West Bengal State Electricity Distribution Company Limited

(Acknowledgement Slip for Recruitment of JR Executive (Finance) / Office Executive)

Post Applied for:

Registration No:

Candidate's Name:

Father Name:

Date of Birth:

Category:

Gender:

Sr. No. Exam Name Board / University Year of Passing Percentage of Marks

1.

2

Mobile: Email ID:

Address for Communication:

Ex Servicemen:

Physically Challenged: Nature of Physically Challenged:

EDUCATIONAL QUALIFICATION:

Registration Date:

Marital Status: Nationality:

Computer Course:

Mother Name:

Domicile State:

Qualification:

Page 1 of 2

Sub Category:

526321

ANITA SINGH

gopal20202@gmail.com

GOPAL SINGH

115, DUTTABAD ROAD, NORTH 24 PARGANAS, West Bengal - 700064

KURMI

OBC-B

INDIANUnmarried

State of Caste Certificate: Govt. of West Bengal

09748650585

Greater than 40% Disability

2014GRADUATION

N.A.

Date of Issue: 28/07/2011

Full time Bachelor Degree in any stream with Computer Application / Computer Science as a Pass Subject

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West Bengal

Office Executive

526321

67.6

Orthopedically Challenged(OC)

BIMAL SINGH

WBCHSE

56.57

Male

BESU SHIBPUR

2009

No

12/05/1992

CLASS XII

List of Enclosures

(a) Proof of Date of Birth (Matriculation Certificate)

(b) Computer Course Certificate

(c) Educational Qualification certificates

(d) Caste certificates , If applicable

(e) PWD Certificates, If applicable

(f) Ex- Serviceman Certificate Issued by the Competent Authority and Discharge certificate should also be enclosed

(g) Experience Certificate, If any

(h) If employed, no objection certificate (In original)

(i) Copy of bank challan, if applicable.

All the documents mentioned at SL. NO. (a) to (g) must be self-attestation as laid down by Govt. of West Bengal.

DECLARATION

I hereby declare that I full fill all the condition of eligibility criteria laid down in the advertisement for the post and all the statements made in the application are true, complete

and correct to the best of my knowledge and belief. In the event of may information being found false/incorrect or ineligibility being detected before or after the written Test/

Interviews, my candidature will stand automatically cancelled

Place Signature of the candidate in running hand

Date: (*) Unsigned applications will be summarily rejected

LEFT THUMB IMPRESSION:

Please send your registration slip with all documents to: "POST BAG NO 781, CIRCUS AVENUE POST OFFICE , KOLKATA - 700017"

Form Print Date:

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Registration No: 526321

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