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WEST BENGAL STATE COUNCIL OF TECHNICAL & VOCATIONAL EDUCATION & SKILL

DEVELOPMENT
(A Statutory Body under Government of West Bengal Act XXVI of 2013)
Technical Education Division
[Erstwhile West Bengal State Council of Technical Education]
APPLICATION FORM FOR JEXPO - 2021
Joint Entrance Examination for Admission to Diploma Institutes (Engineering & Technology, Architecture) in West Bengal
for the Academic Session 2021-2022
Application Form No : 1045621
Name of Applicant : SUKALYAN NATH
Mobile No : 8777795197 Email ID : sukalyannath2005@gmail.com
Guardian: FATHER Guardian's name: SUKUMAR NATH
Gender : MALE
Nationality : INDIAN State of Origin : WEST BENGAL
Catagory : OBC-B
Physically Challenged (Handicapped) : NO | Religion : HINDU
Date Of Birth : 26-10-2005 Aadhar No : 533093781246
Land Loser : NO
Whether seeking admission under Tution Fee Waiver Scheme : NO
Whether Ward of Ex-Serviceman : NO
Choices of Examination Zone
First Choice : NORTH 24 PARGANAS (14) Second Choice : HOOGHLY (16)
Roll Number of Madhyamik or Equivalent Examination : 809421N0180
District of the school from where passed/appeared Madhyamik or Equivalent Examination : NORTH 24 PARGANAS
Board/Council of Madhyamik or Equivalent Examination : West Bengal Board of Secondary Education
Year of Passing/Appearing of Madhyamik or Equivalent Examination : 2021
Address Information
Address : VILLAGE- DEVOKE, POST-MAMUDPUR,
Sub-Division : BARRACKPUR-1 District: NORTH 24 PARGANAS
State : WEST BENGAL PIN Code : 743166
Payment Details
Transaction Date & Time : 2021-07-27 17:46:50.0
Transaction Number : 21072799967956-953530
Transaction Amount : Rs. 450
Payment Status : Application Form Fees successfully paid.
This Application Form has to be preserved by the candidate till completion of admission process.
This Application Form is not required to be submitted to any Polytechnic.

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