ADVERTISEMENT NO.

25/2017

Advertisement No. : 25/2017 Closing date for submission of examination fees : 03/01/2018

Examination No. : : 25/2017(I) Closing date for submission of application : : 03/01/2018

Personal Details

User ID : STP0051455

First Name Middle Name (Optional) Last Name

Name : SUJOY BISWAS

Date of Birth : 10/12/1990 (as recorded in Madhyamik or equivalent examination certificate or admit card)

Do you have the ability to read, write and speak in Bengali : Yes

Whether you are a person from any Hill Sub-division of Darjeeling District (viz. Darjeeling
Sadar, Mirik and Kurseong)/Kalimpong District (viz. Kalimpong Sadar) : No

Sub - Division :

State your mother tongue : BENGALI

State District Place

Place of Birth : WEST BENGAL SOUTH 24 PARGANAS KAMRA

First Name Middle Name (Optional) Last Name

Father's Name : SUNIL BISWAS

Your Gender : MALE Epic No. :

Community/Category : BACKWARD CLASSES (CATEGORY B)

Sub-Caste State Issuing Authority

Mention Your : teli kolu WEST BENGAL sub divisional officer

Are you a person with disability? : No

State the category of disability :

Do you require the help of a scribe ? : No

Contact Details

Permanent Address

Address Line 1 : Address Line 2 :

VILL - KAMRA

State : WEST BENGAL District : SOUTH 24 PARGANAS

Police Station : NODAKHALI Post Office : KAMRA

Pin Code : 743318

Present Address (Address for Communication)

Address Line 1 : Address Line 2 :

VILL - KAMRA

State : WEST BENGAL District : SOUTH 24 PARGANAS

Police Station : NODAKHALI Post Office : KAMRA

Pin Code : 743318

Mobile No. : 9051048519 Email :

Whether a Citizen of India : Yes

Whether a natural Citizen or Citizen by registration? : Natural Citizen

Qualification Details

Essential Qualification

Name of Examination Year of Passing Board / University Subjects Taken Grade

10TH - madhyamik 2007 wbese eight 1

H.S. - higher secondary 2009 wbchse five 1

GRADUATE - B.TECH. / B.E. 2014 wbut 1

Experience Details

Professional Qualification

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

Additional Qualification (optional) :

Professional Qualification (optional) : SIX MONTH WORKING EXPERIENCE IN SIMPLEX

Employment experience

Department / Govt / Local / Statutory Name of the post held Permanent/Temporary

Date of joining Date of leaving Cause of leaving
Organization body or /Contractual
SIMPLEX INFRASTRUCTURE ASSISTANT ENGINEER
PRIVATE 29/12/2014 31/08/2015 PREPARE FOR GOVT JOB IN TRAINING PERIOD
LIMITED GRADE ONE
 Choice of Centre for Preliminary Examination : Kolkata North

Relaxation in Age Claimed : No

Declaration
I solemnly declare that (a) All statements made in this application are true, complete and correct (b) Original documents will be produced on demand and
(c) I agree to take the examination on the condition that the commission may cancel my candidature if at any stage I am found ineligible for admission to
the examination.

I have obtained all my certificates (Qualification and/or Caste) within the Date of Submission of my Application.

I have informed the head of my Office or Deptt. in writing that I am applying for this examination (** Please click the box if you are in service of
Govt., or Local or Statutory Body). YES

I agree that all the information provided here, are correct according to my knowledge.

Application Date 26/12/2017 Signature