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Registration

Personal Details

Are you an Indian : YES

First Name Middle Name (Optional) Last Name


Name : SITANGSHU PAL

Date of Birth : 07/04/1993 (as recorded in Madhyamik or equivalent examination certificate)

Place of Birth : WEST BENGAL DARJEELING NAXALBARI

First Name Middle Name (Optional) Last Name


Father's Name : SHYAMAL PAL

First Name Middle Name (Optional) Maiden Surname


Mother's Name : MANJU SAHA

Your Gender : MALE Epic No. :

Caste Category : BACKWARD CLASSES (CATEGORY B)

Contact Details

Permanent Address

Address Line 1 : Address Line 2 : NEAR SAKAL RAM PRIMARY


SON OF - SHAYAMAL PAL
SCHOOL

State : WEST BENGAL District : DARJEELING

Police Station : NAXALBARI Post Office : NAXALBARI

Pin Code : 734429

Mobile No. : 9832989761 Email : SITANGSHU_OFFICIAL@HOTMAIL.COM

Qualification Details

Academic Degree of : BACHELORS

Specialised Field of Qualification : B.TECH. / B.E.

Additional Qualification :

Professional Experience :

Security

Last School Attended : ****************

Grand Father's Name : ****************

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