WEST BENGAL HEALTH RECRUITMENT BOARD  

BENFISH TOWER (1st & 2nd Floor), GN 31 , Sector-V , Salt Lake , Kolkata - 700091

ACKNOWLEDGMENT SLIP

FACILITY MANAGER,
APPLIED POST : R/F.MGR./62(1)/2019
GRADE III

REGISTRATION NO : 1253886

CANDIDATE NAME : KAPILDEV MANDAL

LAKSHMI NARAYAN
FATHER'S NAME :
MANDAL

MOTHER'S NAME : JHARNA MANDAL

CATEGORY : UR

DATE OF BIRTH : 20 FEBRUARY 1998

GENDER : MALE EMAIL ID : KAPILDEVMANDAL007@GMAIL.COM

MARITAL STATUS : UNMARRIED MOBILE : 6296771212

REGISTRATION
DOMICILE STATE : WEST BENGAL : 25 february 2019
DATE

PHYSICALLY CHALLENGED : NO

VILL+P.O-SENERA,P.S-
RAGHUNATHPUR,DIST-
ADDRESS :
PURULIA, WEST BENGAL,
723121
EDUCATIONAL QUALIFICATION
Qualification Full Marks Marks Obtain Percentage of Marks Year of Passing

H.S (10+2) OR EQUIVALENT 500.00 421.00 84.20 2015

Degree in Science 1400.00 852.00 60.86 2018

                                                                                                                DECLARATION

  I hereby declare that I fulfil all the condition of eligibility criteria laid down in the advertisement for the post and all the statements made in
the application are true,complete and correct to the best of my knowledge and belief In the event of may information being found
false/incorrect or ineligibility being detected before or after the written Test/interview, my candidature will stand automatically cancelled

  Form Print date : 25 February 2019 06:34:39 PM

   Place:

  All Information given by the candidate, content not verified

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