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Application form 202 3

Name of the Candidate : Md Abul Kalam Azad

Father’s/Husband’s Name: Md Abdul Gaffar Ali

Date of Birth: 26-12-1973

Occupation: Teacher

Educational Qualification: M.A.

Gender: Male

Email Id: mdakazad786@gmail.com

Mobile Number: 8001605515

Address: Vill. Babla. PO Meherapur, PS Mothabari, Dist. Malda

State: West Bengal

Mode of receiving salary (Money Order/Cheque/DD/Online Transfer): Online Transfer

Bank Account Number (If Salary mode is online transfer): 50100595402110

Account Holder’s Name: Md Abul Kalam Azad

Name of the Bank: HDFC BANK


Branch Name: MOKDUMPUR
IFSC: HDFC0006041

Data Entry Plan (I or II): II

Date of Registration Fee Payment:


Registration Fee amount:

Comment (Optional):

Bharani Infotech Pvt Ltd

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