APPLICATION FORM FOR THE POST...................................

To
The Chief Executive Officer
Bio-chemic Education Grant Commission Govt. of India.
Bakshi Lane ,Bowbazar,P.O-Krishnagar,Dist-Nadia,W.B Pin-741101
PHOTO

1.Applicant Name (In Block)

2.Father`s /Husband /Guardian Name:

ATTACH

3.Present Address:...........................................................................................
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M/F/O
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4.Permanent Address:.......................................................................................
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5.Date of birth:...................................................................................................
6.Qualification:.................................................................................................
Exam Pass Year Board/Council/University
Full Marks
Percentage
Or Grade

7.Extra Qualification:(Authority permission)

8.Cast:
9.Nationality
10.Administration fee S.C/S.T/O.B.C, Rs=100/- And General Rs=200/11.Demand Draft will be drawn favour of BIO-CHEMIC EDUCATION GRANT COMMISSION GOVT.OF INDIA
Branch : Krishnagar, Dist : Nadia, W.B. ( Any Nationalised banks)

12. Attach Xerox copy of all documents and Original Residential Certificate.
13.Email ID and Mob No.
I do hereby declare that the above particular are true and correct to the best of my knowledge and belief.
Date:
Place:

Signature of the Candidate