Application for Temporary Additional Data Entry Operator on contractual hiring basis under the Food & ‘Supplies Deptt. in the District of Nadia, z G.O. No, 3575 — FS /O/Sectt./T-05/2014 (Part — 1) Dt: 08.10.2021 1 } | i f 1. Applicant’s Name in Full Paste self tested GeEIece ster) resent passport 2. Father / Mother / Husband’s Name serra 3. Residential Address | a, Present Address b, Permanent Address 4. Gender 5, Marital Status 6. Caste (SC/ST/OBC/PH) : 7. Religion 8. Date of Birth (as on 01.01.2022) 9. Aadhar Card No 10. Voter Card No 11, Mobile No (with STD Code) 12. Whatsapp No 13. E Mail Id 14, Educational Qualification Result?) % Of Marks [Nameor | Yearof | Board/ | Total Marks | Division Examination/ | Passing University Exam Passed ‘Secondary Higher Secondary | s | Graduation | 13 : 15. Certificate of Computer Course 16, Experience (if any) Ido hereby undertake that the particulars furnished by me in the application form are true, correct and complete to the best of my knowledge and belief. If any of the particulars is found to be false or incorrect or wrong, my candidature will be cancelled forthwith without assigning any reason thereof. Full Signature of Applicant Date: Place: Ba |. Self Attested photocopies of certificate regarding age proof, Address proof, Mark sheet & Certificate against Educational Qualification (secondary onwards), Computer Certificate, Voter Card, Aadhar Card, Caste Certificate, PH Certificate (if any) must be attached with the applica 2, Last date for submission of application is 17.02.2022. 3. All fields in the above application are mandatory.