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Victoria Park, 9th floor, GN-37/2, Sector-V, Salt Lake City, Kolkata-700091
Nick name______________________________
2. Father's name_________________________________
Mother's name_________________________________
_______________________________________________
4 Language spoken_____________________________________________
____________________________________________________________
5. Permanent Address: _____________________________P.O.___________________
P.S._____________________Dist.___________________ Pin. _________________
6. Qualification:
Degree Institute Name Board/University %age acquired Year
i) Height ____________________________
v) Tattoo Marks_______________________________
13. Cycling
Date:
Signature: