AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

WEST BENGAL POLICE RECRUITMENT BOARD
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
APPLICATION FORM FOR THE POST OF WARDER / FEMALE WARDER, CORRECTIONAL SERVICES 2019
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
615A8366383A1ACAF49CF51F26D7BE2A08E32EE417AD82D192C0F83D91860595
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

60605329MG940810A
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Application AG940810NR
Sl. No. 60605329

AG940810NR
To AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
The Chairman
AG940810NR
West BengalAG940810NR AG940810NR
Police Recruitment Board AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
POLICE RECORDS BHAVAN, ARAKSHA BHAVAN, BLOCK -DJ , SECTOR -II,
SALTLAKE, KOLKATA-700091
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Sir,
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
I hereby apply for the post of Warder / Female Warder, Correctional Services 2019. Necessary particulars
are furnished
AG940810NR below:-
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR
Post appliedAG940810NR
for AG940810NR AG940810NR
: Warder / Female AG940810NR
Warder, Correctional AG940810NR
Services 2019 AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

Name in FullAG940810NR AG940810NR
AG940810NR : ANUPAM SARKAR
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Gender : Male Category : UR Date of Birth : 10/08/1994
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Father's Name : ANIL SARKAR Mother's Name : SABITA SARKAR
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Marital Status : Un-Married Husband Name :
AG940810NR AG940810NR AG940810NR
Computer Literacy : Yes AG940810NR
Name ofAG940810NR
Computer CouseAG940810NR
Name : AG940810NR AG940810NR AG940810NR
DIPLOMA IN INFORMATION
TECHNOLOGY APPLICATION
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Certificate Issuing Authority : YOUTH COMPUTER TRAINING CENTRE Course Duration (In Months) : 12
AG940810NR
Ex-Srv AG940810NR AG940810NR AG940810NR
: Not Applicable AG940810NR
Service AG940810NR
Experience Details : YearAG940810NR
Month AG940810NR
Days AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR00AG940810NR

00 AG940810NR
00 AG940810NR
Mobile : 9038823149 Email : anupamsarkar186@gmail.com
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Complete Mailing Address :
AG940810NR AG940810NR AG940810NR AG940810NR
193 GORKHARA AG940810NR
ROAD, SONARPUR, AG940810NR
SOUTH 24 AG940810NR AG940810NR AG940810NR
PARGANAS, 700150
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
PO : SONARPUR

POLICE STATION
AG940810NR AG940810NR AG940810NR : SONARPUR
AG940810NR PS
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
DISTRICT : SOUTH
AG940810NR AG940810NR AG940810NR 24 PARGANAS
AG940810NR PIN : 700150
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
STATE : WEST
AG940810NR AG940810NR AG940810NR BENGAL
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
NEAREST RAILWAY
AG940810NR AG940810NR AG940810NR STATIONAG940810NR
AG940810NR : SONARPUR JNAG940810NR
(SPR) AG940810NR AG940810NR AG940810NR
Permanent Address :
193 GORKHARA
AG940810NR AG940810NR AG940810NR ROAD, SONARPUR,
AG940810NR SOUTH 24
AG940810NR PARGANAS, 700150
AG940810NR AG940810NR AG940810NR AG940810NR
PO : SONARPUR
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
POLICE STATION : SONARPUR PS
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
DISTRICT : SOUTH 24 PARGANAS PIN : 700150
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
STATE : WEST BENGAL
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
NEAREST RAILWAY STATION : SONARPUR JN (SPR)
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Educational Qualification : Class X Pass : Yes
AG940810NR AG940810NR
Name of Examination AG940810NR AG940810NR
Year of Passing (YYYY) AG940810NRName
AG940810NR
of the BoardAG940810NR AG940810NR AG940810NR
/ Council / University
Madhyamik 2012 WEST BENGAL BOARD OF SECONDARY EDUCATION
(Class X) AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
AG940810NR AG940810NR
Higher Secondary (10+2) 2014 WEST BENGAL COUNCIL OF HIGHER SECONDARY EDUCATION
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
2017
AG940810NR AG940810NR AG940810NR
UNIVERSITY OF CALCUTTA
Graduation
AG940810NR
Post AG940810NR
Graduation AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

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 AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR
Application AG940810NR
Sl. No. 60605329AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
60605329MG940810B
Name : ANUPAM 615A8366383A1ACAF49CF51F26D7BE2A08E32EE417AD82D192C0F83D91860595
SARKAR AG940810NR AG940810NR AG940810NR
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

Do you belong to exempted category? : NO Registration & NCO No. issued by the
AG940810NR AG940810NR AG940810NR AG940810NRlabour department, Govt.
AG940810NR of W.B. :
AG940810NR AG940810NR AG940810NR AG940810NR
Your Community : Religion : HINDUISM
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Employed in any Government : NO Organization Name :
OrganisationAG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
AG940810NR
Have you ever been subjected to a criminal : NO
AG940810NR AG940810NR
investigation as AG940810NR
an accused involving moral AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
turpitude?
AG940810NR
Details AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR: AG940810NR

AG940810NR AG940810NR
Police Station AG940810NR
Name in Full AG940810NR AG940810NR
FIR No. AG940810NR AG940810NR AG940810NR
FIR Date Sections of LawAG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR
Application AG940810NR
Fees AG940810NR AG940810NR
: Rs. 200.00 AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Bank Charge : Rs. 0.00
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Processing Charge : Rs. 20.00
AG940810NR AG940810NR AG940810NR
Total Fees paid AG940810NR
: Rs. 220.00 AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR Transaction

AG940810NR ID :AG940810NR
QHMP7307759967 [ Online AG940810NR
AG940810NR Payment through Bill Desk ] AG940810NR AG940810NR
AG940810NR
Transaction Date
AG940810NR AG940810NR AG940810NR AG940810NR : 10/03/2019
AG940810NR 12:45:20 AG940810NR AG940810NR AG940810NR
AG940810NR
(Rupees Two Hundred Twenty only)
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

Declaration :
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
(i) I possess all the Essential Qualifications for the Post.
AG940810NR AG940810NR
(ii) I solemnly declare that AG940810NR AG940810NR
all statements made AG940810NR
in this application form areAG940810NR
true, complete AG940810NR AG940810NR
and correct to the AG940810NR
best of my knowledge
and belief. In the event of any information being found suppressed / false or incorrect, or if my ineligibility is detected before,
during or
AG940810NR after the testsAG940810NR
AG940810NR and medical examination,
AG940810NR my candidature
AG940810NR / appointment will stand
AG940810NR cancelled andAG940810NR
AG940810NR my claim to recruitment
AG940810NR
will stand forfeited. I also declare that I have submitted no other application form for this examination.
AG940810NR AG940810NR
(iii) I have never been debarredAG940810NR AG940810NR
from any examination AG940810NR
conducted AG940810NR
by any Service CommissionAG940810NR AG940810NR
/ Recruitment Board AG940810NR
of the Government
of West Bengal.
AG940810NR AG940810NR
(iv) I have not been subjected AG940810NR AG940810NR
to a criminal investigation AG940810NR
involving AG940810NR AG940810NR AG940810NR AG940810NR
moral turpitude.
(v) I shall submit the No Objection Certificate from the Head of the Office/ Disciplinary Authority if shortlisted for Personality Test.
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR
Place : SONARPUR
AG940810NR Yours faithfully,
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR
Date : 10 Mar 2019 12:45:20AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

Full signature of the candidate (only in Long Hand)
AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR AG940810NR

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