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Government of West Bengal

Application for SC/ST/OBC Certificate

Acknowledgement Slip

Application No. : SCWB23032024/7139 Date : 2024-09-26


Name : JAGAT TARA ROY
Father's Name : MUKUNDA MALAKAR
Address : CHHORA COLONY, PO: CHHORA HATTALA, PS: AUSGRAM, PURBA BARDHAMAN,
WEST BENGAL, PIN: 713152

Applied for : SC Caste: NAMASUDRA

N.B. i. Please use Application No. for further reference.


ii. Applicant is to appear for document verification/hearing voluntarily at the concerned B.D.O./S.D.O. office on 2nd or
4th Wednesday of any month within next 60 days between 12 noon and 3 PM after online submission.
iii. Applicant is to submit the computer-generated filled in application form (duly signed) alongwith copies of all
documents in support of his claim.
iv. Online application may be consider as liable for rejection if the applicant does not appear for document
verification/hearing within 60 days from the date of online submission of the application.
v. Please bring original documents for verification at the time of hearing.

This is a computer generated receipt. No official seal/signature is required.


Software developed by NIC-WBSC,Kolkata

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