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Registration: Middle Name (Optional) Last Name First Name

This document contains personal details for registration including name, date of birth, gender, address, contact information, education qualifications, and security details for Surajit Dutta Banik, who was born on January 7th 1988 in West Bengal, India. It lists his father as Subhas Banik, mother as Supriya Dutta Banik, and grand father as Dutta. His permanent address is in Hijalpukuria, West Bengal and he has a Bachelors degree in B.Sc. (Hons.).

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Sudipto Roy
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47 views1 page

Registration: Middle Name (Optional) Last Name First Name

This document contains personal details for registration including name, date of birth, gender, address, contact information, education qualifications, and security details for Surajit Dutta Banik, who was born on January 7th 1988 in West Bengal, India. It lists his father as Subhas Banik, mother as Supriya Dutta Banik, and grand father as Dutta. His permanent address is in Hijalpukuria, West Bengal and he has a Bachelors degree in B.Sc. (Hons.).

Uploaded by

Sudipto Roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Registration

Personal Details
Name
Date of Birth
Epic No. Your Gender
(as recorded in Madhyamik or equivalent examination certificate)
Place of Birth
Father's Name
Caste Category
SURAJIT DUTTA BANIK
07/01/1988
SUBHAS BANIK
MALE
GENERAL
WEST BENGAL NORTH 24 PARGANAS HABRA
Mother's Name
Address Line 1 Address Line 2
State
Police Station
District
Permanent Address
Email Mobile No.
VILL- HIJALPUKURIA STREET-VIDYASAGAR ROAD
WEST BENGAL NORTH 24 PARGANAS
08436186940 [email protected]
Contact Details
Qualification Details
Academic Degree of
Specialised Field of Qualification
Additional Qualification
Professional Experience
Security
Last School Attended
Grand Father's Name
SUPRIYA DUTTA BANIK
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Are you an Indian
Post Office
Pin Code
HABRA
743271
HIJALPUKURIA
BACHELORS
B.SC. (Hons.)

Yes
DUTTA
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Middle Name (Optional) Last Name First Name
Last Name Middle Name (Optional) First Name
Middle Name (Optional) Maiden Surname First Name
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