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    Copyright:

    © All Rights Reserved
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    24 views2 pages

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    Uploaded by

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    of 2

    Applicant Details

    Salutation First Name Middle Name Last Name


    Mrs. Muskan Khatun Molla
    Date Of Birth Age Gender Date of Application
    27-JULY-2007 17 Female 29-AUGUST-2024
    Mobile Number Email Aadhaar Pan
    7718205027 [email protected] NA NA

    Applicant Present Address

    Country State District Sub Division


    India West Bengal Purba Bardhaman Burdwan Sadar(South)
    Block/Municipality/Municipal Block/Municipality/Municipal
    Rural or Urban Village Ward
    Corporation Corporation Name
    R Sahhosenpur
    B Jamalpur
    Police Station Post Office Address Line 1 Address Line 2

    .0
    Jamalpur Sah Hossainpur BO t2Krishnarampur Sahahossainpur
    Pincode
    713408
    ic
    Applicant Permanent Address

    Same Address As Country State District


    tr

    Present Address India West Bengal Purba Bardhaman


    is

    Block/Municipality/Municipal Block/Municipality/Municipal
    Sub Division Rural or Urban
    Corporation Corporation Name
    Burdwan Sadar(South) R
    D

    B Jamalpur
    Village Ward Police Station Post Office Address Line 1
    e-

    Sahhosenpur Jamalpur Sah Hossainpur BO Krishnarampur


    Address Line 2 Pincode
    Sahahossainpur 713408

    Minor/Student and Special Case Details

    Applicant is Minor/Student Special case


    YES Not Applicable

    Family/Guardian Details

    Relationship Salutation First Name Middle Name Last Name

    Father Mr. Sukur Ali Molla

    Income Details

    Generated on : 2024-08-29T06:50:33.127

    P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
    maintained by TATA Consultancy Services Ltd.
    Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen
    Annual Income(Only for old
    Monthly Income Business Details Reason for Application
    application data)
    7500 Farmer Other
    NA
    Other Reason
    Scholarship

    .0
    t2
    ic
    tr
    is
    D
    e-

    Generated on : 2024-08-29T06:50:33.166

    P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
    maintained by TATA Consultancy Services Ltd.
    Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen

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