Rumpa Dey Photo
Rumpa Dey Photo
Rumpa Dey Photo
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
REGISTRATION NO post1/002241
CANDIDATES PICTURE
CATEGORY UR
GENDER FEMALE
YOU HAVE
AGE 27 Years
MOBILE NO +918101880672
PRESENT ADDRESS
VILLAGE / ROAD / TOWN JAIGIR CHILAKHANA
PIN 736159
PERMANENT ADDRESS
PIN 736159
EDUCATIONAL QUALIFICATION
YEAR OF FULL MARKS TOTAL MARKS
EXAMINATION NAME BOARD/COUNCIL/UNIVERSITY STREAM OR SUBJECTS % OF MARKS
PASSING OF EXAM. OBTAINED
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