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    West Bengal State Electricity Distribution Company Limited (Government of west Bengal Enterprise). AFFIX RECENT PASSPORT SIZE PHOTOGRAPH Name of the Candidate (in block letters) Father's Name Mailing Address I) II) III) Name Address PIN Mobile No. Landline No. Date of Birth and Age as on 01.01.2012 Qualification Examination Passed Year Name of the Board / Institution Year of Passing % of Marks Whether belongs to SC / ST /

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    West Bengal State Electricity Distribution Company Limited (Government of west Bengal Enterprise). AFFIX RECENT PASSPORT SIZE PHOTOGRAPH Name of the Candidate (in block letters) Father's Name Mailing Address I) II) III) Name Address PIN Mobile No. Landline No. Date of Birth and Age as on 01.01.2012 Qualification Examination Passed Year Name of the Board / Institution Year of Passing % of Marks Whether belongs to SC / ST /

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    8 views1 page

    Format For TSH

    Uploaded by

    Kanchan Karmakar
    West Bengal State Electricity Distribution Company Limited (Government of west Bengal Enterprise). AFFIX RECENT PASSPORT SIZE PHOTOGRAPH Name of the Candidate (in block letters) Father's Name Mailing Address I) II) III) Name Address PIN Mobile No. Landline No. Date of Birth and Age as on 01.01.2012 Qualification Examination Passed Year Name of the Board / Institution Year of Passing % of Marks Whether belongs to SC / ST /

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    West Bengal State Electricity Distribution Company Limited

    (Government of West Bengal Enterprise)


    FORMAT FOR APPLICATION
    AFFIX RECENT PASSPORT SIZE PHOTOGRAPH

    1. 2. 3.

    Name of the Candidate (in block letters) Fathers Name Mailing Address I) II) III) Name Address PIN

    : : : : : : : : : D ay : : Month

    4. 5. 6. 7.

    Mobile No. Landline No. Date of Birth & Age as on 01.01.2012 Qualification
    Examination Passed

    Year

    Name of the Board/ Institution

    Year of Passing

    % of Marks

    8.

    Whether belongs to SC / ST / OBC (A) / OBC (B) /Physically Challenged Category Ex-Serviceman / Meritorious Sportsperson [Copy of certificate(s) to be enclosed] Language Known (Bengali/Nepali/Both) DD No.

    9.

    : : Total Amount (`)

    10. Bank Draft Details

    Bank Name

    D E C L A R A T I O N I, hereby, declare that the above particulars furnished herein are true to my knowledge. If any of my declaration and documents enclosed with the application are found to be false subsequently by the authority & if I fail to submit necessary certificates of Qualification, in that case the competent authority at any stage of recruitment may declare my application for the post as cancelled. Date: Full Signature of the Candidate

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