WEST BENGAL STATE COUNCIL OF TECHNICAL &

VOCATIONAL EDUCATION AND SKILL DEVELOPMENT

Karigari Bhavan, 4th Floor, Plot No. B/7, Action Area-III, Newtown, Rajarhat, Kolkata–700160

To
The Officer on Special Duty (Registration)
WEST BENGAL STATE COUNCIL OF TECHNICAL
& VOCATIONAL EDUCATION & SKILL DEVELOPMENT
(Technical Education Division)
Karigari Bhavan, 4th Floor, Plot No. B/7, Action Area-III
Newtown, Rajarhat, Kolkata–700160
Sir/Madam,
I hereby apply for registering myself as a student of WEST BENGAL STATE COUNCIL OF
TECHNICAL & VOCATIONAL EDUCATION AND SKILL DEVELOPMENT during the
Academic Session 2021-2022. Following particulars relating to myself are true to the best of
my knowledge and belief.
Admission Type: Admitted in 2nd Year Class through Direct / Decentralized Admission
Applicant Name: SHAILEN MAJI
User ID / Registration Application Form Number:
Aadhar No: 824699348184
M202108958
Father's Name: MANIK CHANDRA MAJI Mother's Name: RUPALI MAJI
DOB: 15-06-1996 Caste: OBC-B Religion: HINDU Nationality: Indian
Gender: Male Physically Challenged: NO Ex-Serviceman: NO
Email: Mobile No: 9122058086
Address: VILL+PO- KESHARKURAL DHANBAD Pin: 828204
State: Jharkhand Home District: DHANBAD
Secondary Board: Jharkhand Academic Council, Ranchi Secondary Year: 2011
Secondary School: HIGH SCHOOL MUGMA DHANBAD District: DHANBAD
Secondary Subject Marks Obtained Full Marks
Mathematics 85 100
Physical Science / Science 51 100
English 51 100
Aggregate Percentage of Marks in Madhyamik / Equivalent Exam: 62%
HS / HS (Vocational) / ITI (2 Years) / Equivalent Exam Details :-
Board: NCVT Year: 2016 Stream: ELECTRICIAN Reg. No: 1620412832
Aggregate Percentage of HS / HS (Vocational)/ ITI (2 Years)/ Equivalent Exam: 81.48%

Institute: BCARE INSTITUTE OF MANAGEMENT & TECHNOLOGY ( BIM )

Department: ELECTRICAL ENGINEERING ( EE )
Money Receipt Towards Payment of Registration Fee for Academic Session 2021-2022
Amount: 700/- (Including Seat Booking Fee) Transaction Number: 220219114356439-1250005
Payment Mode: UPI_ICICI Transaction Date & Time: 19-02-2022 23:14:16

________________________________________ ________________________________________________
Full Signature of Student with date Full Signature of Guardian with date

_________________________________________________________
Signature of Head of the Institute
Checked and Forwarded by

Seal___________________________________