THIS REGISTRATION IS ONLY FOR ADVT NO.

04/2023
APPLICANT ID / Enrollment Id: 23040783977

Email ID: gayen407@gmail.com

Name of the Applicant : TRISHNA GAYEN

Father’s Name : DEBDAS GAYEN

Mother’s Name : SWAPNA GAYEN

Mobile No: 8777607945 Date of Birth : 02-01-1998

Gender : FEMALE

Applicant’s birth Place : North 24 Parganas Nationality : Indian By Birth

Religion : Hindu

CATEGORY DETAILS :

Category : SC Name of the Sub - Caste : Pod, Poundra

Issuing Authority : SDO(SUB DIVISIONAL Certificate No : WB1103SC201305214

OFFICE)

Date of Issue : 04-10-2013 District : North 24 Parganas

ADDRESS FOR COMMUNICATION :

Address Line 1 : VILL DAUDPUR PO DAUDPUR HATKHOLA PS SANDESHKHALI DIST NORTH 24

PARGANA PIN 7436111

Address Line 2 :

Town/City : DAUDPUR District : North 24 Parganas

State: West Bengal Pincode: 743611

PERMANENT ADDRESS:

Address Line 1: VILL DAUDPUR PO DAUDPUR HATKHOLA PS SANDESHKHALI DIST NORTH 24

PARGANA PIN 7436111

Address Line 2:

Town/City: DAUDPUR District: North 24 Parganas

State : West Bengal Pincode: 743611

DECLARATION
1. I am aware that this is only a Registration and not an application against any Post / service.This is
just collection and registration of information in advance.

2. I am also aware that I have to submit separate application against each advertisement.

3. I certify that i do not have more than one registration for this examination

4. I hereby declare that all the particulars furnished by me in this Registration are true, correct and
complete to the best of my knowledge and belief.I am also aware that my candidature is liable for
cancellation in the event of any information being found false or incorrect. Ineligibility, if any is
detected before or after the examination, my candidature will be Liable for cancelled by PSCWB.

5. I declare that i will abide by the Commission's decision in this Regard .