PUBLIC SERVICE COMMISSION, WEST BENGAL

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

APPLICATION FOR :
WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC. EXAMINATION, 2022, (ADVT. NO. 02/2022)

NAME OF THE POST :

WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC.

REGISTRATION NO:
2200710152 PAYMENT ID: WHMP1030503468

Enrollment no : WBPSC220594434

Candidate Name : CHANDRA SUDIP NARAYAN SHARMA

Father's Name : ANANTA CHANDRA SEKHAR SHARMA

Mothers's Name : SUCHHANDA SHARMA

Place of Birth : KRISHNANAGAR

Mother tongue : BENGALI

Date of Birth : 30 May, 1997 Are you a person with benchmark disability NO
(PWD) :
Sex : Male
Email id: sudipchs@gmail.com
Nationality : Indian By Birth
Phone No: 7076550661
Category : General
Were you debarred previously by the No
Do you have ability to read, write and YES
Commission from appearing at any
speak in Bengali :
examination/selection ?:
Whether your mother tongue is NO
Nepali? :

Address
For Correspondence Permanent
Address

Address: Sree durga colony, Krishnagar, nadia Address: Ghurni gowala para lane, Krishnagar

State: West Bengal State: West Bengal

District: Nadia District: Nadia

Pin: 741101 Pin: 741103

Mobile No: 7908802641 Mobile No: 7076550661

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

Subject/
Stream/ Year Of
Standard Examination Name Name Of Board/ Council/ University Specialisation Passing Division/ Grade/Class % Remarks

10th MADHYAMIK/SECONDARY OR EQUIVALENT COUNCIL FOR THE INDIAN SCHOOL ALL SUBJECTS 2014 60% AND ABOVE (IF 60.83
CERTIFICATE EXAMINATIONS, NEW CLASS/DIVISION NOT
DELHI AWARDED)

12th HIGHER SECONDARY OR EQUIVALENT COUNCIL FOR THE INDIAN SCHOOL COMMERCE 2016 NOT APPLICABLE 58.83
CERTIFICATE EXAMINATIONS, NEW
DELHI

GRADUATE BACHELORS DEGREE IN COMMERCE (MAJOR) FROM UNIVERSITY OF CALCUTTA MARKETING 2019 SECOND 47.44
A RECOGNISED 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

 Height (in centimetres): 176

 Do you claim relaxation in height? : No

 Meritorious Sportsperson

Are you a meritorious sportsperson? : NO

Any
Other Information :

 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 :
KRISHNANAGAR

You have applied for group  A ,

 B ,
 C ,
 D and chose GEOGRAPHY (22)
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.

 (Please click the box if

you are in service of Government. or Local or Statutory Body) I have informed the Head of my Office or
Department in writing that I am applying for the
examination

   I agree that all the information provided

here, are correct according to my knowledge.

Form submitted on :- 04 April, 2022 Signature uploaded by the candidate :