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Office Of The Child Development Project Officer, Cooch Behar

PRINTED APPLICATION FORM FOR RECRUITMENT OF ANGANWARI WORKER / HELPER,IN DIFFERENT BLOCK OF COOCH BEHAR

**SUBMISSION OF MORE THAN ONE APPLICATION FOR A SINGLE POST IS STRICTLY FORBIDDEN. THE CANDIDATURE OF A CANDIDATE WHO SUBMITS MORE THAN ONE

APPLICATION FOR A SINGLE POST FOR ADMISSION TO THE EXAMINATION, WILL BE CANCELLED EVEN IF SHE IS ADMITTED TO THE SAME.

** A CANDIDATE SHOULD NOTE THAT HER ADMISSION TO THE EXAMINATION WILL BE DEEMED PROVISIONAL SUBJECT TO DETERMINATION OF HER ELIGIBILITY IN ALL

RESPECTS. IF AT ANY STAGE EVEN AFTER ISSUE OF THE LETTER OF APPOINTMENT A CANDIDATE IS FOUND INELIGIBLE FOR ADMISSION TO THIS EXAMINATION, HER

CANDIDATURE WILL BE CANCELLED WITHOUT FURTHER REFERENCE TO HER.

** ALL DATES MENTIONED IN APPLICATION BELOW ARE IN DD/MM/YYYY FORMAT ONLY

REGISTRATION NO post1/002241

CANDIDATES PICTURE

POST APPLIED FOR ANGANWARI WORKER

APPLIED FOR ICDS PROJECT

GRAM PANCHAYAT Chilakhana-II

NAME OF THE CANDIDATE RUMPA DEY

FATHER`S / HUSBAND`S NAME AKUL BISWAS

MOTHER NAME DAILPANA DEY

CATEGORY UR

GENDER FEMALE

YOU HAVE

NATIONALITY CITIZEN OF INDIA AS DEFINED IN PART-II OF THE CONSTITUTION OF INDIA

DATE OF BIRTH 12/03/1996

AGE 27 Years

MOBILE NO +918101880672

EMAIL

AADHAR NUMBER 978462892797

PRESENT ADDRESS
VILLAGE / ROAD / TOWN JAIGIR CHILAKHANA

BLOCK / MUNICIPALITY TUFANGANJ I


CORPORATION

POST OFFICE JAIGIR CHILAKHANA

POLICE STATION TUFANGANJ

DISTRICT Cooch Behar

STATE West Bengal

PIN 736159

PERMANENT ADDRESS

VILLAGE / ROAD / TOWN JAIGIR CHILAKHANA

BLOCK / MUNICIPALITY TUFANGANJ I


CORPORATION

POST OFFICE JAIGIR CHILAKHANA

POLICE STATION TUFANGANJ

DISTRICT Cooch Behar

STATE West Bengal

PIN 736159

EDUCATIONAL QUALIFICATION
YEAR OF FULL MARKS TOTAL MARKS
EXAMINATION NAME BOARD/COUNCIL/UNIVERSITY STREAM OR SUBJECTS % OF MARKS
PASSING OF EXAM. OBTAINED

MADHYAMIK OR ITS EQUIVALENT EXAMINATION WBBSE BENGALI,ENGLISH,MATH,PHYSICAL


SCIENCE,LIFE SCIENCE,HISTORY,GEOGRAPHY
41.71 2012 700 292

HIGHER SECONDARY WBCHSE BNGA,ENGB,POLS,PHIL,SNSK,HIST,ENVE

34.80 2014 500 174

DECLARATION
I HAVE GONE THROUGH THE NOTICE AVAILABLE IN THE WEBSITE AND FILLED IN APPLICATION FORM ACCORDINGLY. I HEREBY DECLARE THAT ALL THE STATEMENTS MADE

BY ME IN THE APPLICATION FORM ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND NOTHING HAS BEEN CONCEALED OR SUPPRESSED. I ALSO

DECLARE, I HAVE GONE THROUGH THE INSTRUCTIONS NOTED AND ENTERED INFORMATION AS PER INSTRUCTION. I ALSO UNDERSTAND THAT IN CASE, ANY OF MY

STATEMENTS IS FOUND INCORRECT OR FALSE DURING ANY STAGE OF RECRUITMENT OR THEREAFTER, I SHALL BE DISQUALIFIED FOR THE POST APPLIED FOR AND I SHALL

ALSO BE LIABLE FOR ANY OTHER PENAL ACTION UNDER THE EXISTING RULES WITHOUT FURTHER INTIMATION.

SIGNATURE

DATE 30/03/2023

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