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To

The DDHS (Nursing)


Swasthya Bhavan, 1st Floor, (Wing-A)
GN-29, Sector -V, Salt Lake City, Kolkata - 91

(Through Proper
Chanel)

Respected Madam,
With Due respect I, Nibedita Samajder, Grade II Nursing Staff of R.G. Kar MCH, join in the year 21/7/1997 submit
my biodata as per following format which was instructed by the authorities as per memo No. 773 dated 10/6/2022
Name & Father’s Employe Cast Date of Presen District Entry in Change Contact No.
Designatio Name e ID e birth t place Served Govt. Surnam
n (DD/MM of Service e
/YY) postin (DD/MM/
g YY)

Nibedita Kalyan 199100283 Gen 01/01/1975 R. G. *Bangalbari 21/07/1997 N/A 943437437


Samajder Samajde Kar PHC, 8
Gr - II r MCH Uttar
Dinajpur
Nursing
staff
* Balurghat
Dist.
Hospital,
Dakshin
Dinajpur

So I therefore, request you to accept my application and obliged.

Thanking you,
Yours
faithfully,

(Nebedita Samajder)

Submit following documents :-

1) Xerox copy of service book (page no. 1.2 & 3)


2) 1st posting order as Gr. II staff Nurse
3) Photo copy of 1st joining order
4) Photo copy of Nursing Registration Certificate (WBNC)
5) Photo copy of caste certificate
6) Photo copy of permanent address proof
7) Photo copy of service confirmation
8) Photo copy of present place of posting
9) Copy of proof of date of birth (Admit card etc.)
10) Surname change document
11) Photo copy of biodata from Nursing Data Base (Updated)

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