o-SAMAR SAIKIA, H.No.-WARD NO 3,

Vill/Town-VILLAGE NO 2 BOLIAGHAT

BONGAON, P.O.-KARIGAON, P.S.-

SIVASAGAR, Dist.-Sivasagar, State-ASSAM, Pin-

785640

19.11.2019

481NHM/SWC/

1655

RAM PRASAD

NUNIA

RAM LAKHAN

NUNIANo

C/o-RAM LAKHAN NUNIA, H.No.-582,

Vill/Town-KOYAH T.E, P.O.-KOYAH T.E, P.S.-

LALA, Dist.-Hailakandi, State-ASSAM, Pin-

788164

19.11.2019

482NHM/SWC/

1679

BISWAJIT

GHOSH

BISWANATH

GHOSHNo

C/o-BISWANATH GHOSH, H.No.-87, Vill/Town-

KASHIPUR PART II, P.O.-KASHIPUR PART II,

P.S.-SILCHAR, Dist.-Cachar, State-ASSAM, Pin-

788009

19.11.2019

483NHM/SWC/

1704

MANASH

JYOTI

PHUKON

LATE JAGOT

CHANDRA

PHUKON

No

C/o-LATE JAGOT CHANDRA PHUKON, H.No.-

150, Vill/Town-PANIBIL CHETIA GAON, P.O.-

PANIBIL, P.S.-CHEREKAPAR, Dist.-Sivasagar,

State-ASSAM, Pin-785685

19.11.2019

484NHM/SWC/

1711

BIMAN

BEHARI

SINGHA

LT RAM

PRASAD

SINGHA

No

C/o-LT RAM PRASAD SINGHA, H.No.-180,

Vill/Town-NITYANANDAPUR PART I, P.O.-

NITYANANDAPUR, P.S.-LALA, Dist.-

Hailakandi, State-ASSAM, Pin-788168

19.11.2019

485NHM/SWC/

1736

GORA SING

REANG

JUDDO JOY

REANGNo

C/o-JUDDO JOY REANG, H.No.-103, Vill/Town-

JHALNACHERRA, P.O.-GHARMURA BUS

STAND, P.S.-RAMNATHPUR, Dist.-Hailakandi,

State-ASSAM, Pin-788162

19.11.2019

486NHM/SWC/

1743PANKAJ NATH

Lt. SURENDRA

KUMAR NATHNo

C/o-PANKAJ NATH, H.No.-119 G, Vill/Town-

JARAILTOLA, P.O.-JARAILTOLA BAZAR, P.S.-

BARKHOLA, Dist.-Cachar, State-ASSAM, Pin-

788127

19.11.2019

487NHM/SWC/

1824

BIRBAHU

REANG

DHARMANI

REANGNo

C/o-CHEIYATI REANG, H.No.-64, Vill/Town-

RAIFLEMARA, P.O.-RAMNATHPUR, P.S.-

RAMNATHPUR, Dist.-Hailakandi, State-ASSAM,

Pin-788162

19.11.2019

Page - 42

Page 43: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

488NHM/SWC/

1851

MANTU

KUMAR

BAYAN

MAHESWAR

BAYANNo

C/o-D N KAKATI, H.No.-95, Vill/Town-AJANTA

PATH SURVEY BELTOLA, P.O.-BELTOLA, P.S.-

DISPUR, Dist.-Kamrup Metro, State-ASSAM, Pin-

781028

19.11.2019

489NHM/SWC/

1857

NETRA MONI

BHUYAN

HEM

CHANDRA

BHUYAN

No

C/o-PHUNU BHUYAN, H.No.-5, Vill/Town-

SANTIPUR, P.O.-BHOMORAGURI, P.S.-

KALIABOR, Dist.-Nagaon, State-ASSAM, Pin-

782143

19.11.2019

490NHM/SWC/

1867

MONTU

DUTTA

INDRESWAR

DUTTANo

C/o-SUNIL DUTTA, H.No.-HOUSE NO 02,

Vill/Town-TEACHERS COLONY DIPHU, P.O.-

DIPHU, P.S.-DIPHU, Dist.-Karbi Anglong, State-

ASSAM, Pin-782460

19.11.2019

491NHM/SWC/

1877

PRITOM

CHETRY

RANJIT

CHETRYNo

C/o-RANJIT CHETRY, H.No.-HOUSE NO 50,

Vill/Town-DHARAMNALA WARD NO 03

DIPHU, P.O.-DIPHU, P.S.-DIPHU, Dist.-Karbi

Anglong, State-ASSAM, Pin-782460

19.11.2019

492NHM/SWC/

1879Pranab Kalita Kamal Kalita No

C/o-Kamal Kalita, H.No.-79, Vill/Town-Udaipur,

P.O.-Sootea, P.S.-Sootea, Dist.-Sonitpur, State-

Assam, Pin-784175

19.11.2019

493NHM/SWC/

1927

RAJIB

BHUYAN

KUNJA KR

BHUYANNo

C/o-KUNJA KR BHUYAN, H.No.-273, Vill/Town-

NIZARAPAR, P.O.-JAGIROAD, P.S.-JAGIROAD,

Dist.-Morigaon, State-ASSAM, Pin-782410

19.11.2019

494NHM/SWC/

1944

SRI BISHNU

PADA SEAL

JATINDRA CH

SEALNo

C/o-JATINDRA CH SEAL, H.No.-126, Vill/Town-

BERABHANGA PT-II, (BHUTIADANGA), P.O.-

SUKCHAR, P.S.-SUKCHAR, Dist.-Dhubri, State-

ASSAM, Pin-783128

19.11.2019

495NHM/SWC/

1980

NAYANJYOTI

DASSISHUPAL DAS No

C/o-DEBAJANI DAS, H.No.-0, Vill/Town-

KAMARKUCHI, P.O.-KAMARKUCHI, P.S.-

NALBARI, Dist.-Nalbari, State-ASSAM, Pin-

781347

19.11.2019

496NHM/SWC/

1983

MD SAFIQUL

ISLAM

NACHIRUDDIN

AHMEDNo

C/o-NACHIRUDDIN AHMED, H.No.-280,

Vill/Town-MOKHANIA, P.O.-BARAMBOI, P.S.-

HAJO, Dist.-Kamrup Rural, State-ASSAM, Pin-

781104

19.11.2019

497NHM/SWC/

1996RATUL DAS

CHANDRA

KANTA DASNo

C/o-SRI CHANDRA KANTA DAS, H.No.-212,

Vill/Town-TELLENGANIA, P.O.-BEHALI, P.S.-

BEHALI, Dist.-Sonitpur, State-ASSAM, Pin-

784166

19.11.2019

498NHM/SWC/

2008

UTTAM

KUTUM

MAINAKALI

KUTUMNo

C/o-MAINAKALI KUTUM, H.No.-22, Vill/Town-

TELIA BARI, P.O.-PAKEN, P.S.-GOHPUR, Dist.-

Sonitpur, State-ASSAM, Pin-784168

19.11.2019

Page - 43

Page 44: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

499NHM/SWC/

2011

MOMINUR

ISLAMABDUL KARIM No

C/o-ABDUL KARIM, H.No.-282, Vill/Town-

SOUTH SALMARA PT-II, P.O.-SOUTH

SALMARA, P.S.-SOUTH SALMARA, Dist.-

Dhubri, State-ASSAM, Pin-783127

19.11.2019

500NHM/SWC/

20169

MUKTANAND

A PEGU

MUKTINATH

PEGUNo

C/o-LT MUKTINATH PEGU, H.No.-401,

Vill/Town-NAKARI JYOTI NAGAR WARD NO 1

LAKHIMPUR NORTH LAKHIMPUR, P.O.-

NORTH LAKHIMPUR, P.S.-NORTH

LAKHIMPUR, Dist.-Lakhimpur, State-ASSAM,

Pin-787001

19.11.2019

501NHM/SWC/

2058

LUTFOR

RAHMAN

NURUL ISLAM

GAFFARINo

C/o-NURUL ISLAM GAFFARI, H.No.-426,

Vill/Town-PATANGITOLA, P.O.-KALAPANI,

P.S.-MANKACHAR, Dist.-Dhubri, State-ASSAM,

Pin-783135

19.11.2019

502NHM/SWC/

2082ANIL KATAKI

JOYRAM

KATAKINo

C/o-JOYRAM KATAKI, H.No.-4, Vill/Town-

BALIJAN KATAKI CHUK, P.O.-BALIJAN, P.S.-

GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin-

784172

19.11.2019

503NHM/SWC/

2101

BUBUL

CHOUDHURY

LATE MOHIB

CHOUDHURYNo

C/o-SELF, H.No.-55, Vill/Town-KSHUDRA

PALAHA, P.O.-BAIHATA CHARIALI, P.S.-

BAIHATA CHARIALI, Dist.-Kamrup Rural, State-

ASSAM, Pin-781381

19.11.2019

504NHM/SWC/

2113

PARASHMONI

SAIKIA

SOMESWAR

SAIKIANo

C/o-SOMESWAR SAIKIA, H.No.-N/A, Vill/Town-

DEHINGIAPAR, P.O.-NAKACHARI, P.S.-

NAKACHARI, Dist.-Jorhat, State-ASSAM, Pin-

785635

19.11.2019

505NHM/SWC/

2117

THANURAM

PEGU

DIMBESWAR

PEGUNo

C/o-DIMBESWAR PEGU, H.No.-10, Vill/Town-

NO 3 RAYANG, P.O.-JONAI, P.S.-JONAI, Dist.-

Dhemaji, State-ASSAM, Pin-787060

19.11.2019

506NHM/SWC/

2133

ABUL KALAM

LASKAR

SAYAD ALI

LASKARNo

C/o-SAYAD ALI LASKAR, H.No.-360, Vill/Town-

JAMIRA BAGAN BASTI, P.O.-JAMIRA BAZAR,

P.S.-RAMNATHPUR, Dist.-Hailakandi, State-

ASSAM, Pin-788162

19.11.2019

507NHM/SWC/

2207

KRISHNA RAM

DOLEY

DEBIRAM

DOLEYNo

C/o-DEBIRAM DOLEY, H.No.-35, Vill/Town-NO

1 MAJULIPUR, P.O.-LAIMEKURI, P.S.-JONAI,

Dist.-Dhemaji, State-04-Assam, Pin-787060

19.11.2019

508NHM/SWC/

2239

HUSSAIN

AHMED

LASKAR

NAZIR AHMED

LASKARNo

C/o-NAZIR AHMED LASKAR, H.No.-209,

Vill/Town-UTTAR DALAICHERRA, P.O.-

KANAKPUR EAST, P.S.-JOYPUR, Dist.-Cachar,

State-ASSAM, Pin-788107

19.11.2019

509NHM/SWC/

23359

BISWAJIT

CHAKRABORT

Y

NIRMAL

CHAKRABORT

Y

No

C/o-NIRMAL CHAKRABORTY, H.No.-163,

Vill/Town-SADAGRAM, P.O.-DHOLAI BAZAR,

P.S.-DHOLAI, Dist.-Cachar, State-ASSAM, Pin-

788114

19.11.2019

Page - 44

Page 45: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

510NHM/SWC/

2362

NAZIR AHMED

MAZARBHUIY

A

HABIBUR

RAHMAN

MAZARBHUIY

A

No

C/o-HABIBUR RAHMAN MAZARBHUIYA,

H.No.-166, Vill/Town-GANIRGRAM PART IV,

P.O.-GANIRGRAM, P.S.-KATIGORAH, Dist.-

Cachar, State-ASSAM, Pin-788025

19.11.2019

511NHM/SWC/

2367

NAIR AHMED

MAZARBHUIY

A

HABIBUR

RAHMAN

MAZARBHUIY

A

No

C/o-HABIBUR RAHMAN MAZARBHUIYA,

H.No.-166, Vill/Town-GANIRGRAM PART IV,

P.O.-GANIRGRAM, P.S.-KATIGORAH, Dist.-

Cachar, State-ASSAM, Pin-788025

19.11.2019

512NHM/SWC/

2380

SANOWAR

HUSSAINOMAR ALI No

C/o-OMAR ALI, H.No.-637, Vill/Town-

KHARUABANDHA, P.O.-FEKAMARI, P.S.-

SOUTH SALMARA, Dist.-Dhubri, State-ASSAM,

Pin-783135

19.11.2019

513NHM/SWC/

2569

DIBYAYAN

DAS

MAHANANDA

DASNo

C/o-MAHANANDA DAS, H.No.-161, Vill/Town-

NARAINPUR PART 2, P.O.-NORTH

NARAINPUR, P.S.-ALGAPUR, Dist.-Hailakandi,

State-ASSAM, Pin-788801

19.11.2019

514NHM/SWC/

2720Amrit Gautam Netra Gautam No

C/o-Netra Gautam, H.No.-179, Vill/Town-

Langkhang, P.O.-Anjukpani, P.S.-Anjukpani, Dist.-

Karbi Anglong, State-Assam, Pin-782139

19.11.2019

515NHM/SWC/

2727Bipul Balari Jiban Balari No

C/o-Jiban Barali, H.No.-173, Vill/Town-Sonajuri,

P.O.-Anjukpani, P.S.-Samaguri, Dist.-Nagaon, State-

Assam, Pin-782139

19.11.2019

516NHM/SWC/

2795

BENUDHAR

NATH

LATE

SONARAM

NATH

No

C/o-LATE SONARAM NATH, H.No.-140,

Vill/Town-NAMDOOMDOOMIA, BHAKAT

GAON, P.O.-DHING, P.S.-DHING, Dist.-Nagaon,

State-ASSAM, Pin-782123

19.11.2019

517NHM/SWC/

2871

MD GIAS

UDDIN

MD ABDUL

RASHIDNo

C/o-MD ABDUL RASHID, H.No.-154, Vill/Town-

ROWMARI, P.O.-ROWMARI BILL, P.S.-DHING,

Dist.-Nagaon, State-ASSAM, Pin-782123

19.11.2019

518NHM/SWC/

3091

BISWA RAM

SIARY

GOJEN RAM

SIARYNo

C/o-GOJEN RAM SIARY, H.No.-260, Vill/Town-

SONAJURI, P.O.-ANJUKPANI, P.S.-SAMAGURI,

Dist.-Nagaon, State-ASSAM, Pin-782139

19.11.2019

519NHM/SWC/

3296

MAYURAM

SAIKIAGOBIN SAIKIA No

C/o-GOBIN SAIKIA, H.No.-19, Vill/Town-

PARKUP PAHAR, P.O.-PARKUP PAHAR, P.S.-

ANJOKPANI, Dist.-Karbi Anglong, State-ASSAM,

Pin-782135

19.11.2019

520NHM/SWC/

3318

PANKAJ

KUMAR

BORTHAKUR

SARAT

CHANDRA

BORTHAKUR

No

C/o-ARUP SARMAH, H.No.-14, Vill/Town-

BORPATHAR SILONIJAN, P.O.-BORPATHAR,

P.S.-BORPATHAR SANTIPUR, Dist.-Karbi

Anglong, State-ASSAM, Pin-782480

19.11.2019

521NHM/SWC/

3380

BHARAT

RONGPI

MOHON SING

RONGPINo

C/o-MOHON SING RONGPI, H.No.-HOUSE NO

25, Vill/Town-BAMUNI NOWGAON, P.O.-

BAMUNI, P.S.-SAMUGURI, Dist.-Nagaon, State-

ASSAM, Pin-782102

19.11.2019

Page - 45

Page 46: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

522NHM/SWC/

3564

MOFIZ UDDIN

AHMEDRUHUL AMIN No

C/o-RUHUL AMIN, H.No.-402(KHA), Vill/Town-

PANDHOWA, P.O.-BARCHALA, P.S.-NORTH

LAKHIMPUR, Dist.-Lakhimpur, State-ASSAM,

Pin-787023

19.11.2019

523NHM/SWC/

3675

RANENDRA

SARMA

HARICHANDR

A SARMANo

C/o-HARICHANDRA SARMA, H.No.-72,

Vill/Town-AGDALA, P.O.-BAIHATA CHARIALI,

P.S.-BAIHATA CHARIALI, Dist.-Kamrup Rural,

State-ASSAM, Pin-781381

19.11.2019

524NHM/SWC/

3702

PREM

RONGPHAR

KHAGEN

RONGPHARNo

C/o-KHAGEN RONGPHAR, H.No.-HOUSE NO

51, Vill/Town-VILL KHA ENGTI GAON, P.O.-

KAT TERON, P.S.-RONGMONGVE, Dist.-Karbi

Anglong, State-ASSAM, Pin-782136

19.11.2019

525NHM/SWC/

3897

SUNIL

DAIMARY

LATE NAGEN

DAIMARYNo

C/o-SUREN DAIMARY, H.No.-23, Vill/Town-

SALPARA BANGAON, P.O.-PUB SALPARA,

P.S.-RUPAHIHAT, Dist.-Nagaon, State-ASSAM,

Pin-782125

19.11.2019

526NHM/SWC/

4106

DEBRAJ

DEBNATH

LATE RAKHAL

CHANDRA

DEBNATH

No

C/o-HAROBINDA BASUMATARY, H.No.-290,

Vill/Town-AHOMGAON, P.O.-GARCHUK, P.S.-

GARCHUK, Dist.-Kamrup Metro, State-ASSAM,

Pin-781035

19.11.2019

527NHM/SWC/

4402

ABUL HASAN

MOLLAH

LT. IDRISH ALI

MOLLAHNo

C/o-ABDUL MOTALEB MOLLAH, H.No.-140,

Vill/Town-SIMLABARI, P.O.-SIMLABARI, P.S.-

BAGUAN, Dist.-Goalpara, State-ASSAM, Pin-

783101

19.11.2019

528NHM/SWC/

4448

ENAMUL

ZAMAN

AHMED

ABDUL AZIZ

AHMEDNo

C/o-ABDUL AZIZ AHMED, H.No.-225 GHA,

Vill/Town-SHILAPANI, P.O.-LAKHIPUR, P.S.-

LAKHIPUR, Dist.-Goalpara, State-ASSAM, Pin-

783129

19.11.2019

529NHM/SWC/

4450

Md.Mahmadul

Islam

Md.Abdul

MannanNo

C/o-Md.Abdul Mannan, H.No.-325, Vill/Town-

Borkhabal, P.O.-Laharighat, P.S.-Laharighat, Dist.-

Morigaon, State-Assam, Pin-782127

19.11.2019

530NHM/SWC/

4611AJIT BORAH

BENUDHAR

BORAHNo

C/o-BENUDHAR BORAH, H.No.-36, Vill/Town-

PHULONI GAON, P.O.-LANGHIN TINIALI, P.S.-

DOKMOKA, Dist.-Karbi Anglong, State-ASSAM,

Pin-782441

19.11.2019

531NHM/SWC/

4661

BHADRESWAR

CHUTIA

bhadreswarchutia

[email protected]

C/o-JOYGESWAR CHUTIA, H.No.-15, Vill/Town-

LATHIA, P.O.-GOGAMUKH, P.S.-GOGAMUKH,

Dist.-Dhemaji, State-ASSAM, Pin-787034

19.11.2019

532NHM/SWC/

5231

KHANINDRA

PEGU

BINANDA

PEGUNo

C/o-BINANDA PEGU, H.No.-10, Vill/Town-

JIADHAL TINIGHARIA, P.O.-JIADHAL

CHARIALI, P.S.-DHEMAJI, Dist.-Dhemaji, State-

ASSAM, Pin-787057

19.11.2019

533NHM/SWC/

5241

ARUN

SWARGIARY

DHARMESWA

R SWARGIARYNo

C/o-DHARMESWAR SWARGIARY, H.No.-47,

Vill/Town-DIGHALI MAJ GAON, P.O.-

LANGHIN TINIALI, P.S.-DOKMOKA, Dist.-

Karbi Anglong, State-ASSAM, Pin-782441

19.11.2019

Page - 46

Page 47: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

534NHM/SWC/

5532

CHOWHURA

THAUMONG

SAITHUN

THOUMONGNo

C/o-SAITHUN THOUMONG, H.No.-HOUSE NO

22, Vill/Town-VILL BALIPATHAR SHYAM

GAON, P.O.-BALIPATHAR, P.S.-BOKAJAN,

Dist.-Karbi Anglong, State-ASSAM, Pin-782480

19.11.2019

535NHM/SWC/

5554

PANKAJ

KUMAR

KALITA

ANANDA RAM

KALITANo

C/o-RIJU KALITA, H.No.-QTR. NO. 43/III/B,

Vill/Town-BVFCL COLONY NAMRUP, P.O.-

PARBATPUR, P.S.-NAMRUP, Dist.-Dibrugarh,

State-ASSAM, Pin-786623

19.11.2019

536NHM/SWC/

5816AJIT BORAH

MR

BENUDHAR

BORAH

No

C/o-MR BENUDHAR BORAH, H.No.-36,

Vill/Town-PHULONI GAON, P.O.-LANGHIN

TINIALI, P.S.-DOKMOKA, Dist.-Karbi Anglong,

State-ASSAM, Pin-782441

19.11.2019

537NHM/SWC/

6330

RAFIQUL

ISLAM KHANLUKMAN ALI No

C/o-LUKMAN ALI, H.No.-126, Vill/Town-

RAMPUR PAM, P.O.-SOLAPATHAR, P.S.-

BATADRAVA, Dist.-Nagaon, State-ASSAM, Pin-

782122

19.11.2019

538NHM/SWC/

6670

NAYAN MONI

DASSUSHIL DAS No

C/o-SUSHUL DAS, H.No.-NO, Vill/Town-

KAKOPATHER, P.O.-KAKOPATHER, P.S.-

KAKOPATHER, Dist.-Tinsukia, State-ASSAM,

Pin-786152

19.11.2019

539NHM/SWC/

6789

KESHAB

UPADHYAYA

BHIMLAL

UPADHYAYANo

C/o-KESHAB UPADHYAYA, H.No.-, Vill/Town-

CHALIHA NAGAR, P.O.-TINSUKIA, P.S.-

TINSUKIA, Dist.-Tinsukia, State-ASSAM, Pin-

786125

19.11.2019

540NHM/SWC/

6826

JUGANTA

GOGOI

SUKHESWAR

GOGOINo

C/o-SUKHESWAR GOGOI, H.No.-0, Vill/Town-

NA-SADYA, DUKANI GAON, P.O.-KUNDIL,

P.S.-SADIYA, Dist.-Tinsukia, State-ASSAM, Pin-

786158

19.11.2019

541NHM/SWC/

6962

MINTU

BURAGOHAIN

PRAFULLA

BURAGOHAINNo

C/o-PRAFULLA BURAGOHAIN, H.No.-,

Vill/Town-CHAPAKHOWA GAON, P.O.-

CHAPAKHOWA, P.S.-CHAPAKHOWA, Dist.-

Tinsukia, State-ASSAM, Pin-786157

19.11.2019

542NHM/SWC/

9190BABU TERON

LT MANIK

TERONNo

C/o-BABU TERON, H.No.-17, Vill/Town-

BORKHAT TERON GAON, P.O.-PARKUP

PAHAR, P.S.-HOWRAGHAT, Dist.-Karbi

Anglong, State-ASSAM, Pin-782135

19.11.2019

543NHM/SWC/

9236

Lhingneikim

Chongloi

Siehkhongam

ChongloiNo

C/o-Siehkhongam Chongloi, H.No.-98, Vill/Town-

Songpijang, P.O.-Haflong, P.S.-Haflong, Dist.-

Dima Hasao, State-Assam, Pin-788819

19.11.2019

544NHM/SWC/

23444

MARJIA

BEGUM

BARBHUIYA

NOOR AHMED

BARBHUIYANo

C/o-NOOR AHMED BARBHUIYA, H.No.-295,

Vill/Town-VILL-UMEDNAGAR, P.O.-

UMEDNAGAR, P.S.-LALA, Dist.-Hailakandi,

State-ASSAM, Pin-788163

19.11.2019

Page - 47

Page 48: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

545NHM/SWC/

10648

SUMCHENG

GOGOILate Indra Gogoi No

C/o-Late Indra Gogoi, H.No.-179, Vill/Town-

Borbhuyan, P.O.-Patsaku, P.S.-Moranhat, Dist.-

Sivasagar, State-Assam, Pin-785673

19.11.2019

546NHM/SWC/

11201

BINOWARA

KHATUN

ABU BAKKAR

SIDDIKNo

C/o-RAFIQUL ISLAM, H.No.-48, Vill/Town-

KAWAIMARI EXCESS AREA, P.O.-NALI

GAON, P.S.-SARTHEBARI, Dist.-Barpeta, State-

ASSAM, Pin-781352

19.11.2019

547NHM/SWC/

11310

EMCY

KHANAM

TAPADAR

ABDUL BASIT No

C/o-GULSHAN AHMED, H.No.-502, Vill/Town-

THALGAON, P.O.-RATABARI, P.S.-RATABARI,

Dist.-Karimganj, State-ASSAM, Pin-788735

19.11.2019

548NHM/SWC/

11440

MADHAB

PRAN

HANDIQUE

DWIJENDRA

NATH

HANDIQUE

No

C/o-DWIJENDRA NATH HANDIQUE, H.No.-43,

Vill/Town-JONAKI NAGAR, P.O.-GOLAGHAT,

P.S.-GOLAGHAT, Dist.-Golaghat, State-ASSAM,

Pin-785621

19.11.2019

549NHM/SWC/

12536

MOMI NEOG

DUTTA

LATE SUMBOR

NEOGNo

C/o-MR DHRUBA JYOTI DUTTA, H.No.-94,

Vill/Town-GARAKUSH GAOUN, P.O.-

PHULPANICHIGA, P.S.-GAURISAGAR, Dist.-

Sivasagar, State-ASSAM, Pin-785683

19.11.2019

550NHM/SWC/

12769

SAFURN

NESSA

MULUKHA

SAIKHNo

C/o-MOINUL HAQUE CHOUDHURI, H.No.-154,

Vill/Town-MIKIRGAON, P.O.-PATUAKATA,

P.S.-MIKIRBHETA, Dist.-Morigaon, State-

ASSAM, Pin-782104

19.11.2019

551NHM/SWC/

12771

KARABI

DUTTABhula nath Dutta No

C/o-BIKASH BORAH, H.No.-, Vill/Town-

DULAKAKHORIA GAON, P.O.-BHOGAMUKH,

P.S.-BHOGAMUKH, Dist.-Jorhat, State-Assam,

Pin-785682

19.11.2019

552NHM/SWC/

12861POMPI NATH

HEMODHAR

NATHNo

C/o-HEMANTA NATH, H.No.-52, Vill/Town-

CHARING NATH GAON, P.O.-CHARING, P.S.-

GAURISAGAR, Dist.-Sivasagar, State-ASSAM,

Pin-785661

19.11.2019

553NHM/SWC/

13723Nippo Brahma

Lt. Bhadreswar

BrahmaNo

C/o-Lt. Bhadreswar Brahma, H.No.-252, Vill/Town-

Deotari, P.O.-Ballamguri, P.S.-Bijni, Dist.-Chirang,

State-Assam, Pin-783393

19.11.2019

554NHM/SWC/

15650

AMRITA

HAZARIKA

RAJEN

HAZARIKANo

C/o-RAJEN HAZARIKA, H.No.-60, Vill/Town-

RAHA GARMARI, P.O.-RAHA, P.S.-RAHA, Dist.-

Nagaon, State-ASSAM, Pin-782103

19.11.2019

555NHM/SWC/

16158UTPALA DEVI

TARUN

CHANDRA

NATH

No

C/o-TAPAN KUMAR KAKATI, H.No.-67,

Vill/Town-NAWKATA, P.O.-DOLOICHUBA, P.S.-

MORIGAON, Dist.-Morigaon, State-ASSAM, Pin-

782105

19.11.2019

556NHM/SWC/

17171RINA DAS

KAMALA

KANTA DASNo

C/o-SATYAJEET RAJKHOWA, H.No.-15,

Vill/Town-METEKA WARD NO 10, P.O.-RAHA,

P.S.-RAHA, Dist.-Nagaon, State-ASSAM, Pin-

782103

19.11.2019

Page - 48

Page 49: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

557NHM/SWC/

19778

CHARU LATA

HAZARIKA

SUBHA RAM

HAZARIKANo

C/o-DILIP DEKA, H.No.-124, Vill/Town-

MAHALIAPARA, P.O.-BURHINAGAR, P.S.-

SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784147

19.11.2019

558NHM/SWC/

23648

BORNALEE

BORAH

BORUAH

MANIK BORAH No

C/o-ACHYUT GOBINDA BORUAH, H.No.-NA,

Vill/Town-JOGDUAR NAPOMUA, P.O.-

JOGDUAR SONARI, P.S.-TEOK, Dist.-Jorhat,

State-ASSAM, Pin-785112

19.11.2019

559NHM/SWC/

3389ANITA DEVI

KRISHNA

SARMAHNo

C/o-GAUTAM SARMA, H.No.-176, Vill/Town-

MEDHIPARA (UDAYPUR), P.O.-CHAPAI, P.S.-

MANGALDAI, Dist.-Darrang, State-ASSAM, Pin-

784529

19.11.2019

560NHM/SWC/

3514

UDDHAB

BISWAS

NIRMAL

BISWASNo

C/o-NIRMAL BISWAS, H.No.-75, Vill/Town-

WARD NO 6 NUTAN PARA, P.O.-

HAILAKANDI, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-ASSAM, Pin-788151

19.11.2019

561NHM/SWC/

4628

MRS KANIKA

DEKA RABHA

LATE KHANGI

RAM DEKANo

C/o-SRI NARAYAN RABHA, H.No.-114,

Vill/Town-PURANIBHERGAON, P.O.-

BHERGAON, P.S.-TANGLA, Dist.-Udalguri, State-

ASSAM, Pin-784522

19.11.2019

562NHM/SWC/

5451

JAHNAVEE

KONWAR

PABITRA

KONWARNo

C/o-MADHURJYA HAZARIKA, H.No.-NIL,

Vill/Town-HULANG KATANI GAON, P.O.-

LIGIRI PUKHURI, P.S.-NAZIRA, Dist.-Sivasagar,

State-ASSAM, Pin-785685

19.11.2019

563NHM/SWC/

9000

CHETANA

CHTTRADHAR

A

CHARITRA

CHATTRADHA

RA

No

C/o-KISHUR NEOG, H.No.-NA, Vill/Town-

KONWERPUR KARIGAON, P.O.-

KONWERPUR, P.S.-SIVASAGAR, Dist.-

Sivasagar, State-ASSAM, Pin-785667

19.11.2019

564NHM/SWC/

0096

GANA RAM

RABHA

LT RAJANI

KANTA

RABHA

No

C/o-LT. RAJANI KANTA RABHA, H.No.-54,

Vill/Town-BONGAON, P.O.-CHOTOMATIA, P.S.-

KRISHNAI, Dist.-Goalpara, State-ASSAM, Pin-

783126

19.11.2019

565NHM/SWC/

0154

DAIBYA

LOCHAN

BRAHMA

UDAY KUMAR

BRAHMANo

C/o-UDAY KUMAR BRAHMA, H.No.-98,

Vill/Town-UPPER MOWAMARI, P.O.-LELA, P.S.-

DUDHNOI, Dist.-Goalpara, State-ASSAM, Pin-

783124

19.11.2019

566NHM/SWC/

0209

ABHIJIT

GOGOI

Mr. Pulin Ch

GogoiNo

C/o-Mr.Pulin Ch Gogoi, H.No.-1134, Vill/Town-

Rudreswar Bihlongoni,North Guwahati, P.O.-

Rangmahal, P.S.-Changsari, Dist.-Kamrup Rural,

State-ASSAM, Pin-781030

19.11.2019

567NHM/SWC/

0217

BIJU RAJ

DAIMARY

KARUNA

DAIMARYNo

C/o-KARUNA DAIMARY, H.No.-58, Vill/Town-

DANGAIGAON, P.O.-DANGAIGAON, P.S.-

DHALIGAON, Dist.-Chirang, State-ASSAM, Pin-

783380

19.11.2019

568NHM/SWC/

0237RUPAM DAS

DEBESH CH.

DASNo

C/o-DEBESH CH. DAS, H.No.-130, Vill/Town-

Mornai, P.O.-Mornai, P.S.-Mornai, Dist.-Goalpara,

State-Assam, Pin-783101

19.11.2019

Page - 49

Page 50: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

569NHM/SWC/

0251

HARGOBINDA

BASUMATARY

SURENDRA

BASUMATARYNo

C/o-SURENDRA BASUMATARY, H.No.-30 B,

Vill/Town-BHAOLAGURI, P.O.-KASHIKOTRA,

P.S.-SIDLI, Dist.-Chirang, State-ASSAM, Pin-

783373

19.11.2019

570NHM/SWC/

0255

TRIDIB KR

RABHA

MILAN CH

RABHANo

C/o-MILAN CH RABHA, H.No.-118, Vill/Town-

JIRA, P.O.-JIRA, P.S.-KRISHNAI, Dist.-Goalpara,

State-ASSAM, Pin-783126

19.11.2019

571NHM/SWC/

0260

MAHMUDUL

ALOMHANIF UDDIN No

C/o-HANIF UDDIN, H.No.-198, Vill/Town-

KHALISABHITA, P.O.-KHALISABHITA, P.S.-

LAKHIPUR, Dist.-Goalpara, State-ASSAM, Pin-

783330

19.11.2019

572NHM/SWC/

0294

BISTURAM

BASUMATARY

GULEN

BASUMATARYNo

C/o-GULEN BASUMATARY, H.No.-45,

Vill/Town-VILL- SONAPUR, P.O.-KARIGAON,

P.S.-KOKRAJHAR, Dist.-Kokrajhar, State-

ASSAM, Pin-783373

19.11.2019

573NHM/SWC/

0297

SAMAR JYOTI

DAS

Lt. Karuna Kanta

DasNo

C/o-MANOROMA DAS, H.No.-517, Vill/Town-

Mornai, P.O.-Mornai, P.S.-Mornai, Dist.-Goalpara,

State-Assam, Pin-783101

19.11.2019

574NHM/SWC/

0311

UTTAM

MUSHAHARY

USHA MOHAN

MUSHAHARYNo

C/o-USHA MOHAN MUSHAHARY, H.No.-48,

Vill/Town-SOUTH KAJALGAON, P.O.-

SIMLAGURI, P.S.-DHALIGAON, Dist.-Chirang,

State-ASSAM, Pin-783381

19.11.2019

575NHM/SWC/

0320

MRINAL

MUSHAHARY

UMANANDA

MUSHAHARYNo

C/o-UMANANDA MUSHAHARY, H.No.-4,

Vill/Town-VILL- BALLIMARI, P.O.-

BALLIMARI, P.S.-GOSSAIGAON, Dist.-

Kokrajhar, State-ASSAM, Pin-783360

19.11.2019

576NHM/SWC/

0330

BIJOY KR.

BRAHMA

BANJIT KR.

BRAHMANo

C/o-BANJIT KR. BRAHMA, H.No.-46, Vill/Town-

PANDHARA GAON, P.O.-BASHBARI, P.S.-

KAZIGAON, Dist.-Kokrajhar, State-ASSAM, Pin-

783337

19.11.2019

577NHM/SWC/

0337

ARGENG

BRAHMA

Abani Kumar

BrahmaNo

C/o-Abani Kumar Brahma, H.No.-28, Vill/Town-

Jagendrapur, P.O.-Saraibil, P.S.-Gossaigaon, Dist.-

Kokrajhar, State-Assam, Pin-783360

19.11.2019

578NHM/SWC/

0340

SWAPAN

BASUMATARY

ULARAM

BASUMATARYNo

C/o-ULARAM BASUMATARY, H.No.-6,

Vill/Town-GENDERGAON, P.O.-KASHIKOTRA,

P.S.-SIDLI, Dist.-Chirang, State-ASSAM, Pin-

783373

19.11.2019

579NHM/SWC/

0379

NABAJIT

MAHANTA

NILOKANTA

MAHANTANo

C/o-NILOKANTA MAHANTA, H.No.-, Vill/Town-

GOLAGHAT RANGPUR WARD NO11, P.O.-

GOLAGHAT, P.S.-GOLAGHAT, Dist.-Golaghat,

State-ASSAM, Pin-785621

19.11.2019

580NHM/SWC/

0380

GEOKHANG

KHUNGUR

BRAHMA

LATE

BHAJENDRA

NATH

BRAHMA

No

C/o-LATE BHAJENDRA NATH BRAHMA,

H.No.-35, Vill/Town-VILL- BONGSHIJHORA,

P.O.-MONGLAJHORA, P.S.-BOGRIBARI, Dist.-

Kokrajhar, State-ASSAM, Pin-783337

19.11.2019

Page - 50

Page 51: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

581NHM/SWC/

0383

SWMKHWR

BRAHMA

Late Narendra

ch. BrahmaNo

C/o-Late Narendra ch. Brahma, H.No.-90,

Vill/Town-Chata Bamunkura, P.O.-Binyakhata, P.S.-

Gossaigaon, Dist.-Kokrajhar, State-Assam, Pin-

783336

19.11.2019

582NHM/SWC/

0387

KHANDAKAR

HABIBULLAH

SAIDUR

RAHMANNo

C/o-SAIDUR RAHMAN, H.No.-201, Vill/Town-

CHALANTAPARA PART III, P.O.-

CHALANTAPARA, P.S.-JOGIGHOPA, Dist.-

Bongaigaon, State-ASSAM, Pin-783388

19.11.2019

583NHM/SWC/

0409

ANANDA

CHANDRA

SARKAR

NANDA LAL

SARKARNo

C/o-Nanda Lal Sarkar, H.No.-17 K, Vill/Town-

Ghilaguri Part II, P.O.-Ghilaguri, P.S.-Abhayapuri,

Dist.-Bongaigaon, State-Assam, Pin-783383

19.11.2019

584NHM/SWC/

0420

TITU MONI

BORAH

Padma Ram

BorahNo

C/o-Padma Ram Borah, H.No.-105, Vill/Town-

Dihing Satra, P.O.-North Guwahati, P.S.-North

Guwahati, Dist.-Kamrup Rural, State-Assam, Pin-

781030

19.11.2019

585NHM/SWC/

0423

BIJAY

MUCHAHARY

KHAGEN CH

MUCHAHARYNo

C/o-KHAGEN CH MUCHAHARY, H.No.-123,

Vill/Town-SUBHAIJHAR, P.O.-NEHRU BAZAR,

P.S.-BIJNI, Dist.-Chirang, State-ASSAM, Pin-

783393

19.11.2019

586NHM/SWC/

0426

RANJIT

NARZARY

LATE

DANDESWAR

NARZARY

No

C/o-LATE DANDESWAR NARZARY, H.No.-188,

Vill/Town-VILL- WEST MAHENDRAPUR, P.O.-

JHARBARI, P.S.-SERFANGURI, Dist.-Kokrajhar,

State-Assam, Pin-783346

19.11.2019

587NHM/SWC/

0433

MOKIBUR

RAHMAN

AZIZAR

RAHMANNo

C/o-AZIZAR RAHMAN, H.No.-232, Vill/Town-

MARKULA, P.O.-MARKULA, P.S.-BAGUAN,

Dist.-Goalpara, State-ASSAM, Pin-783120

19.11.2019

588NHM/SWC/

0435

SARAL KR.

RAYRAMPATI RAY No

C/o-RAMPATI RAY, H.No.-, Vill/Town-

TAKABARI, P.O.-CHAKIHALI, P.S.-

MANIKPUR, Dist.-Bongaigaon, State-ASSAM, Pin-

783392

19.11.2019

589NHM/SWC/

0455

NADIAR CHAN

BARAI

GAYA NATH

BARAINo

C/o-GAYA NATH BARAI, H.No.-322, Vill/Town-

Ghilaguri Part II, P.O.-Ghilaguri, P.S.-Abhayapuri,

Dist.-Bongaigaon, State-Assam, Pin-783383

19.11.2019

590NHM/SWC/

0463

NAMESWAR

SINGHA

TIKENDRA

SINGHANo

C/o-LT. TIKENDRA SINGHA, H.No.-17,

Vill/Town-JAKUAPARA PT-I, P.O.-

BONGAIGAON, P.S.-BONGAIGAON, Dist.-

Bongaigaon, State-ASSAM, Pin-783380

19.11.2019

591NHM/SWC/

0464

SARAL

KUMAR RAYRAMPATI RAY No

C/o-RAMPATI RAY, H.No.-86, Vill/Town-

TAKABARI, P.O.-CHAKIHALI, P.S.-

MANIKPUR, Dist.-Bongaigaon, State-ASSAM, Pin-

783392

19.11.2019

592NHM/SWC/

0467

SURAJIT

BRAHMA

DHANIRAM

BRAHMANo

C/o-DHANIRAM BRAHMA, H.No.-29, Vill/Town-

NO 1 MALIPARA, P.O.-NEHRU BAZAR, P.S.-

BIJNI, Dist.-Chirang, State-ASSAM, Pin-783393

19.11.2019

Page - 51

Page 52: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

593NHM/SWC/

0480

JITENDRA CH

SARKAR

GOBINDA CH

MALLONo

C/o-GOBINDA CH MALLO, H.No.-118,

Vill/Town-JANERMUKH, P.O.-LENGTISINGA,

P.S.-ABHAYAPURI, Dist.-Bongaigaon, State-

ASSAM, Pin-783384

19.11.2019

594NHM/SWC/

0508

TARUN CH.

BARUAH

DHARMA

KANTA

BARUAH

No

C/o-SELF, H.No.-63, Vill/Town-BEZERA, P.O.-

BEZERA, P.S.-BAIHATA CHARIALI, Dist.-

Kamrup Rural, State-ASSAM, Pin-781121

19.11.2019

595NHM/SWC/

0534

KHARGESWAR

RABHA

BHARAT CH

RABHANo

C/o-BHARAT CH RABHA, H.No.-101, Vill/Town-

UJAN RABHA PARA, P.O.-SIDALSATI, P.S.-

ABHAYAPURI, Dist.-Bongaigaon, State-ASSAM,

Pin-783383

19.11.2019

596NHM/SWC/

0546

MANOJ

SHARMA

SARAT

CHANDRA

SARMA

No

C/o-SARAT CHANDRA SARMA, H.No.-9,

Vill/Town-MIRZA (KRISHNA NAGAR), P.O.-

MIRZA, P.S.-PALASHBARI, Dist.-Kamrup Rural,

State-ASSAM, Pin-781112

19.11.2019

597NHM/SWC/

0562

BINOY

BHUSAN

SARMA

DHARMA

KANTA

SARMA

No

C/o-DHARMA KANTA SARMA, H.No.-82,

Vill/Town-AGDALA, P.O.-BAIHATA CHARIALI,

P.S.-BAIHATA CHARIALI, Dist.-Kamrup Rural,

State-Assam, Pin-781381

19.11.2019

598NHM/SWC/

0568

PANKAJ

BARMAN

LATE

KALICHARAN

BARMAN

No

C/o-LATE KALICHARAN BARMAN, H.No.-45,

Vill/Town-COLLEGE NAGAR, P.O.-COLLEGE

NAGAR, P.S.-CHANGSARI, Dist.-Kamrup Rural,

State-ASSAM, Pin-781031

19.11.2019

599NHM/SWC/

0607AMAL DAS

DHANESWAR

DASNo

C/o-DHANESWAR DAS, H.No.-202, Vill/Town-

BATHAN, P.O.-SRIHATI, P.S.-SOULKUCHI,

Dist.-Kamrup Rural, State-ASSAM, Pin-781103

19.11.2019

600NHM/SWC/

0608

DHARMENDRA

DAS

HEM

CHANDRA DASNo

C/o-HEM CHANDRA DAS, H.No.-63, Vill/Town-

SUALKUCHI COLLEGE ROAD, P.O.-

SUALKUCHI, P.S.-SUALKUCHI, Dist.-Kamrup

Rural, State-ASSAM, Pin-781103

19.11.2019

601NHM/SWC/

0619

MD CHAIDUR

RAHMAN

CHOUDHURY

MD CHAND

MAHAMMAD

ALI

No

C/o-MD CHAND MAHAMMAD ALI, H.No.-529,

Vill/Town-ALIKASH, P.O.-ROWMARI, P.S.-

HAJO, Dist.-Kamrup Rural, State-ASSAM, Pin-

781104

19.11.2019

602NHM/SWC/

0630RAMEN DAS

LATE DURGA

DASNo

C/o-LATE DURGA DAS, H.No.-44, Vill/Town-

MAZGAON, P.O.-NORTH GUWAHATI, P.S.-

NORTH GUWAHATI, Dist.-Kamrup Rural, State-

ASSAM, Pin-781030

19.11.2019

603NHM/SWC/

0643

MD SAHNUR

ALIABDUL ALI No

C/o-ABDUL ALI, H.No.-183, Vill/Town-

BARIJANI, P.O.-PACHARIA, P.S.-HAJO, Dist.-

Kamrup Rural, State-ASSAM, Pin-781104

19.11.2019

604NHM/SWC/

0646

MRIDUL

TALUKDAR

CITTARANJAN

TALUKDARNo

C/o-CITTARANJAN TALUKDAR, H.No.-360,

Vill/Town-GOPALPURE, P.O.-DOLGOMA, P.S.-

MATIA, Dist.-Goalpara, State-ASSAM, Pin-

783125

19.11.2019

Page - 52

Page 53: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

605NHM/SWC/

0667

MAKUNDA

DEKA

DHARESWAR

DEKANo

C/o-DHARESWAR DEKA, H.No.-7, Vill/Town-

UTTAR PAKORKONA, P.O.-ROWMARI, P.S.-

HAJO, Dist.-Kamrup Rural, State-ASSAM, Pin-

781104

19.11.2019

606NHM/SWC/

0674

HAFIZUR

RAHMAN

MOLLAH

ABDUL

MANNAN

MOLLAH

No

C/o-ABUL KASHEM MOLLAH, H.No.-15,

Vill/Town-FARINGAPARA, P.O.-LAKHIPUR,

P.S.-LAKHIPUR, Dist.-Goalpara, State-ASSAM,

Pin-783129

19.11.2019

607NHM/SWC/

0851

ABDUL

MANNAN

SARKAR

Lt. Somsher Ali

SarkarNo

C/o-Lt. Somsher Ali Sarkar, H.No.-57, Vill/Town-

Sowari Poitari, P.O.-Joybhum, P.S.-Baguan, Dist.-

Goalpara, State-Assam, Pin-783129

19.11.2019

608NHM/SWC/

0904SUNIL DEWRI

LIMBASWAR

DEWRINo

C/o-LIMBASWAR DEWRI, H.No.-72, Vill/Town-

AHOM GAON, P.O.-TUKTUKI, P.S.-DHING,

Dist.-Nagaon, State-ASSAM, Pin-782123

19.11.2019

609NHM/SWC/

0924

PRADIP

LAHKAR

HARNATH

LAHKARNo

C/o-HARNATH LAHKAR, H.No.-18, Vill/Town-

DHOPATARI, P.O.-CHANGSARI, P.S.-

CHANGSARI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781101

19.11.2019

610NHM/SWC/

0934

DIPEN

SWARGIARY

RAMESH

SWARGIARYNo

C/o-RAMESH SWARGIARY, H.No.-35,

Vill/Town-PACHIM PANERI, P.O.-PANERI, P.S.-

PANERI, Dist.-Udalguri, State-ASSAM, Pin-

784523

19.11.2019

611NHM/SWC/

0941

BIPUL

BARMAN

KAMALA

BARMANNo

C/o-KAMALA BARMAN, H.No.-105, Vill/Town-

BANMAJA, P.O.-PUB BORKA, P.S.-

CHANGSARI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781101

19.11.2019

612NHM/SWC/

0962

DHARANI

DHAR RABHA

HAHIRAM

RABHANo

C/o-MALATI RABHA, H.No.-0, Vill/Town-

HABIGAON, P.O.-PURANI TANGLA, P.S.-

TANGLA, Dist.-Udalguri, State-ASSAM, Pin-

784521

19.11.2019

613NHM/SWC/

0971SIDDIK ALI ABDUL MOZID No

C/o-ABDUL MOZID, H.No.-182, Vill/Town-

BHERBHERI, P.O.-DHUPAGURI, P.S.-

BATADRAVA, Dist.-Nagaon, State-ASSAM, Pin-

782123

19.11.2019

614NHM/SWC/

0983

BANKIM

CHANDRA

RABHA

GAJENDRA

RABHANo

C/o-GAJENDRA RABHA, H.No.-68, Vill/Town-

NO.2 ULUBARI, P.O.-AMBAGAON, P.S.-

UDALGURI, Dist.-Udalguri, State-ASSAM, Pin-

784510

19.11.2019

615NHM/SWC/

0996

DURGESWAR

RABHA

SAKURAM

RABHANo

C/o-SAKURAM RABHA, H.No.-109, Vill/Town-

DUWAMOKHA, P.O.-BORIGAON, P.S.-

HARISINGA, Dist.-Udalguri, State-ASSAM, Pin-

784510

19.11.2019

616NHM/SWC/

1005

PRANJEET

BARO

BHUBANESWA

R BARONo

C/o-MINU BARO, H.No.-30, Vill/Town-

MAHALIAPARA, P.O.-BOGPURI, P.S.-

KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin-

784522

19.11.2019

Page - 53

Page 54: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

617NHM/SWC/

1020Biswajit Narzari

Raj Kumar

NarzariNo

C/o-Raj Kumar Narzari, H.No.-453, Vill/Town-

Alikahaguri, P.O.-Sastrapara, P.S.-Harisinga, Dist.-

Udalguri, State-Assam, Pin-784510

19.11.2019

618NHM/SWC/

1028

TRAILUKYA

KONWAR

LATE

BOLORAM

KONWAR

No

C/o-BOLORAM KONWAR, H.No.-, Vill/Town-

ROHAN GOHAIN GAON, P.O.-ROHAN, P.S.-

SAPEKHATI, Dist.-Sivasagar, State-ASSAM, Pin-

785692

19.11.2019

619NHM/SWC/

1030RANJIT THAPA lal bahadur thapa No

C/o-LAL BAHADUR THAPA, H.No.-624,

Vill/Town-BORBHAGIA, P.O.-BORSOLA, P.S.-

DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, Pin-

784117

19.11.2019

620NHM/SWC/

1040

GAJENDRA

RABHA

BHABIT CH

RABHANo

C/o-BHABIT CH RABHA, H.No.-18, Vill/Town-

KUMURAMAKHA, P.O.-AMBAGAON, P.S.-

HARISINGA, Dist.-Udalguri, State-ASSAM, Pin-

784510

19.11.2019

621NHM/SWC/

1041

NAWAZUR

RAHMAN

LATE

KHALILUR

RAHMAN

No

C/o-LATE KHALILUR RAHMAN, H.No.-204,

Vill/Town-AMINPATTY, DR. ANSARI ROAD,

P.O.-NAGAON, P.S.-SADAR, Dist.-Nagaon, State-

ASSAM, Pin-782001

19.11.2019

622NHM/SWC/

1047

CHANDA

KACHARY

KENGA RAM

KACHARYNo

C/o-KENGA RAM KACHARY, H.No.-26,

Vill/Town-DINDANGPARA, P.O.-

THAKURIAPARA, P.S.-KHOIRABARI, Dist.-

Udalguri, State-ASSAM, Pin-784522

19.11.2019

623NHM/SWC/

1070JITEN KALITA

KHARGESWAR

KALITANo

C/o-LATE KHARGESWAR KALITA, H.No.-NA,

Vill/Town-BHUTAIGAON, P.O.-URIAGAON,

P.S.-NAGAON SADAR, Dist.-Nagaon, State-

ASSAM, Pin-782003

19.11.2019

624NHM/SWC/

1095

JIMMY

DAIMARI

SUMESH

DAIMARINo

C/o-SUMESH DAIMARI, H.No.-66, Vill/Town-

AOUNAJULI, P.O.-ORANG, P.S.-ORANG, Dist.-

Udalguri, State-ASSAM, Pin-784114

19.11.2019

625NHM/SWC/

1110

BHASKAR

JYOTI DAS

LATE RAMESH

CHANDRA DASNo

C/o-LATE RAMESH CHANDRA DAS, H.No.-

103, Vill/Town-KANUAMARI, P.O.-

MOWAMARI, P.S.-SAMAGURI, Dist.-Nagaon,

State-ASSAM, Pin-782140

19.11.2019

626NHM/SWC/

1121

KANAK

CHANDRA

BARO

MATI RAM

BARONo

C/o-RATIFULLY BARO, H.No.-16, Vill/Town-

BARBALISITHA, [email protected],

P.S.-khoirabari, Dist.-Udalguri, State-ASSAM, Pin-

784522

19.11.2019

627NHM/SWC/

1122

DURGESWAR

SAIKIA

LATE

JOGESWAR

SAIKIA

No

C/o-LATE JOGESWAR SAIKIA, H.No.-60,

Vill/Town-TOWN MAJAR ATI, P.O.-TOWN

MAJAR ATI, P.S.-NAGAON SADAR, Dist.-

Nagaon, State-ASSAM, Pin-782002

19.11.2019

628NHM/SWC/

1125JUNASH BORO

MAHESH

BORONo

C/o-MAHESH BORO, H.No.-20, Vill/Town-

KATHALGURI, P.O.-UDALGURI, P.S.-

UDALGURI, Dist.-Udalguri, State-ASSAM, Pin-

784509

19.11.2019

Page - 54

Page 55: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

629NHM/SWC/

1128

SANKAR

MAJHI

LT SUNU

MAJHINo

C/o-LT SUNU MAJHI, H.No.-117, Vill/Town-

SIALMARI, P.O.-BEDETI, P.S.-BEHALI, Dist.-

Sonitpur, State-ASSAM, Pin-784179

19.11.2019

630NHM/SWC/

1130

LUNGMAULAN

G NEWME

LATE

PUNGGANG

NEWME

No

C/o-HAIRANGGUMLE NEWME, H.No.-11,

Vill/Town-BORO NIANGLO MAHUR, P.O.-

MAHUR, P.S.-MAHUR, Dist.-Dima Hasao, State-

ASSAM, Pin-788830

19.11.2019

631NHM/SWC/

1153

RAMESH

CHANDRA

BORO

AHIN

CHANDRA

BORO

No

C/o-AHIN CHANDRA BORO, H.No.-84,

Vill/Town-NO.1 DEWRIGAON, P.O.-GERUA

BAZAR, P.S.-ROWTA, Dist.-Udalguri, State-

ASSAM, Pin-784514

19.11.2019

632NHM/SWC/

1155

DOMENKA

DAIMARI

SARBASON

DAIMARINo

C/o-SARBASON DAIMARI, H.No.-280,

Vill/Town-UTTAR NALBARI, P.O.-BORIGAON,

P.S.-HARISINGA, Dist.-Udalguri, State-ASSAM,

Pin-784510

19.11.2019

633NHM/SWC/

1162AJAY BORO

SUKLASWAR

BORONo

C/o-SUKLASWAR BORO, H.No.-44, Vill/Town-

DOPDOPI, P.O.-DOPDOPI, P.S.-RANGAPARA,

Dist.-Sonitpur, State-ASSAM, Pin-784505

19.11.2019

634NHM/SWC/

1180

WILFAR

DAIMARI

SAMUEL

DAIMARINo

C/o-SAMUEL DAIMARI, H.No.-156, Vill/Town-

KAHIBARI, P.O.-UDALGURI, P.S.-UDALGURI,

Dist.-Udalguri, State-ASSAM, Pin-784509

19.11.2019

635NHM/SWC/

1184

DIPJYOTI

BORAH

LT KRISHNA

BORAHNo

C/o-LT KRISHNA BORAH, H.No.-8, Vill/Town-

MAZGAON, P.O.-JAMUGURIHAT, P.S.-

JAMUGURI, Dist.-Sonitpur, State-ASSAM, Pin-

784180

19.11.2019

636NHM/SWC/

1192

LALCHUNGTH

OI

HRANGKHOL

RILCHONJEM

HRANGKHOLNo

C/o-RILCHONJEM HRANGKHOL, H.No.-95,

Vill/Town-VILLAGE.DOLAICHUNGA, P.O.-

HARANGAJAO, P.S.-HARANGAJAO, Dist.-Dima

Hasao, State-ASSAM, Pin-788818

19.11.2019

637NHM/SWC/

1205AJIT DAS

LT

RAMESWAR

DAS

No

C/o-LT RAMESWAR DAS, H.No.-72, Vill/Town-

GARMARA, P.O.-CHARIDUAR, P.S.-

CHARIDUAR, Dist.-Sonitpur, State-ASSAM, Pin-

784103

19.11.2019

638NHM/SWC/

1228SANGIT DAS LT AREN DAS No

C/o-LT AREN DAS, H.No.-922, Vill/Town-

UDMARI BORJHAR, P.O.-DEKARGAON, P.S.-

TEZPUR, Dist.-Sonitpur, State-ASSAM, Pin-

784501

19.11.2019

639NHM/SWC/

1231

SRI RAJIB

JYOTI TAMULI

LATE

SREEDHAR

TAMULI

No

C/o-SREEDHAR TAMULI, H.No.-

RANGMAHAL, Vill/Town-RANGMAHAL, P.O.-

RANGMAHAL, P.S.-CHANGSARI, Dist.-Kamrup

Rural, State-ASSAM, Pin-781030

19.11.2019

640NHM/SWC/

1237

HERAMBA

DAS

LATE UMESH

DASNo

C/o-LATE UMESH DAS, H.No.-65, Vill/Town-

ABHAYPUR, P.O.-GERUAH, P.S.-HAJO, Dist.-

Kamrup Rural, State-ASSAM, Pin-781102

19.11.2019

Page - 55

Page 56: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

641NHM/SWC/

1247BIJU DEKA

DAMBARU

DEKANo

C/o-PURNA DEKA, H.No.-98, Vill/Town-NO.2

JHARGAON, P.O.-ROWTA CHARIALI, P.S.-

ROWTA, Dist.-Udalguri, State-ASSAM, Pin-

784508

19.11.2019

642NHM/SWC/

1250AMRIT DAS

CHENA RAM

DASNo

C/o-CHENA RAM DAS, H.No.-NAHARHATIA,

Vill/Town-RAIDONGIA, P.O.-AIBHETI, P.S.-

JAJARI, Dist.-Nagaon, State-ASSAM, Pin-782002

19.11.2019

643NHM/SWC/

1259

NIPON

LANGTHASA

NOJENDRA

LANGTHASANo

C/o-NOJENDRA LANGTHASA, H.No.-31,

Vill/Town-VILLAGE DIKHLEM DAOPER, P.O.-

HATIKHALI, P.S.-MAIBANG, Dist.-Dima Hasao,

State-ASSAM, Pin-788832

19.11.2019

644NHM/SWC/

1267

BIPUL

CHANDRA

DUTTA

Nirmal Chandra

DuttaNo

C/o-Nirmal Chandra Dutta, H.No.-30, Vill/Town-

Joymoti Nagar, Pandu, Bye lane-13, Guwahati, P.O.-

Pandu, P.S.-Jalukbari, Dist.-Kamrup Metro, State-

Assam, Pin-781012

19.11.2019

645NHM/SWC/

1268BIJIL BRAHMA

LATE MANGAL

BRAHMANo

C/o-BIJIL BRAHMA, H.No.-56, Vill/Town-

GODHULIGAON, P.O.-BAKUA, P.S.-SIMLA,

Dist.-Baksa, State-ASSAM, Pin-781327

19.11.2019

646NHM/SWC/

1329

RINKU

BASUMATRY

GARAN

BASUMATARYNo

C/o-GARAN BASUMATARY, H.No.-276,

Vill/Town-NIZ-KAURBAHA, P.O.-BARGHULI,

P.S.-TAMULPUR, Dist.-Baksa, State-ASSAM, Pin-

781354

19.11.2019

647NHM/SWC/

1359

RANJAN

KUMAR DAS

GIRINDRA

NATH DASNo

C/o-GIRINDRA NATH DAS, H.No.-12, Vill/Town-

NATUN BARNAGAR, P.O.-GOLAGAON, P.S.-

SIMLA, Dist.-Baksa, State-ASSAM, Pin-781327

19.11.2019

648NHM/SWC/

1379

ARUN

MACHAHARY

ANIL

MACHAHARYNo

C/o-ANIL MACHAHARY, H.No.-61, Vill/Town-

BETBARI, P.O.-BETBARI, P.S.-SIMLA, Dist.-

Baksa, State-ASSAM, Pin-781327

19.11.2019

649NHM/SWC/

1380

UDAY

SHANKAR

SHARMA

PRABIN

SHARMANo

C/o-PRABIN SHARMA, H.No.-26, Vill/Town-

KAILASHNAGAR SOUTH HAZARAPAR, P.O.-

TEZPUR, P.S.-TEZPUR, Dist.-Sonitpur, State-

ASSAM, Pin-784001

19.11.2019

650NHM/SWC/

13872

KABITA

KUSUM

LASKAR

MAGH RAM

LASKARNo

C/o-DULAL BORA, H.No.-37, Vill/Town-

KAMPURIA GAON, P.O.-DOKMOKA, P.S.-

DOKMOKA, Dist.-Karbi Anglong, State-ASSAM,

Pin-782441

19.11.2019

651NHM/SWC/

1411

SUBAL

CHANDRA DAS

DIGENDRA

CHANDRA DASNo

C/o-DIGENDRA CHANDRA DAS, H.No.-163,

Vill/Town-CHANDIPUR GRANT, P.O.-

CHANDIPUR, P.S.-ALGAPUR, Dist.-Hailakandi,

State-ASSAM, Pin-788150

19.11.2019

652NHM/SWC/

1417

YEASHIN

AHMED

ABDUL

SATTARNo

C/o-ABDUL SATTAR, H.No.-275, Vill/Town-

SOWAGURI, P.O.-BISWANATH GHAT, P.S.-

BISWANATH CHARIALI, Dist.-Sonitpur, State-

ASSAM, Pin-784177

19.11.2019

Page - 56

Page 57: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

653NHM/SWC/

1466Andrias Surin Lt. Jotho Surin No

C/o-Lt. Jotho Surin, H.No.-197, Vill/Town-No. 5

Dihira, P.O.-Dihira, P.S.-Mushalpur, Dist.-Baksa,

State-Assam, Pin-781372

19.11.2019

654NHM/SWC/

14664

TAPAN

HAZARIKA

MANIK

HAZARIKAYes

C/o-MANIK HAZARIKA, H.No.-2, Vill/Town-

LEPETKATTA KACHARI GOAN, P.O.-

BORBORUAH, P.S.-BORBORUAH, Dist.-

Dibrugarh, State-ASSAM, Pin-786007

19.11.2019

655NHM/SWC/

1485

SWAPAN

SUKLABAIDY

A

SUKUMAR

SUKLABAIDY

A

No

C/o-SUKUMAR SUKLABAIDYA, H.No.-211,

Vill/Town-CHANDPUR, P.O.-CHANDPUR

WEST, P.S.-HAILAKANDI, Dist.-Hailakandi,

State-ASSAM, Pin-788152

19.11.2019

656NHM/SWC/

1517

SAHIDUR

RAHMAN

CHOUDHURY

NAZIM UDDIN

CHOUDHURYNo

C/o-NAZIM UDDIN CHOUDHURY, H.No.-331,

Vill/Town-BASHDAHAR PT I, P.O.-MATIJURI,

P.S.-HAILAKANDI, Dist.-Hailakandi, State-

ASSAM, Pin-788155

19.11.2019

657NHM/SWC/

1525

PITARSON

BRAHMA

LATE.

CHANDRA

SINGH

BRAHMA

No

C/o-PITARSON BRAHMA, H.No.-152, Vill/Town-

PUB-BANGNABARI, P.O.-MUSHALPUR, P.S.-

MUSHALPUR, Dist.-Baksa, State-ASSAM, Pin-

781372

19.11.2019

658NHM/SWC/

1548

CHANDRA

DHAR NATH

LATE ANANTA

NATHNo

C/o-KHIRODA NATH, H.No.-357, Vill/Town-

BAGARIBARI (B BLOCK), P.O.-NIKASHI, P.S.-

BARBARI, Dist.-Baksa, State-ASSAM, Pin-781372

19.11.2019

659NHM/SWC/

1592

MUZAKKIR

HUSSAIN

BARBHUIYA

MAZOROF ALI

BARBHUIYANo

C/o-MAZOROF ALI BARBHUIYA, H.No.-75,

Vill/Town-BAHADURPUR PART 2, P.O.-

BROJOPUR, P.S.-HAILAKANDI, Dist.-

Hailakandi, State-ASSAM, Pin-788155

19.11.2019

660NHM/SWC/

1604

NAZMUL

HUSSAIN

LASKAR

LATE SAIDUR

RAHMAN

LASKAR

No

C/o-LATE SAIDUR RAHMAN LASKAR, H.No.-

127, Vill/Town-UTTAR JOSHNABAD PART-II,

P.O.-LALAMUKH, P.S.-LALA, Dist.-Hailakandi,

State-ASSAM, Pin-788163

19.11.2019

661NHM/SWC/

1634

NASIMUL

HAQUE

TAZIZUL

HAQUENo

C/o-TAZIZUL HAQUE, H.No.-22, Vill/Town-

KHATABARI, P.O.-NALBARI, P.S.-NALBARI,

Dist.-Nalbari, State-ASSAM, Pin-781335

19.11.2019

662NHM/SWC/

1635

HEMANTA

DAS

DIN CHANDRA

DASNo

C/o-DIN CHANDRA DAS, H.No.-32, Vill/Town-

DADARA, P.O.-DADARA, P.S.-HAJO, Dist.-

Kamrup Rural, State-ASSAM, Pin-781104

19.11.2019

663NHM/SWC/

1648

AJIT

THAKURIA

LATE.

DHARANI

THAKURIA

No

C/o-AJIT THAKURIA, H.No.-177, Vill/Town-

KHARUA (BATABARI), P.O.-KHARUA, P.S.-

BARAMA, Dist.-Baksa, State-ASSAM, Pin-781346

19.11.2019

664NHM/SWC/

1688

SHAMIM

AHMED

LATE ABU

BAKKAR

SIDDIQUE

No

C/o-LATE ABU BAKKAR SIDDIQUE, H.No.-

382, Vill/Town-PACHIM SINGIMARI, P.O.-

SINGIMARI, P.S.-RUPAHI HAT, Dist.-Nagaon,

State-ASSAM, Pin-782125

19.11.2019

Page - 57

Page 58: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

665NHM/SWC/

1701

KHAIRUJJAMA

N MAZUMDER

LT BASARAT

ALI

MAZUMDER

No

C/o-ASADUL HOQUE MAZUMDER, H.No.-338,

Vill/Town-BARNAGAD, P.O.-KALIBARI

BAZAR, P.S.-ALGAPUR, Dist.-Hailakandi, State-

ASSAM, Pin-788150

19.11.2019

666NHM/SWC/

1832BORON ENGTI

BIDYA SING

ENGTINo

C/o-BIDYA SING ENGTI, H.No.-HOUSE NO 1

A, Vill/Town-JOYSING TERON BIRLA WARD

NO 09 DIPHU, P.O.-DIPHU, P.S.-DIPHU, Dist.-

Karbi Anglong, State-ASSAM, Pin-782460

19.11.2019

667NHM/SWC/

18563

SWAPNA

DAOLAGAJAO

BIRKORNO

DAOLAGAJAONo

C/o-BIRKORNO DAOLAGAJAO, H.No.-17,

Vill/Town-Gunjung, P.O.-Gunjung, P.S.-Haflong,

Dist.-Dima Hasao, State-Assam, Pin-788819

19.11.2019

668NHM/SWC/

1866

DEEP JYOTI

BORO

KARNESWAR

BORONo

C/o-KARNESWAR BORO, H.No.-45, Vill/Town-

NEW DELHOUSI, P.O.-GOHPUR, P.S.-

GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin-

784168

19.11.2019

669NHM/SWC/

18948

NAVAJYOTI

BORGOHAIN

KUMAR

BORGOHAINYes

C/o-KUMAR BORGOHAIN, H.No.-0, Vill/Town-

POHUKHOWA,, P.O.-GHUMTIBILL, P.S.-

SADIYA, Dist.-Tinsukia, State-ASSAM, Pin-

786155

19.11.2019

670NHM/SWC/

1904

EDISON

KATHAR

RANJIT

KATHARNo

C/o-RANJIT KATHAR, H.No.-HOUSE NO 10,

Vill/Town-DONKAMUKAM, P.O.-

DONKAMUKAM, P.S.-BAITHALANGSO, Dist.-

Karbi Anglong, State-ASSAM, Pin-782485

19.11.2019

671NHM/SWC/

1919

PANALAL

JIGDUNG

NALENDRA

JIGDUNGNo

C/o-NALENDRA JIGDUNG, H.No.-HOUSE NO

30, Vill/Town-DISAGEDEBA, P.O.-MANJA, P.S.-

MANJA, Dist.-Karbi Anglong, State-ASSAM, Pin-

782461

19.11.2019

672NHM/SWC/

19250

NARAYAN

CHANDRA

ROY

LT.

NAGENDRA

NATH ROY

Yes

C/o-GUNAMOYEE ROY, H.No.-309, Vill/Town-

UJANPETLA PART-1, P.O.-UJANPETLA, P.S.-

TAMARHAT, Dist.-Dhubri, State-ASSAM, Pin-

783332

19.11.2019

673NHM/SWC/

1949

HEMANTA

HAZARIKA

DEBEN

HAZARIKANo

C/o-DEBEN HAZARIKA, H.No.-19, Vill/Town-

BARABHUYAN GAON, P.O.-SOOTEA, P.S.-

SOOTEA, Dist.-Sonitpur, State-ASSAM, Pin-

784175

19.11.2019

674NHM/SWC/

1964

DIBYA JYOTI

BORAH

BONGSHI

DHAR BORAHNo

C/o-ANIMA BORAH, H.No.-NA, Vill/Town-

TELIAGAON, P.O.-PUBTHARIA, P.S.-

KALIABOR, Dist.-Nagaon, State-ASSAM, Pin-

782137

19.11.2019

675NHM/SWC/

1967

HEMANTA

BASUMATARY

DINESH

BASUMATARYNo

C/o-DINESH BASUMATARY, H.No.-HOUSE NO

37, Vill/Town-RONGMILI NEAR FOREST

COLONY WARD NO 06 DIPHU, P.O.-DIPHU,

P.S.-DIPHU, Dist.-Karbi Anglong, State-ASSAM,

Pin-782460

19.11.2019

Page - 58

Page 59: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

676NHM/SWC/

2036PANKAJ BORA HEMA BORA No

C/o-HEMA BORA, H.No.-95, Vill/Town-PUB

BARANGABARI, P.O.-BARANGABARI, P.S.-

GOHPUR, Dist.-Sonitpur, State-ASSAM, Pin-

784172

19.11.2019

677NHM/SWC/

22833

Bikram

Upadhyaya

Uma Shankar

UpadhyayaNo

C/o-Uma Shankar Upadhyaya, H.No.-7, Vill/Town-

Rampur No.1, P.O.-Rampur, P.S.-Lekhapani, Dist.-

Tinsukia, State-Assam, Pin-786188

19.11.2019

678NHM/SWC/

23000

BABYCA

ENGHEEPI

NUMOL

ENGHEENo

C/o-LONKI RAM TIMUNG, H.No.-13, Vill/Town-

MENGAON, P.O.-MENMEJI, P.S.-KHERONI,

Dist.-Karbi Anglong, State-ASSAM, Pin-782435

19.11.2019

679NHM/SWC/

2554

PRANJAL

PRATIM

BORAH

KAMALA

PRASAD

BORAH

No

C/o-KAMALA PRASAD BORAH, H.No.-156,

Vill/Town-BIHAGURI DAINIK BAZAR, P.O.-

PITHAKHOWA, P.S.-TEZPUR, Dist.-Sonitpur,

State-ASSAM, Pin-784153

19.11.2019

680NHM/SWC/

2763

AMIN

SADIQUE

LT. AZIM

UDDINNo

C/o-LT. AZIM UDDIN, H.No.-137, Vill/Town-

RAJABARI, P.O.-SOLOGURI, P.S.-

BATADRAVA, Dist.-Nagaon, State-ASSAM, Pin-

782123

19.11.2019

681NHM/SWC/

2786SUNIL DEWRI .

LIMBASWAR

DEWRI .No

C/o-LIMBASWAR DEWRI., H.No.-72, Vill/Town-

AHOM GAON, P.O.-TUKTUKI, P.S.-DHING,

Dist.-Nagaon, State-ASSAM, Pin-782123

19.11.2019

682NHM/SWC/

2827

MD. SIDDIK

ALIABDUL MOZID No

C/o-ABDUL MOZID, H.No.-182, Vill/Town-

BHERBHERI, P.O.-DHUPAGURI, P.S.-

BATADRAVA, Dist.-Nagaon, State-ASSAM, Pin-

782123

19.11.2019

683NHM/SWC/

3074

PRABHAT

CHANDRA

KAKATI

LATE

KHARGESWAR

KAKATI

No

C/o-SELF, H.No.-65, Vill/Town-ALIPUB, P.O.-

BAIHATA CHARIALI, P.S.-BAIHATA

CHARIALI, Dist.-Kamrup Rural, State-ASSAM,

Pin-781381

19.11.2019

684NHM/SWC/

3317

CHINI

MACHAHARY

MANINDRA

MACHAHARYNo

C/o-MANINDRA MACHAHARY, H.No.-38,

Vill/Town-VILL- TAKTARA, P.O.-

BANARGAON, P.S.-DOTMA, Dist.-Kokrajhar,

State-ASSAM, Pin-783347

19.11.2019

685NHM/SWC/

3353

PANDIT

TERANG

LT LANGBRIK

TERANGNo

C/o-PANDIT TERANG, H.No.-56, Vill/Town-

RONGNIHANG DIPHU NEAR LP SCHOOL, P.O.-

DIPHU, P.S.-DIPHU, Dist.-Karbi Anglong, State-

ASSAM, Pin-782460

19.11.2019

686NHM/SWC/

3446RATUL GOGOI LALIT GOGOI No

C/o-LALIT GOGOI, H.No.-35, Vill/Town-

NAHARANI PHC, P.O.-KONWARI GAON, P.S.-

NAHARKATIA, Dist.-Dibrugarh, State-ASSAM,

Pin-786610

19.11.2019

Page - 59

Page 60: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

687NHM/SWC/

3699

MINTUL

CHANDRA

BORO

UTTAM

CHANDRA

BORO

No

C/o-UTTAM CHANDRA BORO, H.No.-0,

Vill/Town-NILIBARI, P.O.-SIMLAGURI, P.S.-

DHALIGAON, Dist.-Chirang, State-ASSAM, Pin-

783381

19.11.2019

688NHM/SWC/

3973

SOHIDUL

ISLAM

LT. NURUL

ISLAMNo

C/o-SOHIDA KHATUN, H.No.-62 KA, Vill/Town-

MOTHABARI, P.O.-JOYBHUM, P.S.-BAGUAN,

Dist.-Goalpara, State-ASSAM, Pin-783129

19.11.2019

689NHM/SWC/

4776

VESPA

LANGNEH

SUNDAR

LANGNEHNo

C/o-SUNDAR LANGNEH, H.No.-31, Vill/Town-

Deithor, P.O.-Deithor, P.S.-Deithor, Dist.-Karbi

Anglong, State-Assam, Pin-782480

19.11.2019

690NHM/SWC/

5381

DORSING

RONGPI

LT. KHOGEN

RONGPINo

C/o-DORSING RONGPI, H.No.-22, Vill/Town-

DIPHU WARD NO. V, P.O.-DIPHU, P.S.-DIPHU,

Dist.-Karbi Anglong, State-ASSAM, Pin-782460

19.11.2019

691NHM/SWC/

5623

ROBINSON

PATOR

HEMARI

PATORNo

C/o-HEMARI PATOR, H.No.-HOUSE NO 64,

Vill/Town-VILL TOKHADI NO 02, P.O.-

DAYANGMUKH, P.S.-KHERONI, Dist.-Karbi

Anglong, State-ASSAM, Pin-782448

19.11.2019

692NHM/SWC/

6645

LALTHLAMUO

N JOUTE

RUMLIEN

JOUTENo

C/o-RUMLIEN JOUTE, H.No.-216, Vill/Town-

VILLAGE MUOLHOI HAFLONG, P.O.-

HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao,

State-ASSAM, Pin-788819

19.11.2019

693NHM/SWC/

6816Tridip Gogoi

Late Duleswar

GogoiNo

C/o-Mrs Tanuja gogoi, H.No.-69, Vill/Town-Bishnu

nagar, P.O.-Rupai Siding, P.S.-DoomDooma, Dist.-

Tinsukia, State-Assam, Pin-786153

19.11.2019

694NHM/SWC/

6873Pranjal Gogoi

Mr. Dimbeswar

GogoiNo

C/o-Mr. Dimbeswar Gogoi, H.No.-No, Vill/Town-

Bordubi Thana Colony, P.O.-Hoogrijan, P.S.-

Bordubi, Dist.-Tinsukia, State-Assam, Pin-786601

19.11.2019

695NHM/SWC/

6893

KANTESWAR

BORGOHAIN

SOMESWAR

BORGOHAINNo

C/o-SOMESWAR BORGOHAIN, H.No.-188,

Vill/Town-KUNDIL GOHAIN GAON, P.O.-

CHAPAKHOWA, P.S.-CHAPAKHOWA, Dist.-

Tinsukia, State-ASSAM, Pin-786157

19.11.2019

696NHM/SWC/

6927

Abinash

Changmai

Mr. Bolin

ChangmaiNo

C/o-Mr. Bolin Changmai, H.No.-No, Vill/Town-

Kailashpur, P.O.-Kailashpur, P.S.-Bordumsa, Dist.-

Tinsukia, State-Assam, Pin-786152

19.11.2019

697NHM/SWC/

7002

RAJESH

TERANG

KHORSING

TERANGNo

C/o-KHORSING TERANG, H.No.-4, Vill/Town-

RAM SING TERANG GAON DOKMOKA, P.O.-

DOKMOKA, P.S.-DOKMOKA, Dist.-Karbi

Anglong, State-ASSAM, Pin-782441

19.11.2019

698NHM/SWC/

7009

SANTUSH

HAZARIKAParesh Hazarika No

C/o-PARESH HAZARIKA, H.No.-, Vill/Town-

HARIPUR GAON, P.O.-GHUMTIBIL, P.S.-

CHAPAKHOWA, Dist.-Tinsukia, State-ASSAM,

Pin-786155

19.11.2019

Page - 60

Page 61: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

699NHM/SWC/

8236

DHONSING

BEY

LONGKIRAM

BEYNo

C/o-LONGKIRAM BEY, H.No.-HOUSE NO 20,

Vill/Town-KURNA BEY GAON, P.O.-PHULONI,

P.S.-HOWRAGHAT, Dist.-Karbi Anglong, State-

ASSAM, Pin-782441

19.11.2019

700NHM/SWC/

8871

JOYMATI

DEKA

TANKESWAR

DEKANo

C/o-TILAK NATH, H.No.-111, Vill/Town-PUNIA,

P.O.-KHANDAJAN, P.S.-SIPAJHAR, Dist.-

Dhemaji, State-ASSAM, Pin-784145

19.11.2019

701NHM/SWC/

9031RICKY HANSE Longki Hanse No

C/o-Longki Hanse, H.No.-2, Vill/Town-On Teron

Gaon, P.O.-Howraghat, P.S.-Howraghat, Dist.-

Karbi Anglong, State-ASSAM, Pin-782481

19.11.2019

702NHM/SWC/

9087

PORINITA

CHETIALAKHI CHETIA No

C/o-MONDEEP SAIKIA, H.No.-25, Vill/Town-

VILL SIMOLUGURI, P.O.-P/O KUHIARBARI,

P.S.-PANI GAON, Dist.-Lakhimpur, State-ASSAM,

Pin-787052

19.11.2019

703NHM/SWC/

9296

SUBARNA

CHOUDHURY

KABIR AHMED

CHOUDHURYNo

C/o-KABIR AHMED CHOUDHURY, H.No.-74,

Vill/Town-VILLAGE MAHADEVTILLA, P.O.-

HAFLONG, P.S.-HAFLONG, Dist.-Dima Hasao,

State-ASSAM, Pin-788819

19.11.2019

704NHM/SWC/

19711

MANUREKHA

RAJKHOWA

Bhutuk

RajkhowaNo

C/o-Pranabjyoti Senapoty, H.No.-47, Vill/Town-

Baruahola village, P.O.-Baruahola, P.S.-Tinsukia,

Dist.-Tinsukia, State-Assam, Pin-786183

19.11.2019

705NHM/SWC/

9200DHIRA DAS

LT

DWIJENDRA

NATH PATHAK

Yes

C/o-CHAMPAK DAS, H.No.-162, Vill/Town-

PATBAUSHI, P.O.-PATBAUSHI, P.S.-

BARPETA, Dist.-Barpeta, State-ASSAM, Pin-

781314

19.11.2019

706NHM/SWC/

13108

MORIOM

NESSAMOZAFAR ALI No

C/o-MOZAFAR ALI, H.No.-256K, Vill/Town-

BALADMARI TILAPARA NEAR PHE, P.O.-

BALADMARI, P.S.-GOALPARA, Dist.-Goalpara,

State-Assam, Pin-783121

19.11.2019

707NHM/SWC/

14833

HIMADRI

SHIKHA

GOGOI

KRISHNA

GOGOINo

C/o-SAURAV BARUAH, H.No.-BOZALTOLI

GAON BORGURI, Vill/Town-BOZALTOLI

GAON BORGURI, P.O.-BORGURI, P.S.-

TINSUKIA, Dist.-Tinsukia, State-ASSAM, Pin-

786126

19.11.2019

708NHM/SWC/

19188

BHASKAR

CHUTIADILIP CHUTIA Yes

C/o-DILIP CHUTIA, H.No.-56, Vill/Town-

LAHING ERA GAON, P.O.-LAHING, P.S.-TEOK,

Dist.-Jorhat, State-ASSAM, Pin-785635

19.11.2019

709NHM/SWC/

23341

AFTAR

HUSSAIN

BARBHUIYA

NOOR AHMED

BARBHUIYANo

C/o-NOOR AHMED BARBHUIYA, H.No.-295,

Vill/Town-VILL-UMEDNAGAR, P.O.-

UMEDNAGAR, P.S.-LALA, Dist.-Hailakandi,

State-ASSAM, Pin-788163

19.11.2019

710NHM/SWC/

23581

SURAIYA

BEGUM

BARBHUIYA

NOOR AHMED

BARBHUIYANo

C/o-NOOR AHMED BARBHUIYA, H.No.-295,

Vill/Town-VILL-UMEDNAGAR, P.O.-

UMEDNAGAR, P.S.-LALA, Dist.-Hailakandi,

State-ASSAM, Pin-788163

19.11.2019

Page - 61

Page 62: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

711NHM/SWC/

23626

IMDAD

HUSSAIN

LASKAR

AZIR UDDIN

LASKARNo

C/o-AZIR UDDIN LASKAR, H.No.-121,

Vill/Town-UTTARJASNABAD PART 2, P.O.-

LALAMUKH, P.S.-LALA, Dist.-Hailakandi, State-

ASSAM, Pin-788163

19.11.2019

712NHM/SWC/

3908BISWAJIT ROY

SANTI RAM

ROYYes

C/o-SANTI RAM ROY, H.No.-14, Vill/Town-

RATIADAHA PT III, P.O.-RATIADAHA, P.S.-

GOLAKGANJ, Dist.-Dhubri, State-ASSAM, Pin-

783334

19.11.2019

713NHM/SWC/

0282

AGGYA

BASNET

SHIV

BAHADUR

BASNET

No

C/o-SHIV BAHADUR BASNET, H.No.-74,

Vill/Town-SHANTIPUR, P.O.-SHANTIPUR, P.S.-

RUNIKHATA, Dist.-Chirang, State-ASSAM, Pin-

783375

19.11.2019

714NHM/SWC/

10031

NIJARA

BRAHMA

SUKRA KANTA

BRAHMANo

C/o-SUKRA KANTA BRAHMA, H.No.-123,

Vill/Town-VILL SANTIPUR, P.O.-

NARAYANPUR, P.S.-MUSHALPUR, Dist.-Baksa,

State-ASSAM, Pin-781372

19.11.2019

715NHM/SWC/

10472

BORNALI

BORUAH

AMRIT

BORUAHYes

C/o-Mr.Mrinaljit Bhuyan, H.No.-0, Vill/Town-

Dorikial Gaon, P.O.-Nakachari, P.S.-Jorhat, Dist.-

Jorhat, State-ASSAM, Pin-785635

19.11.2019

716NHM/SWC/

10668

GANESH

CHANDRA

SAHA

RAM KRISHNA

SAHANo

C/o-RAM KRISHNA SAHA, H.No.-290,

Vill/Town-BASUGAON W NO 2 MEDHIPARA,

P.O.-BASUGAON, P.S.-BASUGAON, Dist.-

Chirang, State-ASSAM, Pin-783372

19.11.2019

717NHM/SWC/

10905

Bornali

Borgohain Gogoi

Late Bhuban

BorgohainNo

C/o-Sri Parag Gogoi, H.No.-215, Vill/Town-

Morongial, P.O.-Nakachari, P.S.-Mariani, Dist.-

Jorhat, State-Assam, Pin-785635

19.11.2019

718NHM/SWC/

1107

MUKUL

GOSWAMI

LATE LAKSHI

KT. GOSWAMINo

C/o-MUKUL GOSWAMI, H.No.-309, Vill/Town-

NO. 2 SUBANSRI, P.O.-NARAYANPUR, P.S.-

MUSHALPUR, Dist.-Baksa, State-ASSAM, Pin-

781372

19.11.2019

719NHM/SWC/

11404

NILIMA

BRAHMA

KAMESWAR

BRAHMANo

C/o-C/O- KONJON BASUMATARY, H.No.-18,

Vill/Town-HALONGBARI, P.O.-BAGHDOBA,

P.S.-GORESWAR, Dist.-Baksa, State-ASSAM, Pin-

781366

19.11.2019

720NHM/SWC/

11492

DULUMONI

KULI

RAJENDRA PD

KULINo

C/o-SUBHASH MILI, H.No.-52, Vill/Town-

RIGBI, P.O.-RATANPUR, P.S.-JONAI, Dist.-

Dhemaji, State-ASSAM, Pin-787060

19.11.2019

721NHM/SWC/

1169

DHANJIT

RABHA

JATIN

CHANDRA

RABHA

No

C/o-JATIN CHANDRA RABHA, H.No.-C93,

Vill/Town-NO. 2 ULUBARI, P.O.-AMBAGAON,

P.S.-UDALGURI, Dist.-Udalguri, State-ASSAM,

Pin-784510

19.11.2019

722NHM/SWC/

11855POMPI BORAH

NOGENDRA

BORAHNo

C/o-PRASANTA SAIKIA, H.No.-0, Vill/Town-

KACHARIHAT CHINATALI, P.O.-

KACHARIHAT, P.S.-GOLAGHAT, Dist.-

Golaghat, State-ASSAM, Pin-785621

19.11.2019

Page - 62

Page 63: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

723NHM/SWC/

12347Pallavi Borah Late Dilip Borah No

C/o-Partha Jyoti Borah, H.No.-12, Vill/Town-

Chukiapathar, P.O.-Chukiapathar, P.S.-Sarupathar,

Dist.-Golaghat, State-Assam, Pin-785601

19.11.2019

724NHM/SWC/

1238

JEETENDRAJIT

BASUMATARY

MADAN

CHANDRA

BASUMATARY

No

C/o-MADAN CHANDRA BASUMATARY, H.No.-

11, Vill/Town-KHUSRATARY, P.O.-

BARMAJRA, P.S.-SALBARI, Dist.-Baksa, State-

ASSAM, Pin-781318

19.11.2019

725NHM/SWC/

1302

SANJAY

KUMAR BARO

LATE BARGA

RAM BORONo

C/o-NAMOTI BORO, H.No.-105, Vill/Town-

GHOGMARI, P.O.-KACHUBARI, P.S.-

TAMULPUR, Dist.-Baksa, State-ASSAM, Pin-

781367

19.11.2019

726NHM/SWC/

13353

TARULATA

MEDHI GUPTA

DHANESWAR

MEDHINo

C/o-KEDAR NATH GUPTA, H.No.-107,

Vill/Town-2 NO KALAIGAON, P.O.-

KALAIGAON, P.S.-KALAIGAON, Dist.-Udalguri,

State-ASSAM, Pin-784525

19.11.2019

727NHM/SWC/

1340ARUP DAS

NRIPENDRA

DASNo

C/o-NRIPENDRA DAS, H.No.-76, Vill/Town-

KARIA, P.O.-KARIA, P.S.-NALBARI, Dist.-

Nalbari, State-ASSAM, Pin-781339

19.11.2019

728NHM/SWC/

13961

RIKUMONI

CHUTIA NEOG

LT HAREN

CHUTIANo

C/o-SIVA NEOG, H.No.-127, Vill/Town-8 11

ANISHBARI, P.O.-MERBIL, P.S.-LALUK, Dist.-

Lakhimpur, State-ASSAM, Pin-784160

19.11.2019

729NHM/SWC/

14027

KARABI

HANDIQUE

GHANA

KANTA

HANDIQUE

No

C/o-GHANA KANTA HANDIQUE, H.No.-51B,

Vill/Town-MERELI PATHER, P.O.-CHABUA,

P.S.-CHABUA, Dist.-Dibrugarh, State-ASS, Pin-

786184

19.11.2019

730NHM/SWC/

14102

MONWARA

BEGUMABDUS SABUR No

C/o-ATAUR RAHMAN, H.No.-35, Vill/Town-

PATIALA, P.O.-PECHALA, P.S.-RATABARI,

Dist.-Karimganj, State-ASSAM, Pin-788734

19.11.2019

731NHM/SWC/

1495

MAKIBAR

RAHMAN

ABDUL

MATLIBNo

C/o-ABDUL MATLIB, H.No.-194, Vill/Town-

KENDUGURI, P.O.-KENDUGURI, P.S.-

SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784148

19.11.2019

732NHM/SWC/

1588

RATNESWAR

BARO

LT KULA RAM

BARONo

C/o-RATNESWAR BARO, H.No.-10, Vill/Town-

GORESWAR NO.3, P.O.-GORESWAR, P.S.-

GORESWAR, Dist.-Baksa, State-ASSAM, Pin-

781366

19.11.2019

733NHM/SWC/

16765SAFIKIL ISLAM

LT.ABDUL ALI

AHMEDYes

C/o-LT. RAFIKUL ISLAM, H.No.-223, Vill/Town-

BAGODI, P.O.-BAGODI, P.S.-BARPETA, Dist.-

Barpeta, State-ASSAM, Pin-781311

19.11.2019

734NHM/SWC/

17073

NILPISHIKHA

DUTTANIRAN DUTTA No

C/o-NIRAN DUTTA, H.No.-0, Vill/Town-

DHUBABARI, P.O.-DHUBABARI, P.S.-

DHEMAJI, Dist.-Dhemaji, State-ASSAM, Pin-

787058

19.11.2019

Page - 63

Page 64: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

735NHM/SWC/

17707

SAFIKUL

ISLAM

LATE ABDUL

ALI AHMEDYes

C/o-RAFIKUL ISLAM, H.No.-223, Vill/Town-

BAGODI, P.O.-BAGODI, P.S.-BARPETA, Dist.-

Barpeta, State-ASSAM, Pin-781311

19.11.2019

736NHM/SWC/

18522DEEPA DAS DILIP SARKAR No

C/o-DIBAKAR DAS, H.No.-419, Vill/Town-

MANIKBOND, P.O.-MANIKBOND, P.S.-

BAZARICHERRA, Dist.-Karimganj, State-

ASSAM, Pin-788728

19.11.2019

737NHM/SWC/

18646

LEELA

KHAKHLARY

NAGEN

KHAKHLARYNo

C/o-NAGEN KHAKHLARY, H.No.-N/A,

Vill/Town-BAGULAMARI, P.O.-BAGULAMARI,

P.S.-BARBARI, Dist.-Baksa, State-ASSAM, Pin-

781344

19.11.2019

738NHM/SWC/

19380

CHUMKI

LASKAR

ABDUL LATIF

LASKARYes

C/o-ABDUL LATIF LASKAR, H.No.-1, Vill/Town-

TARAPUR MAZUMDAR BAZAR, P.O.-

TARAPUR, P.S.-SILCHAR, Dist.-Cachar, State-

ASSAM, Pin-788003

19.11.2019

739NHM/SWC/

1999

NELSON

TERON

LT CHANDRA

TERONNo

C/o-LT CHANDRA TERON, H.No.-HOUSE NO

06, Vill/Town-RONGGAGORA, P.O.-JAPRAJAN,

P.S.-BORPATHAR, Dist.-Karbi Anglong, State-

ASSAM, Pin-782470

19.11.2019

740NHM/SWC/

20114

NIJARA

RAJBONGSHI

HARA KANTA

DEKANo

C/o-HARA KANTA DEKA, H.No.-2, Vill/Town-

BURHAKHAT, P.O.-DEODHANIGHAT, P.S.-

SIPAJHAR, Dist.-Darrang, State-ASSAM, Pin-

784147

19.11.2019

741NHM/SWC/

20429

DINAMANI

THAKURIALalit Ch Thakuria No

C/o-Lalit Ch Thakuria, H.No.-101, Vill/Town-

Kumarpara, P.O.-Deomornoi, P.S.-Sipajhar, Dist.-

Darrang, State-Assam, Pin-784147

19.11.2019

742NHM/SWC/

20964

PURNIMA

BORPATRA

GOHAIN

DIBAKAR

BORPATRA

GOHAIN

No

C/o-BHABA KANTA DIHINGIA, H.No.-178,

Vill/Town-DHOLLA MIRIPATHER, P.O.-

SAIKHOWA GHAT, P.S.-DHOLLA, Dist.-

Tinsukia, State-ASSAM, Pin-786154

19.11.2019

743NHM/SWC/

22857

SAHANARA

BEGUM

LASKAR

MOIN UDDIN

LASKARNo

C/o-TAYABUR RAHMAN MAZUMDER, H.No.-

406 CHO, Vill/Town-BASHDAHAR PART-I, P.O.-

MATIJURI, P.S.-HAILAKANDI, Dist.-Hailakandi,

State-ASSAM, Pin-788155

19.11.2019

744NHM/SWC/

23946

BINITA

SAHARIAKARTIK DEKA No

C/o-PARESH SAHARIA, H.No.-111, Vill/Town-

OFFICE OF THE JT. DHS, DARRANG, P.O.-

MANGALDAI, P.S.-MANGALDAI, Dist.-Darrang,

State-ASSAM, Pin-784125

19.11.2019

745NHM/SWC/

3609

DIPAMANI

DEKA

GANESH

CHANDRA

DEKA

No

C/o-GANESH CHANDRA DEKA, H.No.-DOES

NOT ARISE, Vill/Town-SARUFULCHAKI, P.O.-

GORESWAR, P.S.-GORESWAR, Dist.-Baksa,

State-ASSAM, Pin-781366

19.11.2019

746NHM/SWC/

4766PINKU SAIKIA

BODHESWAR

SAIKIANo

C/o-DIPEN BORUAH, H.No.-58, Vill/Town-NO 2

RANGAJAN, P.O.-LETEKUPUKHURI, P.S.-

BIHPURIA, Dist.-Lakhimpur, State-ASSAM, Pin-

787033

19.11.2019

Page - 64

Page 65: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

747NHM/SWC/

4886RUMI SAIKIA

PROBHAT

SAIKIANo

C/o-NITUL BORAH, H.No.-93, Vill/Town-

GOSAIPUKHURI, P.O.-ADI ELENGI, P.S.-

BIHPURIA, Dist.-Lakhimpur, State-ASSAM, Pin-

787054

19.11.2019

748NHM/SWC/

5581

ANURAN

MAHANTA

PRATAP

CHANDRA

MAHANTA

No

C/o-PRATAP CHANDRA MAHANTA, H.No.-33,

Vill/Town-NILGIRI PATH, PIYOLI PHUKAN

NAGAR, P.O.-BAMUNIMAIDAN, P.S.-

CHANDMARI, Dist.-Kamrup Metro, State-

ASSAM, Pin-781021

19.11.2019

749NHM/SWC/

5620

IDATUN

NESSAJAFAR ALI No

C/o-JAFAR ALI, H.No.-452 A, Vill/Town-NO 1

GERIMARI NEAR DRDA, P.O.-MANGALDAI,

P.S.-MANGALDAI, Dist.-Darrang, State-ASSAM,

Pin-784125

19.11.2019

750NHM/SWC/

6730

KALYAN

GOHAIN

LATE PROBIN

GOHAINNo

C/o-PROBIN GOHAIN, H.No.-NO, Vill/Town-

GONDHIYA NAHORANI, P.O.-PANITOLA, P.S.-

TINSUKIA, Dist.-Tinsukia, State-ASSAM, Pin-

786183

19.11.2019

751NHM/SWC/

7838

JANNATARA

BEGUM

LASKAR

NOOR UDDIN

LASKARNo

C/o-MUKTAR HUSSAIN ANSARY, H.No.-195,

Vill/Town-SERISPORE T.E, P.O.-CHANDPUR

(WEST), P.S.-HAILAKANDI, Dist.-Hailakandi,

State-ASSAM, Pin-788152

19.11.2019

752NHM/SWC/

8827KALYANI RAY

JOGENDRA CH

RAYNo

C/o-JOGENDRA CH RAY, H.No.-53, Vill/Town-

DEOHATI PART II, P.O.-DEOHATI, P.S.-

ABHAYAPURI, Dist.-Bongaigaon, State-ASSAM,

Pin-783384

19.11.2019

753NHM/SWC/

9349

RABITA

EASMINABED ALI No

C/o-MD RAFIKUL AHMED, H.No.-15, Vill/Town-

TENGERA, P.O.-DUNI, P.S.-SIPAJHAR, Dist.-

Darrang, State-ASSAM, Pin-784148

19.11.2019

754NHM/SWC/

9396

BHANITA

DEKAJATIN DEKA No

C/o-RAMA KANTA SAHARIA, H.No.-117,

Vill/Town-NO2 MAZGAON (DAKCHAKI), P.O.-

DHULA, P.S.-DHULA, Dist.-Darrang, State-

ASSAM, Pin-784146

19.11.2019

755NHM/SWC/

9712

RAMESWARI

RAMCHIARY

LT KANAK

RAMCHIARYNo

C/o-JOYMATI BORO, H.No.-, Vill/Town-NO 3

GORESWAR, P.O.-GORESWAR, P.S.-

GORESWAR, Dist.-Baksa, State-ASSAM, Pin-

781366

19.11.2019

756NHM/SWC/

9864

MAMU

BORDOLOI

RAM

BORDOLOINo

C/o-PABITRA DEURI, H.No.-NA, Vill/Town-

NABHETI WARD NO 10, P.O.-MORIGAON, P.S.-

MORIGAON, Dist.-Morigaon, State-ASSAM, Pin-

782105

19.11.2019

757NHM/SWC/

9908

Dipanjali

DaimariMison Daimari No

C/o-Mison Daimari, H.No.-138, Vill/Town-

Kahibari, P.O.-Udalguri, P.S.-Udalguri, Dist.-

Udalguri, State-Assam, Pin-784509

19.11.2019

Page - 65

Page 66: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

758NHM/SWC/

9933

RAMESWARI

RAMCHIARY

LT. KANAK

RAMCHIARYNo

C/o-JAYMOTI RAMCHIARY, H.No.-127,

Vill/Town-NO. 3 GORESWAR, P.O.-

GORESWAR, P.S.-GORESWAR, Dist.-Baksa,

State-ASSAM, Pin-781366

19.11.2019

759NHM/SWC/

0147KAPIL CH. DAS AMAL CH. DAS No

C/o-AMAL CH. DAS, H.No.-312, Vill/Town-

Mornai, P.O.-Mornai, P.S.-Mornai, Dist.-Goalpara,

State-Assam, Pin-783101

19.11.2019

760NHM/SWC/

14090

HOLIRAM

RONGPHAR

HEMARI

RONGPHARNo

C/o-HEMARI RONGPHAR, H.No.-54, Vill/Town-

TOKHADI NO 2, P.O.-DOYANGMUKH, P.S.-

KHERONI, Dist.-Karbi Anglong, State-ASSAM,

Pin-782448

19.11.2019

761NHM/SWC/

2070

SURAPATI

BRAHMA

NARAPATI

BRAHMANo

C/o-NARAPATI BRAHMA, H.No.-7/163,

Vill/Town-BAGANSHALI W/NO- 7, P.O.-

KOKRAJHAR, P.S.-KOKRAJHAR, Dist.-

Kokrajhar, State-ASSAM, Pin-783370

19.11.2019

762NHM/SWC/

11974

BABITA

TAMULI

HUMESWAR

TAMULINo

C/o-MALOY HAZARIKA, H.No.-NEAR

NAMGHAR, Vill/Town-MURHADOL

HERAPOWA, P.O.-SALAGURI, P.S.-

JAMUGURI, Dist.-Sonitpur, State-ASSAM, Pin-

784180

19.11.2019

763NHM/SWC/

13559

BULBUL

HUSSAINMADU MIAH Yes

C/o-MADU MIAH, H.No.-158, Vill/Town-

SIDHUNI, P.O.-SITOLI, P.S.-BAGHBAR, Dist.-

Barpeta, State-ASSAM, Pin-781308

19.11.2019

764NHM/SWC/

15181

DHUSHMITA

PRADHAN

JADAV

PRADHANNo

C/o-JADAV PRADHAN, H.No.-0, Vill/Town-

HOJAIGAON, P.O.-TELIAGAON, P.S.-

THELAMARA, Dist.-Sonitpur, State-ASSAM, Pin-

784149

19.11.2019

765NHM/SWC/

18274

DHUSMITA

PRADHAN

JADAV

PRADHANNo

C/o-JADAV PRADHAN, H.No.-0, Vill/Town-

HOJAIGAON, P.O.-TELIAGAON, P.S.-

DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, Pin-

784149

19.11.2019

766NHM/SWC/

18411

RANJIT

CHETIAANIL CHETIA Yes

C/o-RANJIT CHETIA, H.No.-NA, Vill/Town-

CHETIA HANDIQUE GAON, P.O.-SILASAKU,

P.S.-SIMALUGURI, Dist.-Sivasagar, State-

ASSAM, Pin-785686

19.11.2019

767NHM/SWC/

19063

RITUPARNA

BORAH

LATE

KHARGESWAR

BORAH

Yes

C/o-LATE KHARGESWAR, H.No.-81, Vill/Town-

DA PARBATIA LENGA CHUBURI, P.O.-DA

PARBATIA, P.S.-TEZPUR, Dist.-Sonitpur, State-

ASSAM, Pin-784001

19.11.2019

768NHM/SWC/

20329

RANKITA

BORAHDILIP BORAH No

C/o-PRANAB BORAH, H.No.-, Vill/Town-2 NO

ITAKHOLA, P.O.-ITAKHOLA, P.S.-ITAKHOLA,

Dist.-Sonitpur, State-ASSAM, Pin-784182

19.11.2019

769NHM/SWC/

22729

IKBAL

HUSSAIN

MAZUMDER

IRSHAD ALI

MAZUMDERNo

C/o-IRSHAD ALI MAZUMDER, H.No.-271,

Vill/Town-UMEDNAGAR, P.O.-UMEDNAGAR,

P.S.-LALA, Dist.-Hailakandi, State-ASSAM, Pin-

788163

19.11.2019

Page - 66

Page 67: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

770NHM/SWC/

12935RANJANA DAS

PRAFULLA

DASNo

C/o-NIREN RABHA, H.No.-76, Vill/Town-

MURKATI, P.O.-MAZBAT, P.S.-MAZBAT, Dist.-

Udalguri, State-ASSAM, Pin-784507

19.11.2019

771NHM/SWC/

19694

SADDAM

HUSSAINLT AMSOR ALI Yes

C/o-NURMAHAMMED, H.No.-41, Vill/Town-

HAIDUBI, P.O.-BATAMARI, P.S.-BATADRABA,

Dist.-Nagaon, State-ASSAM, Pin-782122

19.11.2019

772NHM/SWC/

23278

ABUL KALAM

AZAD

MD JAYNAL

ABDINNo

C/o-C/O MD JAYNAL ABDIN, H.No.-71,

Vill/Town-CHAPARBORI, P.O.-CHAPARBORI,

P.S.-SARTHEBARI, Dist.-Barpeta, State-ASSAM,

Pin-781352

19.11.2019

773NHM/SWC/

10363

NAYAN MONI

KALITA

NAREN

KALITAYes

C/o-NAREN KALITA, H.No.-125, Vill/Town-

SRIHATI, P.O.-SRIHATI, P.S.-SUALKUCHI,

Dist.-Kamrup Rural, State-ASSAM, Pin-781103

19.11.2019

774NHM/SWC/

1038RAHUL ROY

LT. PARESH

CHANDRA

ROY

No

C/o-LT. PARESH CHANDRA ROY, H.No.-C-81,

Vill/Town-MOKORAPARA, P.O.-K/BHOTGAON,

P.S.-KOKRAJHAR, Dist.-Kokrajhar, State-

ASSAM, Pin-783370

19.11.2019

775NHM/SWC/

1126

KALAMBAS

BRAHMA

DWIJEN

BRAHMANo

C/o-DWIJEN BRAHMA, H.No.-59, Vill/Town-

CHOTOADABARI, P.O.-CHORAIKHOLA, P.S.-

KOKRAJHAR, Dist.-Kokrajhar, State-ASSAM, Pin-

783376

19.11.2019

776NHM/SWC/

1191

THIRJOILIAN

HRANGKHOL

ROITHANGTH

OI

HRANGKHOL

No

C/o-ROITHANGTHOI HRANGKHOL, H.No.-17,

Vill/Town-BUOLJOL, P.O.-HAFLONG, P.S.-

HAFLONG, Dist.-Dima Hasao, State-ASSAM, Pin-

788819

19.11.2019

777NHM/SWC/

1287

JAPUNGSAR

BRAHMA

Late Satyendra

BrahmaNo

C/o-Late Satyendra Brahma, H.No.-5, Vill/Town-

Dumariguri, P.O.-Dumariguri, P.S.-Dotma, Dist.-

Kokrajhar, State-Assam, Pin-783347

19.11.2019

778NHM/SWC/

1326

BIJOY

BRAHMA

MANEN

BRAHMANo

C/o-MANEN BRAHMA, H.No.-45, Vill/Town-

NORTH GHOSHKATA, P.O.-BANARGAON, P.S.-

DOTMA, Dist.-Kokrajhar, State-Assam, Pin-

783347

19.11.2019

779NHM/SWC/

1437

JAHIRUL

ISLAM

JOYNAL

HOQUENo

C/o-JOYNAL HOQUE, H.No.-222, Vill/Town-

FULKUMARI, P.O.-FULKUMARI, P.S.-

GAURIPUR, Dist.-Dhubri, State-ASSAM, Pin-

783331

19.11.2019

780NHM/SWC/

15400

SUJATA

RABHA

NARAYAN

RABHANo

C/o-ANTESWAR RABHA, H.No.-29, Vill/Town-

AMBARI, P.O.-DEBITOLA, P.S.-KAZIGAON,

Dist.-Kokrajhar, State-ASSAM, Pin-783339

19.11.2019

781NHM/SWC/

15404

TUTU MONI

MIRI

Lt BROJEN

MIRIYes

C/o-BROJEN MIRI, H.No.-, Vill/Town-PALTAN

BAZAR, P.O.-DIBRUGARH, P.S.-DIBRUGARH,

Dist.-Dibrugarh, State-ASSAM, Pin-786001

19.11.2019

Page - 67

Page 68: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

782NHM/SWC/

1642

RITU PARNA

BARUAHHEM BARUAH No

C/o-HEM BARUAH, H.No.-10, Vill/Town-

GOHAIN GAON, P.O.-JALUKONIBARI, P.S.-

TITABOR, Dist.-Jorhat, State-ASSAM, Pin-785630

19.11.2019

783NHM/SWC/

1893JAN TERON

RONGBONG

TERONNo

C/o-RONGBONG TERON, H.No.-HOUSE NO 37,

Vill/Town-THERE GAON, P.O.-PANDITGHAT,

P.S.-HOWRAGHAT, Dist.-Karbi Anglong, State-

ASSAM, Pin-782481

19.11.2019

784NHM/SWC/

1951

JAKIR

HUSSAIN

LASKAR

LT LACHAN

UDDIN

LASKAR

No

C/o-SIFATUN NESSA LASKAR, H.No.-86,

Vill/Town-NIMAICHANDPUR PT I, P.O.-

NIMAICHANDPUR, P.S.-LALA, Dist.-Hailakandi,

State-ASSAM, Pin-788168

19.11.2019

785NHM/SWC/

3239

SAHAB UDDIN

CHOUDHURY

MUHI UDDIN

CHOUDHURYNo

C/o-MUHI UDDIN CHOUDHURY, H.No.-448,

Vill/Town-GOBINDAPUR EAST PART-II, P.O.-

EAST GOBINDAPUR, P.S.-SILCHAR, Dist.-

Cachar, State-ASSAM, Pin-788101

19.11.2019

786NHM/SWC/

3474

TAPAN

CHANDRA

SAIKIA

KESHAB

CHANDRA

SAIKIA

No

C/o-TAPAN CHANDRA SAIKIA, H.No.-202,

Vill/Town-BAIDYATUP MADHAB DEV PATH,

P.O.-MADHUPUR NAGAON, P.S.-SADAR, Dist.-

Nagaon, State-ASSAM, Pin-782003

19.11.2019

787NHM/SWC/

7176

MONSING

RONGPI

LONGKI

RONGPINo

C/o-LONGKI RONGPI, H.No.-HOUSE NO 45,

Vill/Town-RONGNIHANG WARD NO 03 DIPHU,

P.O.-DIPHU, P.S.-DIPHU, Dist.-Karbi Anglong,

State-ASSAM, Pin-782460

19.11.2019

788NHM/SWC/

23129

BINITA

BAISHYA

MAHENDRA

TALUKDARYes

C/o-BASANTI BAISHYA, H.No.-BLOCK s(5)

QTR no -01, Vill/Town-DISPUR LATS GATE,

P.O.-DISPUR, P.S.-DISPUR, Dist.-Kamrup Metro,

State-ASSAM, Pin-781006

19.11.2019

789NHM/SWC/

11019

RUMANA

BEGOM

ABDUL

MANNANNo

C/o-LATE - MUSTAQUE AHMED, H.No.-196,

Vill/Town-EAST KANISHAIL, P.O.-KANISHAIL,

P.S.-KARIMGANJ, Dist.-Karimganj, State-

ASSAM, Pin-788711

19.11.2019

790NHM/SWC/

11313

SAGARIKA

PATHAKJATIN PATHAK No

C/o-JATIN PATHAK, H.No.-56, Vill/Town-

BHUMKATARI, P.O.-SRIJANGRAM, P.S.-

ABHAYAPURI, Dist.-Bongaigaon, State-ASSAM,

Pin-783384

19.11.2019

791NHM/SWC/

12707

JINA DOLEY

DASROBIN DOLEY No

C/o-BHOGESWAR DAS, H.No.-80, Vill/Town-

AMTOLA POKADOL, P.O.-AMTOLA, P.S.-PANI

GAON, Dist.-Lakhimpur, State-ASSAM, Pin-

787052

19.11.2019

792NHM/SWC/

12903

ANAMUL

HOQUE

LT NAIM

UDDINYes

C/o-SAIRUN NESSA, H.No.-371, Vill/Town-

BARPETA MUSLIM PATTY, P.O.-BARPETA,

P.S.-BARPETA, Dist.-Barpeta, State-ASSAM, Pin-

781301

19.11.2019

Page - 68

Page 69: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

793NHM/SWC/

13515DIPTY BORO

BOLIN

CHANDRA

BORO

No

C/o-MUKHESWAR SONOWAL, H.No.-NA,

Vill/Town-MANCOTTA TEPOR GAON, P.O.-

MANCOTTA, P.S.-DIBRUGARH, Dist.-

Dibrugarh, State-ASSAM, Pin-786003

19.11.2019

794NHM/SWC/

14259LAKHI DAS

LATE

MANGALU

MUDOI

No

C/o-GUNAMONI DAS, H.No.-58, Vill/Town-2 NO

KAKI DEWBALI, P.O.-THAISUPER, P.S.-KAKI,

Dist.-Nagaon, State-ASSAM, Pin-782446

19.11.2019

795NHM/SWC/

15073

AKHTAR

HUSSAIN

LATE AZIZUL

HOQUENo

C/o-SAHED ALI SARKAR, H.No.-536, Vill/Town-

BALISIHA, P.O.-DHEKIAJULI, P.S.-

DHEKIAJULI, Dist.-Sonitpur, State-ASSAM, Pin-

784110

19.11.2019

796NHM/SWC/

17253

KAMALINI

ADHIKARY

MONESWAR

ADHIKARYNo

C/o-MONESWAR ADHIKARY, H.No.-0,

Vill/Town-SHERNAGAR, P.O.-AGOMANI, P.S.-

AGOMANI, Dist.-Dhubri, State-ASSAM, Pin-

783335

19.11.2019

797NHM/SWC/

18123

SWAPNA

DAOLAGAJAO

BIRKORNO

DAOLAGAJAONo

C/o-BIRKORNO DAOLAGAJAO, H.No.-25,

Vill/Town-Gunjung, P.O.-Gunjung, P.S.-Haflong,

Dist.-Dima Hasao, State-Assam, Pin-788819

19.11.2019

798NHM/SWC/

18190

HIRANMAYEE

MALI

MAHANTA

BHABEN MALI No

C/o-BHABEN MAHANTA, H.No.-0, Vill/Town-

KHOIRABARI, P.O.-KHOIRABARI, P.S.-

KHOIRABARI, Dist.-Udalguri, State-ASSAM, Pin-

784522

19.11.2019

799NHM/SWC/

18485

ROMITA

SINGHA

P KALACHAND

SINGHANo

C/o-M BISWAJIT SINGHA, H.No.-205, Vill/Town-

FULERTAL, P.O.-FULERTAL, P.S.-LAKHIPUR,

Dist.-Cachar, State-ASSAM, Pin-788106

19.11.2019

800NHM/SWC/

18675BONTI DUTTA

LATE TIRTHA

NATH DUTTANo

C/o-PINKU BARUAH, H.No.-298, Vill/Town-

CHOWKHAM, P.O.-MACHKHOWA, P.S.-

DHEMAJI, Dist.-Dhemaji, State-ASSAM, Pin-

787058

19.11.2019

801NHM/SWC/

18814DIPTI BARUAH

BAGADHAR

BARUAHNo

C/o-ATUAL CH. BARUAH, H.No.-17, Vill/Town-

LEDO, P.O.-LEDO, P.S.-MARGHERITA, Dist.-

Tinsukia, State-ASSAM, Pin-786182

19.11.2019

802NHM/SWC/

1900

GANESH

UPADHYAYA

SRI HARI

UPADHYAYANo

C/o-SRI HARI UPADHYAYA, H.No.-259,

Vill/Town-GANGMOUTHAN, P.O.-

GANGMOUTHAN, P.S.-BEHALI, Dist.-Sonitpur,

State-ASSAM, Pin-784167

19.11.2019

803NHM/SWC/

19909SANIDUL ALI MANJUR ALI Yes

C/o-MANJUR ALI, H.No.-32, Vill/Town-

BARMANIKPUR, P.O.-SARUMANIKPUR, P.S.-

PATACHARKUCHI, Dist.-Barpeta, State-ASSAM,

Pin-781329

19.11.2019

Page - 69

Page 70: Surveillance Worker Final Report 30.10.2019 · Instruction: Roll No. Regd. ID Candidate's Name Father's Name PWD Correspondence Address Date of Interview Provisionally shortlisted

Instruction:

Roll No. Regd. IDCandidate's

NameFather's Name PWD Correspondence Address

Date of

Interview

Provisionally shortlisted candidates for Skill Test/ Interview for the Postition of Surveillance Worker (Contractual)

under State Support at National Health Mission, Assam

Candidates shall bring all relevant testimonials and experience certificates in original to produce before selection committee

along with a set of self attested photo copies for submission at the time of interview.

Shortlisting of candidates have been done based on the information provided by the candidates and candidature is subject to

verification of documents at the time of interview.

Time of Interview : 9:30 AM (Reporting Time - 9:00 AM)

Venue : State Institute of Health & Family Welfare, Sixmile, Khanapara, Guwahati-22

804NHM/SWC/

20363

MINAKSHI

BORUAH

GAGAN CH.

BORUAHNo

C/o-MONTU KONWAR, H.No.-25, Vill/Town-

MAKUM PATHER, P.O.-MAKUM PATHER, P.S.-

MARGHERITA, Dist.-Tinsukia, State-ASSAM, Pin-

786181

19.11.2019

805NHM/SWC/

20540

TARMIN

SULTANA

BARBHUIYA

ANWAR

HUSSAIN

BARBHUIYA

No

C/o-TAFAJUL HUSSAIN LASKAR, H.No.-237,

Vill/Town-UTTARJASNABAD PART-II, P.O.-

LALAMUKH, P.S.-LALA, Dist.-Hailakandi, State-

ASSAM, Pin-788163

19.11.2019

806NHM/SWC/

20965Anamika Saikia DurgaRam Saikia No

C/o-Aishwarjya Senapati, H.No.-92, Vill/Town-

Baligaon, P.O.-Baligaon, P.S.-Raha, Dist.-Nagaon,

State-assam, Pin-782144

19.11.2019

807NHM/SWC/

2435

RUPOJOY

REANG

MITROHAM

REANGNo

C/o-SO- LT MITROHAM REANG, H.No.-416,

Vill/Town-NUNAI F. V KUNDANALA, P.O.-

KACHARITHAL, P.S.-LALA, Dist.-Hailakandi,

State-ASSAM, Pin-788163

19.11.2019

808NHM/SWC/

5277Mukul Das Baputa Das Yes

C/o-Lt.Baputa Das, H.No.-99, Vill/Town-

Krishnasromi, P.O.-Merapani, P.S.-Merapani, Dist.-

Golaghat, State-Assam, Pin-785705

19.11.2019

809NHM/SWC/

6870SUPRITI ROY

SREEKUMAR

ROYNo

C/o-SREEKUMAR ROY, H.No.-287, Vill/Town-

PUNIRMUKH, P.O.-PUNIRMUKH, P.S.-

DHOLAI, Dist.-Cachar, State-ASSAM, Pin-788123

19.11.2019

810NHM/SWC/

8111

DIPIKA

BHAKAT

KSHITINDRA

NATH

BHAKAT

No

C/o-HAREKRISHNA BHAKAT, H.No.-133,

Vill/Town-JINKATA PT -I, P.O.-

MAHAMAYAHAT, P.S.-GOLAKGANJ, Dist.-

Dhubri, State-ASSAM, Pin-783335

19.11.2019

811NHM/SWC/

9042

LIPIKA

SONOWAL

SAIKIA

LATE MANIK

CHANDRA

SONOWAL

No

C/o-GUNJA SAIKIA, H.No.-612, Vill/Town-

KANAI GAON, P.O.-NAGAGHULIE, P.S.-

ROHMORIA, Dist.-Dibrugarh, State-ASSAM, Pin-

786012

19.11.2019

Page - 70