PUBLIC SERVICE COMMISSION, WEST BENGAL

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

APPLICATION FOR : (ADVT. NO. 01/2023) WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC. EXAMINATION, 2023, (ADVT. NO. 01/2023)

NAME OF THE POST : WEST BENGAL CIVIL SERVICE (EXECUTIVE) ETC.

CAUTION
A candidate must consult the " Advertisement " and "Scheme & Syllabus" available with the advt. in the Commission's website and fill in the application correctly. APPLICATIONS ONCE SUBMITTED MAY BE TREATED AS FINAL (AFTER CLOSURE OF "EDIT
WINDOW".

REGISTRATION NO: 2300905661 PAYMENT ID: YHMP1772808541

Enrollment no : WBPSC210208221

Candidate Name : ATREYEE KHANRA

Father's Name : KASHI NATH KHANRA

Mothers's Name : SADHANA KHANRA

Place of Birth : west bengal

Mother tongue : BENGALI

Date of Birth : 28 April, 1990

Are you a Person with Benchmark Disability NO
Sex : Female
(PwBD)? :
Nationality : Indian By Birth
Email id: atreyee.khanra20@gmail.com
Category : General
Phone No: 9903971015
Do you have ability to read, write and YES
Were you debarred previously by the No
speak in Bengali :
Commission from appearing at any
Whether your mother tongue is Nepali? NO examination/selection ?:
:
Meritorious Sportsperson : No

Race Name :

Address For Correspondence Permanent Address

Address: VILL-BAWALI, PO-BAWALI, PS-NODAKHALI, LANDMARK- MAHESWARPUR Address: VILL-BAWALI, PO-BAWALI, PS-NODAKHALI, LANDMARK- MAHESWARPUR
PRIMARY SCHOOL PRIMARY SCHOOL

State: West Bengal State: West Bengal

District: South 24 Parganas District: South 24 Parganas

Pin: 700137 Pin: 700137

Mobile No: 9903971015 Mobile No: 9903971015

 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 2005 FIRST 87.37
EDUCATION

12th HIGHER SECONDARY OR EQUIVALENT WEST BENGAL COUNCIL OF HIGHER SECONDARY SCIENCE 2007 FIRST 82
EDUCATION

GRADUATE BACHELOR'S DEGREE IN MAULANA ABUL KALAM AZAD UNIVERSITY OF COMPUTER 2011 FIRST 77.40
TECHNOLOGY/ENGINEERING FROM A RECOGNISED TECHNOLOGY, WEST BENGAL (FORMERLY WEST SCIENCE
UNIVERSITY OR ITS EQUIVALENT BENGAL UNIVERSITY OF TECHNOLOGY) ENGINEERING

 Do you have any Research Experience? :    No

 Do you have any relevant work experience ? :    Yes

TEMPORARY/PERMANENT/ON CONTRACT NAME OF ORGANIZATION/ DATE OF DATE OF REMARKS, IF

NAME OF THE POST BASIS/ ETC. OFFICE JOINING LEAVING EXPERIENCE JOB DESCRIPTION ANY

SENIOR PRODUCT PERMANENT COGNIZANT TECHNOLOGY 18 AUGUST 11 YEARS 6 MONTHS SOFTWARE

SPECIALIST SOLUTION 2011 17 DAYS DEVELOPER

TOTAL EXPERIENCE : 11 YEARS 6 MONTHS 17 DAYS

  Choice of Language in Compulsory Paper I of Main examination : BENGALI

 Height (in centimetres): 167

 Do you claim relaxation in height? : No

 Meritorious Sportsperson

Are you a meritorious sportsperson? : NO

Mention details of your Photo ID :

 Type of Photo ID : AADHAR  Photo ID No : 571455187313  Issuing Authority : GOVERNMENT OF INDIA

 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 : KOLKATA

 Mention if you have obtained/shall obtain "APPENDIX-I" on or before the closing date for "Edit Window" in case, you are a person with Benchmark Disability having limitation in writing including that of
speed[Consult "Provisions regarding PwBD candidates" in the Advt.]? :    No

Any Other Information :

  You have applied for group  A ,  B ,  C ,  D   and chose GEOGRAPHY (22) as an optional paper

I solemnly declare that (a) all statements made in this application are true, complete and correct (b) Original documents will be produced on demand and (c) I agree to take this examination on the
condition that the Commission may cancel my candidature if at any stage I am found ineligible for admission to the examination. I have obtained all my certificates within the date of submission of my
application.
 I have informed the Head of my Office or Department in writing that I am applying for this examination (Please click the box if you are in service of Govt. or Local or Statutory Body).

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

Form submitted on :- 07 March, 2023 Signature uploaded by the candidate :