APPLICATION FOR THE POST OF CIVIL DEFENCE VOLUNTEER

PURBA BARDHAMAN 2017

BIODATA DETAILS

1. NAME :- NIRUPAM PONDA

2. FATHER NAME:- ASHOK KUMAR PONDA

3. DATE OF BIRTH:- 01/ 07/ 1987

4:- EDUCATIONAL PASSED YEAR OF TOTAL %

PASSING MARKS
QUALIFICATION

H.S 2004 438 43.8%

5. ADDRESS(PIN CODE):- VILL:- DAINHAT GANESH JANANI TALA

P.O:- DAINHAT
P.S:- KATWA

DIST:- BURDWAN

PIN:- 713502

STATE:- W.B

6:- DETAIL OF CIVIL DEFENCE TRAINING:- ‘NA’

7:- CONTACT NO:- 9609976693

DATE:- SIGNATURE