Professional Documents
Culture Documents
Wbsedcl
Wbsedcl
Wbsedcl
1. 2. 3.
Name of the Candidate (in block letters) Fathers Name Mailing Address I) II) III) Name Address PIN
: : : : : : : : : D ay : : Month
4. 5. 6. 7.
Mobile No. Landline No. Date of Birth & Age as on 01.01.2012 Qualification
Examination Passed
Year
Year of Passing
% of Marks
8.
Whether belongs to SC / ST / OBC (A) / OBC (B) /Physically Challenged Category Ex-Serviceman / Meritorious Sportsperson [Copy of certificate(s) to be enclosed] Language Known (Bengali/Nepali/Both) DD No.
9.
Bank Name
D E C L A R A T I O N I, hereby, declare that the above particulars furnished herein are true to my knowledge. If any of my declaration and documents enclosed with the application are found to be false subsequently by the authority & if I fail to submit necessary certificates of Qualification, in that case the competent authority at any stage of recruitment may declare my application for the post as cancelled. Date: Full Signature of the Candidate