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    Public Service Commission, WB

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    Jewel Das
    This document is an application by Jewel Das for the West Bengal Civil Service (Executive) Examination, 2021. It provides personal details for Jewel such as name, date of birth, address, education history, and choice of language and exam center. Jewel applies for Group A, C, D positions and selects Agriculture as an optional paper.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Public Service Commission, WB

    Uploaded by

    Jewel Das
    26 views1 page
    This document is an application by Jewel Das for the West Bengal Civil Service (Executive) Examination, 2021. It provides personal details for Jewel such as name, date of birth, address, education history, and choice of language and exam center. Jewel applies for Group A, C, D positions and selects Agriculture as an optional paper.

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    Public Service Commission,WB

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    This document is an application by Jewel Das for the West Bengal Civil Service (Executive) Examination, 2021. It provides personal details for Jewel such as name, date of birth, address, education history, and choice of language and exam center. Jewel applies for Group A, C, D positions and selects Agriculture as an optional paper.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views1 page

    Public Service Commission, WB

    Uploaded by

    Jewel Das
    This document is an application by Jewel Das for the West Bengal Civil Service (Executive) Examination, 2021. It provides personal details for Jewel such as name, date of birth, address, education history, and choice of language and exam center. Jewel applies for Group A, C, D positions and selects Agriculture as an optional paper.

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    PUBLIC SERVICE COMMISSION, WEST BENGAL

    161-A,
    S. P. MUKHERJEE ROAD, KOLKATA - 700 026

    APPLICATION FOR :
    WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC. EXAMINATION, 2021, (ADVT. NO. 18/2020)

    NAME OF THE POST :


    WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC. EXAMINATION, 2021 (ADVT. NO. 18/2020)

    REGISTRATION NO:
    2100344989 PAYMENT ID: NOT APPLICABLE

    Enrollment no : WBPSC210373792

    Candidate Name : JEWEL DAS

    Father's Name : SUBHANKAR DAS

    Mothers's Name : SUFALA DAS

    Place of Birth : CHANDIPUR

    Mother tongue : BENGALI Physically Challenged : NO

    Date of Birth : 13 October, 1994 Email id: jewel13101994@gmail.com

    Sex : Male Phone No: 8972022574

    Nationality : By Birth Were you debarred previously by the No

    Category : Scheduled Castes (SC) Commission from appearing at any


    examination/selection ?:
    Sub category : NAMASUDRA

    Issue Authority : SUB DIVISIONAL OFFICER

    Issue District : Jalpaiguri

    Issue Date : 16 September, 2014

    Do you have ability to read, write and YES


    speak in Bengali :

    Whether your mother tongue is NO


    Nepali? :

    Address
    For Correspondence Permanent
    Address

    Address: VILL-DAKSHIN CHENGMARI,P.O-CHAPADANGA,P.S-MALBAZAR Address: VILL-DAKSHIN CHENGMARI,P.O-CHAPADANGA,P.S-MALBAZAR

    State: West Bengal State: West Bengal

    District: Jalpaiguri District: Jalpaiguri

    Pin: 735218 Pin: 735218

    Mobile No: 8972022574 Mobile No: 8972022574

     Academic
    Qualification (mention all the qualifications you have,
    Madhyamik or equivalent and onwards)

    Subject/ Stream/ Year Of Division/


    Standard Examination Name Name Of Board/ Council/ University Specialisation Passing Grade/Class % Remarks

    10th MADHYAMIK/SECONDARY OR EQUIVALENT WEST BENGAL BOARD OF SECONDARY ALL SUBJECTS 2014 A 68.42 PASS
    EDUCATION

    12th HIGHER SECONDARY OR EQUIVALENT WEST BENGAL COUNCIL OF HIGHER SCIENCE 2016 B+ 66 PASS
    SECONDARY EDUCATION

    GRADUATE BACHELOR'S DEGREE IN SCIENCE WITH HONOURS FROM A HEMVATI NANDAN BAHUGUNA GARHWAL AGRICULTURE 2020 FIRST 65.72 PASS
    RECOGNISED UNIVERSITY OR ITS EQUIVALENT UNIVERSITY, UTTARAKHAND

     Do you have any Research Experience?:    No

     Do you have any relevant work experience ? :


       No

    Choice of Language in Compulsory Paper I : BENGALI

     Meritorious Sportsperson

    Are you a meritorious sportsperson? : NO

     Center
    Preference

    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

    Center Name :
    JALPAIGURI

    You have applied for group  A ,


     C ,
     D and chose AGRICULTURE (12)
    as an optional paper

    I solemnly declare that:

    a. I am eligible to apply for the examination as per


    the notification.
    b. All statement made in this application are
    true,complete and correct
    c. Original documents will be produced on demand.
    d. I understand that my Application for this post is
    provisional and subject to fulfill all the eligibility
    criteria for this post. Application can be rejected if
    found to be ineligible at any point of time.

     (Please click the box if


    you are in service of Government. or Local or Statutory Body) I have informed the Head of my Office or
    Department in writing that I am applying for the
    examination

       I agree that all the information provided


    here, are correct according to my knowledge.

    Form submitted on :- 14 January, 2021 Signature uploaded by the candidate :

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