You are on page 1of 2

Applicant Details

Salutation First Name Middle Name Last Name


Mrs. Kabita NA Gupta
Date Of Birth Age Gender Date of Application
23-SEPTEMBER-1999 24 Female 21-FEBRUARY-2024
Mobile Number Email Aadhaar Pan
7990846798 rkgupta30nov@gmail.com 949328128574 CTCPG3270R

Applicant Present Address

Country State District Sub Division


India West Bengal Darjeeling Siliguri
Block/Municipality/Municipal
Block/Municipality/Municipal
Rural or Urban Corporation Name Village Ward
Corporation
U Siliguri (Municipal Corp Part Ward Number 46
MC
Darjiling)

.0
Police Station Post Office Address Line 1 Address Line 2
Pradhan Nagar Champasari BO Ward No 46 Bidyanagar Champasari
t2
Pincode
734003
ic
Applicant Permanent Address
tr

Same Address As Country State District


is

Present Address India West Bengal Darjeeling


Block/Municipality/Municipal
Block/Municipality/Municipal
D

Sub Division Rural or Urban Corporation Name


Corporation
Siliguri U Siliguri (Municipal Corp Part
MC
e-

Darjiling)
Village Ward Police Station Post Office Address Line 1
Ward Number 46 Pradhan Nagar Champasari BO Ward No 46
Address Line 2 Pincode
Bidyanagar Champasari 734003

Minor/Student and Special Case Details

Applicant is Minor/Student Special case


NO Not Applicable

Family/Guardian Details

Relationship Salutation First Name Middle Name Last Name

Husband Mr. Rahul Kumar Sah

Income Details

Generated on : 2024-02-21T09:52:43.881

P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
maintained by TATA Consultancy Services Ltd.
Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen
Annual Income(Only for old
Monthly Income Business Details Reason for Application
application data)
82000 NA Other
NA
Other Reason
For Govt Schemes Benefits

.0
t2
ic
tr
is
D
e-

Generated on : 2024-02-21T09:52:43.961

P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
maintained by TATA Consultancy Services Ltd.
Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen

You might also like