THIS REGISTRATION IS ONLY FOR ADVT NO.

13/2023
APPLICANT ID / Enrollment Id: 23130686949

Email ID: ajana3240@gmail.com

Name of the Applicant : ASIT JANA

Father’s Name : GOPAL JANA

Mother’s Name : MINA JANA

Mobile No: 8337828099 Date of Birth : 26-05-2002

Gender : MALE

Applicant’s birth Place : Paschim Medinipur Nationality : Indian By Birth

Religion : Hindu

CATEGORY DETAILS :

Category : GENERAL

ADDRESS FOR COMMUNICATION :

Address Line 1 : MANOHARPUR

Address Line 2 : MANOHARPUR

Town/City : GHATAL District : Paschim Medinipur

State: West Bengal Pincode: 721232

PERMANENT ADDRESS:

Address Line 1: MANOHARPUR

Address Line 2: MANOHARPUR

Town/City: GHATAL District: Paschim Medinipur

State : West Bengal Pincode: 721232

DECLARATION

1. I am aware that this is only a Registration and not an application against any Post / service.This is
just collection and registration of information in advance.

2. I am also aware that I have to submit separate application against each advertisement.

3. I certify that i do not have more than one registration for this examination
4. I hereby declare that all the particulars furnished by me in this Registration are true, correct and
complete to the best of my knowledge and belief.I am also aware that my candidature is liable for
cancellation in the event of any information being found false or incorrect. Ineligibility, if any is
detected before or after the examination, my candidature will be Liable for cancelled by PSCWB.

5. I declare that i will abide by the Commission's decision in this Regard .