West Bengal Police Recruitment Board: Application Form For The Post of Constables/Lady Constables in KP 2024

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WEST BENGAL POLICE RECRUITMENT BOARD
APPLICATION FORM FOR THE POST OF CONSTABLES/LADY CONSTABLES IN KP 2024
EB778A7649F78FD35B0560EDC9795302925C14FB1058C0649C5F7041711E7C47

50964990MC011119A
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Application DC011119NA
Sl. No. 50964990
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To DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
The Chairman
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West BengalDC011119NA DC011119NA
Police Recruitment Board DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
POLICE RECORDS BHAVAN, ARAKSHA BHAVAN, BLOCK -DJ , SECTOR -II,
SALTLAKE, KOLKATA-700091
Sir,
I hereby apply for the post of Constables/Lady Constables in KP 2024. Necessary particulars are furnished
below:-
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Post appliedDC011119NA
for DC011119NA DC011119NA
: Constables/Lady Constables DC011119NA
in KP 2024 DC011119NA DC011119NA DC011119NA DC011119NA

Name in FullDC011119NA DC011119NA
DC011119NA : DHANESWAR MAHANTA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
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Gender : Male Category : SC EWS: Not Applicable Date of Birth : 19/11/2001
Father's Name : PARIMAL MAHANTA Mother's Name : SANTANA MAHANTA
Marital Status : Un-Married Husband Name :
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Ex-ServiceMen/ HG in KP/ CVDC011119NA DC011119NA
: Not Applicable DC011119NA
Service DC011119NA
Experience Details : YearDC011119NA
Month DC011119NA
Days DC011119NA
in KP 00 00 00
MSP : No Area : Discipline :
Date From : Date To :
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Mobile DC011119NA DC011119NA
: 8250034572DC011119NA DC011119NA
Email DC011119NA DC011119NA DC011119NA DC011119NA
: mahantadhaneswar21@gmail.com
Complete Mailing Address :
VILL-BARARANGRASH POST-BARARANGRASH
PO : BARARANGRASH
POLICE STATION : Pundibari
DISTRICT : COOCH BEHAR PIN : 736121
STATE : WEST BENGAL
NEAREST RAILWAY STATION : PUNDIBARI (PQZ)
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Permanent Address : DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
VILL-BARARANGRASH POST-BARARANGRASH
PO : BARARANGRASH
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POLICE STATION : PundibariDC011119NA DC011119NA DC011119NA DC011119NA DC011119NA

DISTRICT : COOCH DC011119NA
BEHAR PIN : 736121 DC011119NA DC011119NA DC011119NA DC011119NA

STATE : WEST BENGAL DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
NEAREST RAILWAY
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DC011119NA : PUNDIBARI (PQZ)
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Application Sl. No. 50964990DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
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Name : DHANESWAR MAHANTA EB778A7649F78FD35B0560EDC9795302925C14FB1058C0649C5F7041711E7C47

Educational Qualification : Class X Pass : Yes
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Name of Examination DC011119NA DC011119NA
Year of Passing (YYYY) DC011119NA
Name of theDC011119NA
Board / CouncilDC011119NA
/ University DC011119NA
Marks % DC011119NA
/ Grade
Madhyamik 2017 WEST BENGAL BOARD OF SECONDARY EDUCATION
(Class X) DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA 55.71 /
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Higher Secondary (10+2) /
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Graduation
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Post DC011119NA
Graduation DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA /DC011119NA
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Do you belong to exempted DC011119NA DC011119NA DC011119NA DC011119NA
category? : NO DC011119NA
Registration & NCO DC011119NA DC011119NA
No. issued by the
labour department, Govt. of W.B. :
Able to Speak, Read & Write : BENGALI
Your Community : RAJBANSI Religion : HINDUISM
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Employed inDC011119NA DC011119NA
any Government : NO DC011119NA DC011119NA
Organization Name DC011119NA
: DC011119NA DC011119NA DC011119NA
Organisation
Have you ever been subjected to a criminal investigation as an accused involving moral turpitude? : NO
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Application Fees : Rs. 0.00 DC011119NA DC011119NA DC011119NA DC011119NA
Bank Charge DC011119NA DC011119NA
: Rs. 0.00
Processing Charge
DC011119NA : Rs. 20.00DC011119NA DC011119NA
DC011119NA DC011119NA Total FeesDC011119NA
paid : Rs. 20.00
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DC011119NA DC011119NA Transaction

DC011119NA ID :DC011119NA DC011119NA
ZHD51836136428 DC011119NA
[ Online Payment DC011119NA
through Bill Desk ] DC011119NA DC011119NA
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Transaction Date DC011119NA
: 19/03/2024 09:01:29 DC011119NA DC011119NA DC011119NA
(Rupees Twenty only)
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Declaration DC011119NA
: DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
DC011119NA
(i) DC011119NA
I possess DC011119NA
all the Essential QualificationsDC011119NA
for the post. DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
(ii) I solemnly declare that all statements made in this application form are true, complete and correct to the best of my knowledge
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and belief. DC011119NA
In the event DC011119NA
of any information being foundDC011119NA
suppressed / DC011119NA DC011119NA
false or incorrect DC011119NA
or if my ineligibility DC011119NA
is detected before
during or after the test and medical examination, my candidature / appointment will stand cancelled and my claim to
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recruitment will stand DC011119NA
forfeited. I also DC011119NA DC011119NA
declare that I have submitted noDC011119NA DC011119NA
other application DC011119NA DC011119NA
form for this examination.
(iii) I have never been debarred from any examination conducted by any Service Commission / Recruitment Board of the Government
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of West Bengal. DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA DC011119NA
(iv) I haveDC011119NA
DC011119NA not been subjected to any criminal
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(v) I shall submit the NO Objection Certificate from the Head of the Office/ Disciplinary Authority if shortlisted for interview
(applicable
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DC011119NA candidates in Government
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Place : PUNDIBARI DC011119NA DC011119NA DC011119NA
Yours faithfully,
Date : 19 Mar 2024 09:01:29
DHANESWAR
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Full signature of the candidate (only in Long Hand)
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West Bengal Police Recruitment Board: Application Form For The Post of Constables/Lady Constables in KP 2024

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