PART- I

1. List of Eligible Rural Poor Candidates Sponsored by MoRD / NRLM (Column 19, 20 and 21 shall be filled on the Day of Assessment)

MIS Batch Number (Ex:221

Relation (S/O, D/O, W/O)

Parent/ Spouse Salutation

Trainee Salutation (Mr./

MIS Roll Number of

candidate (Ex:-32)
Ms./ Mrs.)

(Mr./ Ms.)
Name of Document Qualifying Attendance: Formative Assessment Marks
RSETI MIS ID Document unique Number (Write the DoB as per KYC –
SN Name of Trainee Aadhar Number form MIS Name of Parent/Spouse (Example-16-404-130729-3623159) for Rural Poor (Refer the SOP- document number Specifeid in Col-14)
Trainee/ RSETI Mail Id for Certificate
dd/mm/yyyy
Present/ Total Attendance Signature of Trainee (Max.100) - TO BE WRITTEN
III, Page No.-53, Section 2.3) Days (Ex. 25/30) AFTER TRAINEE SIGN

Col-1 Col-2 Col-3 Col-4 Col-5 Col-6 Col-7 Col-8 Col-9 Col-10 Col-11 Col-12 Col-13 Col-14 Col-15 Col-16 Col-17 Col-19 Col-20 Col-21

Sk. Abdul
1 Mrs. Sabura Begam 2573-5808-1192 W/O Mr. 37 123 203863 5482761 311 1 Ration Card SPHH-2006229860 ucorseti.howrah@gmail.com 6/14/1998 66
Rahman

Chandmohan
2 Mrs. Sima Das 8889-0168-4221 W/O Mr. 37 123 203863 5482762 311 2 Ration Card RKSY-I-370182560 ucorseti.howrah@gmail.com 1/1/1998 72
Das

Becharam
3 Mrs. Riya Ghosh 3178-2118-7549 W/O Mr. 37 123 203863 5482763 311 3 Ration Card RKSY-I-1216677050 ucorseti.howrah@gmail.com 4/4/1996 88
Ghosh

4 Mrs. Anima Paul 9504-0962-3048 W/O Mr. Utpal Paul 37 123 203863 5482764 311 4 Ration Card PHH-37811915 ucorseti.howrah@gmail.com 1/1/1989 74

Lt. Nitai
5 Mrs. Chaina Patra 9143-7913-2519 W/O Mr. 37 123 203863 5482765 311 5 Ration Card SPHH-0110616354 ucorseti.howrah@gmail.com 4/3/1984 76
Rong

Soumen
6 Mrs. Rakhi Mondal 7987-7642-6447 W/O Mr. 37 123 203863 5482766 311 6 Certificate PIP ucorseti.howrah@gmail.com 1/17/1998 80
Mondal

7 Mrs. Mamata Poali 7516-4582-6263 W/O Mr. Koushik Poali 37 123 203863 5482767 311 7 Certificate PIP ucorseti.howrah@gmail.com 3/3/1996 82

Chandu
8 Mrs. Dipali Marick 5593-7446-4810 W/O Mr. 37 123 203863 5482768 311 8 Certificate PIP ucorseti.howrah@gmail.com 1/1/1983 80
Marick

9 Mrs. Shukla Ruidas 8159-4501-5988 W/O Mr. Sanat Ruidas 37 123 203863 5482769 311 9 Ration Card SPHH-37809024 ucorseti.howrah@gmail.com 3/12/1984 76

Tapan Kumar
10 Mrs. Manasi Mondal 3844-9883-8134 W/O Mr. 37 123 203863 5482770 311 10 Ration Card SPHH-37809072 ucorseti.howrah@gmail.com 6/19/1981 80
Mondal

11 Mrs. Krishna Patra 3593-0343-5651 W/O Mr. Ashis Patra 37 123 203863 5482772 311 12 Certificate PIP ucorseti.howrah@gmail.com 2/15/1986 82

12 Mrs. Mithu Ghosh 5281-5526-4397 W/O Mr. Nimai Ghosh 37 123 203863 5482773 311 13 Ration Card PHH-37811117 ucorseti.howrah@gmail.com 1/1/1980 76

Shuvendu
13 Mrs. Nirupama Poali 4558-7529-8488 W/O Mr. 37 123 203863 5482774 311 14 Ration Card PHH-1217240490 ucorseti.howrah@gmail.com 12/15/1983 90
Poali

Swarup
14 Mrs. Chhabi Poyali 924804403721 W/O Mr. 37 123 203863 5482775 311 15 Certificate PIP ucorseti.howrah@gmail.com 5/10/1983 66
Poyali

Subrata
15 Mrs. Haimanti Das 4571-5437-6888 W/O Mr. 37 123 203863 5482776 311 16 Ration Card RKSY-I-2002136639 ucorseti.howrah@gmail.com 8/3/1988 90
Kumar Poali

Sushanta
16 Mrs. Kabita Marick 3155-6440-0700 W/O Mr. 37 123 203863 5482778 311 18 Ration Card RKSY-I-0704263784 ucorseti.howrah@gmail.com 3/17/1989 86
Marick

17 Mrs. Rinku Patra 7324-6244-6597 W/O Mr. Monoj Patra 37 123 203863 5482744 311 19 Ration Card SPHH-37775400 ucorseti.howrah@gmail.com 1/1/1993 86
 Dipak
18 Mrs. Mithu Banerjee 9733-2046-2450 W/O Mr. 37 123 203863 5482745 311 20 Ration Card PHH-37811614 ucorseti.howrah@gmail.com 1/1/1982 70
Banerjee

Pradip Kumar
19 Mrs. Parbati Das 2337-9947-5935 W/O Mr. 37 123 203863 5482746 311 21 Certificate PIP ucorseti.howrah@gmail.com 1/1/1984 64
Das

Mithu Prasanta
20 Mrs. 4443-2240-1375 W/O Mr. 37 123 203863 5482747 311 22 Certificate PIP ucorseti.howrah@gmail.com 3/10/1989 64
Paramanik Pramanik

Mousumi Sailendra
21 Mrs. 6638-7525-8227 W/O Mr. 37 123 203863 5482748 311 23 Certificate PIP ucorseti.howrah@gmail.com 1/1/1981 78
Ghosh Nath Ghosh

Ramnath
22 Ms. Debashri Dalui 5749-5616-6251 D/O Mr. 37 123 203863 5482749 311 24 Ration Card RKSY-I-370188729 ucorseti.howrah@gmail.com 3/8/1991 82
Dalui

Prosanta
23 Mrs. Pramila Polley 2106-3130-6630 W/O Mr. 37 123 203863 5482750 311 25 Ration Card PHH-121730407 ucorseti.howrah@gmail.com 1/5/1996 92
Polley

24 Mrs. Dipa Poali 5516-6967-7964 W/O Mr. Tarun Poali 37 123 203863 5482751 311 26 Certificate PIP ucorseti.howrah@gmail.com 1/1/1981 82

Gouri Shankar
25 Mrs. Sathi Ghosh 8706-3334-0110 W/O Mr.
Kaur
37 123 203863 5482752 311 27 Certificate PIP ucorseti.howrah@gmail.com 6/5/2000 72

26 Mrs. Jhuma Ghosh 6554-0759-0765 W/O Mr. Ashim Ghosh 37 123 203863 5482753 311 28 Ration Card PHH-37811793 ucorseti.howrah@gmail.com 1/1/1986 62

Lalita Madhusudan
27 Mrs. 5854-8583-3072 W/O Mr. 37 123 203863 5482754 311 29 Ration Card RKSY-I-1205716874 ucorseti.howrah@gmail.com 7/18/1993 72
Karmakar Karmakar

Shuvendu
28 Ms. Rai Poali 4656-3801-5329 D/O Mr. 37 123 203863 5482755 311 30 Ration Card PHH-0534841010 ucorseti.howrah@gmail.com 7/16/2006 88
Poali

Chiranjit
29 Mrs. Piyali Ghosh 3316-1101-2891 W/O Mr. 37 123 203863 5482756 311 31 Ration Card PHH-37811762 ucorseti.howrah@gmail.com 11/5/1995 96
Ghosh

30 Mrs. Jhuma Hazra 6521-0287-0791 W/O Mr. Utpal Hazra 37 123 203863 5482757 311 32 Ration Card SPHH-0110613038 ucorseti.howrah@gmail.com 3/1/1993 64

31 Mrs. Rinku Dari 4319-6093-4889 W/O Mr. Sanjay Dari 37 123 203863 5482759 311 34 Ration Card RKSY-I-2010627330 ucorseti.howrah@gmail.com 2/17/1995 72

32 Mrs. Apsari Mondal 9957-3949-6836 W/O Mr. Arun Mondal 37 123 203863 5482760 311 35 Ration Card RKSY-I-1210605300 ucorseti.howrah@gmail.com 1/1/1985 62

2. List of RUDSETI Non-Rural Poor (APL) Candidates - (Same format except Col 10, 11)

3. List of RSETI Non-Rural Poor (APL) Candidates. (Same format except Col 10, 11)

Signature
Name of RSETI Director
Seal of RSETI
Place: UCO RSETI, Howrah
Date: 03.08.2024
PART- II
2. List of Eligible Candidates Data for RSETI/RUDSETI Non-Rural Poor (APL) Candidates under MoRD AAP (Column 17, 18 and 19 shall be filled on the Day of Assessment)

Salutation (Mr./ Ms.)

Formative

Relation (S/O, D/O,

MIS Roll Number of

MIS Batch Number
Trainee Salutation

candidate (Ex:-32)
(Mr./ Ms./ Mrs.)

Assessment

Parent/ Spouse
Attendance: Marks
Aadhar RSETI MIS ID Attendance

(Ex:221
Name of Trainee/ RSETI DoB as per (Max.100) -

W/O)
Present/
SN Name of Trainee Number form (Example-16-404-130729- Mail Id for KYC – Signature TO BE
Parent/Spouse 3623159) Certificate dd/mm/yyyy
Total Days
MIS (Ex. 25/30) of Trainee WRITTEN
AFTER
TRAINEE
SIGN

Col-1 Col-2 Col-3 Col-4 Col-5 Col-6 Col-7 Col-8 Col-9 Col-10 Col-11 Col-12 Col-13 Col-14 Col-15 Col-17 Col-18 Col-19

10

Signature
Name of RSETI Director
Seal of RSETI
Place
Date
PART- II
3. Number of RSETI Non-Rural Poor / APL candidates outside MoRD AAP Proposed to be Assessed (Column 17,

Trainee Salutation (Mr./

Salutation (Mr./ Ms.)

Relation (S/O, D/O,

Parent/ Spouse
Ms./ Mrs.)
Aadhar Name of
Name of
Parent/Spo RSETI MIS ID

W/O)
(Example-16-
SN Number 404-130729-3623159)
Trainee
form MIS use

Col-1 Col-2 Col-3 Col-4 Col-5 Col-6 Col-7 Col-8 Col-9 Col-10

1
2
3
4
5
6
7
8
9
10

Signature
Name of RSETI Director
Seal of RSETI
Place
Date
be Assessed (Column 17, 18 and 19 shall be filled on the Day of Assessment)
Formative

MIS Roll Number of

MIS Batch Number

candidate (Ex:-32)
Assessment
Trainee/ Attendance: Marks
Attendance
(Ex:221
DoB as per (Max.100) -
(Example-16- RSETI Mail Present/
29-3623159) Id for
KYC –
Total Days Signature TO BE
dd/mm/yyyy of Trainee WRITTEN
Certificate (Ex. 25/30) AFTER
TRAINEE
SIGN

Col-11 Col-12 Col-13 Col-14 Col-15 Col-17 Col-18 Col-19