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Personal Details

Name of Candidate
Father's Name
Mother's Name
Marital Status
Spouse detail:
Category:
Address of Correspondence:

Contact Number
Emergency Contact Numbe (Mandatory & should be different)
Email Id:
Blood Group
Bank Name
Bank Account Number:
IFSC CODE
UAN Number:

ACADEMIC DETAILS:
Qualification

B.COM(Hons.)
Senior School Certificate Examination
Secondary School Examination

FAMILY DETAILS:
Name

Ashok Bansal
Meena Bansal
Priyancy Bansal

PARTICULARS OF TWO REFERENCES:


Name
Personal Details
Rishab Bansal
Ashok Bansal
Meena Bansal
Single
Nil
General
Vivekananda Pally, Gurudwara Road, Benachity, Durgapur-13,
West Bengal-713213
7001199284
9382113190
rishab.bansal.24l@jaipuria.ac.in
B+
Federal Bank
21490100024452
FDRL0002149

College, University, Institution Examination Year of Division,


Passed / passing Percentage
Appeared of Marks etc.

Umeshchandra College, Calcutta University Passed 2021 69.99%


Guru Tegh Bahadur Public School Passed 2018 57.40%
Guru Tegh Bahadur Public School Passed 2016 72.20%

Gender D.O.B Relationship

Male 15/02/1967 Father


Female 23/11/1978 Mother
Female 7/8/1997 Sister

Designation & Organization Contact No


First Middle Father
Last name DOJ DOB Personal email id NameGuardia
name name
n Name
Rishab Bansal 16/05/23 23/03/2000 bansalrishab111@gmail.com Ashok Bansal
Mother Marital Spouse Employee Emergency
NameGuardian Gender
Status Name mobile Contact No.
Name
Meena Bansal Single NIL 7001199284 9382113190 MALE
Residence Address Residence City

Vivekananda Pally, Gurudwara Road, Benachity, Durgapur-13, West Bengal-713213 Durgapur


Residence Residence Zip
State code

West Bengal 713213


Permanent
Permanent Address
City

Vivekananda Pally, Gurudwara Road, Benachity, Durgapur-13, West Bengal-713213 Durgapur


Permanent Permane Onboardi Bank Account
nt Zip Bank Name IFSC Code PAN Number
State ng spoc Id Number
code
WestBengal 713213 Federal Bank 21490100024452 FDRL0002149 DUCPB3459P
UAN ESIC Blood
Adhar Number DL Number
number Number Group

3803 4008 6312 WB39 20200005204 B+

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