Application Form For Appointment To The Post of Gram Panchayat Secretary Under Purba Medinipur District

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12/22/2016

Application No.:
PMD0046051101

Application Form For Appointment to the post of Gram Panchayat
Secretary under Purba Medinipur District
 
Advertisement Reference No.: 09/PRD/XXIII­04/2016, DATE : 07/12/2016

1. Name: NANDAN NAYEK 2. Post applied for: Gram Panchayat Secretary


3. Sex: Male 4. Category: UR
5. Physically Challenged : No 6. Date of Birth: 15/03/1995
7. Father's Name: HARIPADA NAYEK 8. Exempted Category: No
9. Mother's Name: REKHA RANI NAYEK 10. Email: nandannayek1@gmail.com
11. Mobile: 7407203446
12. Communication Address:
Street/Area: VILL­CHAKCHANDI ,P.O­PINDRUI ,P.S­ Block/Municipality: PINGLA
PINGLA , DIST­PASCHIM MEDINIPUR
Post Office: PINDRUI District: PASCHIM MEDINIPUR
PIN/ZIP code: 721131 State: WEST BENGAL
Country: INDIA    

13. Permanent Address:
Street/Area: VILL­CHAKCHANDI ,P.O­PINDRUI ,P.S­ Block/Municipality: PINGLA
PINGLA , DIST­PASCHIM MEDINIPUR
Post Office: PINDRUI District: PASCHIM MEDINIPUR
PIN/ZIP code: 721131 State: WEST BENGAL
Country: INDIA    
14. Essential/Desirable Qualification:
Examination Passed Board/ University Year of Passing Class/Division Percentage/CGPA
Madhyamik / 10 th or equivalent West Bengal Board of Secondary
2011 2ND 38
Education, Calcutta
Any other If Any

DECLARATION:

I declare that the above information entered by me are true, complete and correct. I shall produce all testimonials in original as and when ask
for, to the authority. I agree to abide by all the rules framed by District Level Selection Committee, Purba Medinipur throughout the process
of recruitment.
 
Date: 22/12/2016 08:11:03 PM
Place: Purba Medinipur

(Signature of the applicant)

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