PUBLIC SERVICE COMMISSION, WEST BENGAL

161-A, S. P. MUKHERJEE ROAD, KOLKATA - 700 026

APPLICATION FOR : WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC. EXAMINATION, 2021, (ADVT 18/2020)

NAME OF THE POST : WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC. EXAMINATION, 2021 (ADVT. NO. 18/2020)

REGISTRATION NO: 2100323604 PAYMENT ID: VHMP9654255027

Enrollment no : WBPSC210327312
Candidate Name : MOSTAFA GAZI
Father's Name : MAHAMMAD ALI GAZI
Mothers's Name : MARJINA
Place of Birth : West Bengal
Mother tongue : BENGALI
Physically Challenged : NO
Date of Birth : 13 October, 1992
Email id: mostafagazionline@gmail.com
Sex : Male
Phone No: 9735269128
Nationality : By Birth
Were you debarred previously by the No
Category : Backward Classes (Category B) Commission from appearing at any
Sub category : GAZI (MUSLIM) examination/selection ?:
Issue Authority : SUB DIVISIONAL OFFICER
Issue District : North 24 Parganas
Issue Date : 22 February, 2014
Do you have ability to read, write and YES
speak in Bengali :
Whether your mother tongue is Nepali? NO
:

Address For Correspondence Permanent Address

Address: Mostafa Gazi C/o Mahammad ali gazi Vill- Chak khorgachi, p.o- bhojpara, p.s- Address: Mostafa Gazi C/o Mahammad ali gazi Vill- Chak khorgachi, p.o- bhojpara, p.s-
baduria, dist- 24(n) parganas, pin- 743427 baduria, dist- 24(n) parganas, pin- 743427

state West Bengal state West Bengal

District: North 24 Parganas District: North 24 Parganas

Pin: 743427 Pin: 743427

Mobile No: 9735269128 Mobile No: 9735269128

 Academic Qualification (mention all the qualifications you have, Madhyamik or equivalent and onwards)

Subject/ Stream/ Year Of Division/

Standard Examination Name Name Of Board/ Council/ University Specialisation Passing Grade/Class % Remarks

10th MADHYAMIK/SECONDARY OR EQUIVALENT WEST BENGAL BOARD OF SECONDARY ALL SUBJECTS 2008 FIRST 65.75
EDUCATION

12th HIGHER SECONDARY OR EQUIVALENT WEST BENGAL COUNCIL OF HIGHER ARTS / HUMANITIES 2010 FIRST 67.4
SECONDARY EDUCATION

GRADUATE BACHELORS DEGREE IN ARTS (MAJOR) FROM A RECOGNISED WEST BENGAL STATE UNIVERSITY ENGLISH 2013 PASS(P) 36.79
UNIVERSITY OR ITS EQUIVALENT

 Do you have any Research Experience?:    No

 Do you have any relevant work experience ? :    No

  Choice of Language in Compulsory Paper I : BENGALI

 Meritorious Sportsperson

Are you a meritorious sportsperson? : NO

 Center Preference

Whether you are a person from any hill sub-division of darjeeling district (viz. Darjeeling sadar, mirik and kurseong)/kalimpong district (viz. Kalimpong sadar).. : NO

Center Name : BARASAT

  You have applied for group  A ,  C ,  D   and chose ANTHROPOLOGY (14) as an optional paper

I solemnly declare that:

a. I am eligible to apply for the examination as per the notification.

b. All statement made in this application are true,complete and correct
c. Original documents will be produced on demand.
d. I understand that my Application for this post is provisional and subject to fulfill all the eligibility criteria for this post. Application can be rejected if found to be ineligible at any point of time.

   I have informed the Head of my Office or Department in writing that i am applying for the examination (Please click the box if you are in service of Government. or Local or Statutory Body)

   I agree that all the information provided here, are correct according to my knowledge.

Date :- 13 January, 2021 Signature uploaded by the candidate :