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C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS


WEST BENGAL POLICE RECRUITMENT BOARD
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
APPLICATION FORM FOR THE POST OF STAFF OFFICER-CUM-INSTRUCTOR IN CIVIL DEFENCE ORGANIZATION , WB 2019
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
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80009129MC920307A
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Application C920307NSS
Sl. No. 80009129

C920307NSS
To C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
The Chairman
C920307NSS
West BengalC920307NSS C920307NSS
Police Recruitment Board C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
POLICE RECORDS BHAVAN, ARAKSHA BHAVAN, BLOCK -DJ , SECTOR -II,
SALTLAKE, KOLKATA-700091
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Sir,
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
I hereby apply for the post of Staff Officer-Cum-Instructor in Civil Defence Organization , WB 2019.
C920307NSS particulars
Necessary C920307NSSare furnished below:- C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
C920307NSS

C920307NSS
Post appliedC920307NSS
for : Staff C920307NSS C920307NSS
Officer-Cum-Instructor C920307NSS
in Civil Defence C920307NSS
Organization , WB 2019 C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS


Name in FullC920307NSS C920307NSS
C920307NSS : SUBRATA BISWAS
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Gender : Male Category : SC Date of Birth : 07/03/1992
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Father's Name : GOSAI CHANDRA BISWAS Husband's Name :
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Mother's Name : MAYA BISWAS Marital Status : Un-Married
C920307NSS
Mobile C920307NSS C920307NSS
: 8670445169C920307NSS C920307NSS
Email C920307NSS C920307NSS C920307NSS C920307NSS
: subratabiswas07031992@gmail.com

C920307NSS C920307NSS C920307NSS


Complete Mailing Address :
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
VILL+PO-BIRNAGAR,DEWAN MUKHERJEE ROAD.PS-TAHERPUR SUB-DIV-RANAGHAT
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
PO : BIRNAGAR
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
POLICE STATION : TAHERPUR
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
DISTRICT : NADIA PIN : 741127
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
STATE : WEST BENGAL
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
NEAREST RAILWAY STATION : BIRNAGAR (BIJ)
C920307NSS C920307NSS C920307NSS
Permanent Address : C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
VILL+PO-BIRNAGAR, DEWAN MUKHERJEE ROAD.PS-TAHERPUR SUB-DIV-RANAGHAT PIN-741127
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
PO : BIRNAGAR
C920307NSS C920307NSS C920307NSS C920307NSS
POLICE STATION C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
: TAHERPUR

DISTRICT : NADIA
C920307NSS C920307NSS C920307NSS PIN : 741127
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS


STATE : WEST BENGAL C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
NEAREST RAILWAY
C920307NSS C920307NSS C920307NSS STATIONC920307NSS
C920307NSS : BIRNAGAR (BIJ)
C920307NSS C920307NSS C920307NSS C920307NSS
Educational C920307NSS
C920307NSS Qualification C920307NSS
: Graduate : C920307NSS
Yes C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Name of Examination Year of Passing Name of the Board / Council / University
C920307NSS C920307NSS C920307NSS
(YYYY) C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Madhyamik (Class X) 2007 WEST BENGAL BOARD OF SECONDARY EDUCATION
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Higher Secondary (10+2) 2013 BBP- IGNOU
C920307NSS C920307NSS C920307NSS
Graduation 2016 C920307NSS C920307NSS C920307NSS
INDIRA GANDHI C920307NSS
NATIONAL C920307NSS C920307NSS
OPEN UNIVERSITY
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Post Graduation

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Your Community : C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Religion : HINDUISM
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS Page


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C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS
Application Sl. No. 80009129C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
80009129MC920307B
Name : SUBRATA B3435BFF839B11FEEA037A2234FE38968550BF4BA149C5B0611A3E35217623E3
BISWAS C920307NSS C920307NSS C920307NSS
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS
Able to Speak, Read & Write C920307NSS C920307NSS C920307NSS C920307NSS
: BENGALI C920307NSS C920307NSS C920307NSS
C920307NSS C920307NSS
Language selected for Paper C920307NSS C920307NSS
– III of Final Combined C920307NSS
Competitive Examination C920307NSS
: BENGALI C920307NSS C920307NSS C920307NSS
Employed inC920307NSS
C920307NSS any GovernmentC920307NSS
: NO
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Organisation
OrganizationC920307NSS
C920307NSS Name : C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
C920307NSS
Have you ever been subjected to a criminal investigation as an accused involving moral turpitude? : NO
C920307NSS
Details
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:
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Police Station Name in Full C920307NSS C920307NSS
FIR No. C920307NSS C920307NSS C920307NSS
FIR Date Sections of LawC920307NSS

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Application Fees C920307NSS
: Rs. 0.00 C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Bank Charge : Rs. 0.00
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Processing Charge : Rs. 20.00
C920307NSS C920307NSS C920307NSS
Total Fees paid : C920307NSS
Rs. 20.00 C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS Transaction


C920307NSSID :C920307NSS C920307NSS
RSBI8248224294 C920307NSS
[ Online Payment C920307NSS
through Bill Desk ] C920307NSS C920307NSS
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Transaction Date C920307NSS
: 28/11/2019 22:31:45 C920307NSS C920307NSS C920307NSS
(Rupees Twenty only)
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

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Declaration :C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
C920307NSS
(i) I possessC920307NSS
C920307NSS all the EssentialC920307NSS
Qualifications for the Post.
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
(ii) I solemnly declare that all statements made in this application form are true, complete and correct to the best of my knowledge
and belief.
C920307NSS In the event C920307NSS
C920307NSS of any information being foundC920307NSS
C920307NSS suppressed / false or incorrect,C920307NSS
C920307NSS or if my ineligibility is detectedC920307NSS
C920307NSS before,
during or after the tests and medical examination, my candidature / appointment will stand cancelled and my claim to recruitment
will stand
C920307NSS forfeited. I alsoC920307NSS
C920307NSS declare that I have submitted no
C920307NSS other application
C920307NSS form for this C920307NSS
C920307NSS examination. C920307NSS C920307NSS
(iii) I have never been debarred from any examination conducted by any Service Commission / Recruitment Board of the Government
of WestC920307NSS
C920307NSS Bengal. C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
(iv) I have not been subjected to a criminal investigation involving moral turpitude.
C920307NSS C920307NSS
(v) I shall submit C920307NSS
the No Objection CertificateC920307NSS
from the Head C920307NSS C920307NSS
of the Office/ Disciplinary C920307NSS
Authority if shortlisted C920307NSS C920307NSS
for Personality Test.
(vi) I have carefully
C920307NSS exercisedC920307NSS
C920307NSS the language option for Final Written
C920307NSS examination
C920307NSS and shall under
C920307NSS no circumstances
C920307NSS request for change.
C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS


Place : BIRNAGAR C920307NSS C920307NSS C920307NSS
Yours faithfully,

C920307NSS C920307NSS
Date : 28 Nov 2019 22:31:45 C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS
Full signature
C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS of the candidate
C920307NSS (only inC920307NSS
C920307NSS Long Hand) C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

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C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS

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C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS C920307NSS Page


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