RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

WEST BENGAL POLICE RECRUITMENT BOARD
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
APPLICATION FORM FOR THE POST OF CONSTABLES/LADY CONSTABLES IN KP 2024
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
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51201988FC951018A
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Application RC951018NY
Sl. No. 51201988

RC951018NY
To RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
The Chairman
RC951018NY
West BengalRC951018NY RC951018NY
Police Recruitment Board RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
POLICE RECORDS BHAVAN, ARAKSHA BHAVAN, BLOCK -DJ , SECTOR -II,
SALTLAKE, KOLKATA-700091
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Sir,
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
I hereby apply for the post of Constables/Lady Constables in KP 2024. Necessary particulars are furnished
below:-
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RC951018NY
Post appliedRC951018NY
for RC951018NY RC951018NY
: Constables/Lady Constables RC951018NY
in KP 2024 RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

Name in FullRC951018NY RC951018NY
RC951018NY : RUMPA ADHIKARY
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Gender : Female Category : SC EWS: Not Applicable Date of Birth : 18/10/1995
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Father's Name : BALADEB ADHIKARY Mother's Name : SHUKESHWARI ADHIKARY
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Marital Status : Un-Married Husband Name :
RC951018NY RC951018NY
Ex-ServiceMen/ HG in KP/ CVRC951018NY RC951018NY
: Not Applicable RC951018NY
Service RC951018NY
Experience Details : YearRC951018NY
Month RC951018NY
Days RC951018NY
in KP 00 00 00
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
MSP : No Area : Discipline :
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Date From : Date To :
RC951018NY
Mobile RC951018NY RC951018NY
: 9382099209RC951018NY RC951018NY
Email RC951018NY RC951018NY RC951018NY RC951018NY
: rumjhum002@gmail.com
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Complete Mailing Address :
VILL-SALMARA POST-HATIDHURA
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
PO : HATIDHURA
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
POLICE STATION : Pundibari
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
DISTRICT : COOCH BEHAR PIN : 736121
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
STATE : WEST BENGAL
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
NEAREST RAILWAY STATION : PUNDIBARI (PQZ)
RC951018NY RC951018NY RC951018NY
Permanent Address : RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
VILL-SALMARA POST-HATIDHURA
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
PO : HATIDHURA
RC951018NY RC951018NY RC951018NY RC951018NY
POLICE STATION : PundibariRC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY RC951018NY RC951018NY

DISTRICT : COOCH RC951018NY
BEHAR PIN : 736121 RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY RC951018NY RC951018NY

STATE : WEST BENGAL RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
NEAREST RAILWAY
RC951018NY RC951018NY RC951018NY STATIONRC951018NY
RC951018NY : PUNDIBARI (PQZ)
RC951018NY RC951018NY RC951018NY RC951018NY

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Application Sl. No. 51201988RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
51201988FC951018B
Name : RUMPA F43AB6BF212AF66110A9A46C2805F42EFF8B91265E81589D46B149082EA8873E
ADHIKARY RC951018NY RC951018NY RC951018NY
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

Educational Qualification : Class X Pass : Yes
RC951018NY
Name ofRC951018NY
Examination RC951018NY RC951018NY
Year of Passing (YYYY) RC951018NY
Name of theRC951018NY
Board / Council RC951018NY
/ University RC951018NY
Marks % /RC951018NY
Grade
Madhyamik 2011 WEST BENGAL BOARD OF SECONDARY EDUCATION
(Class X) RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY 51.75 /
RC951018NY RC951018NY
Higher Secondary (10+2) 2013 W.B.C.H.S.E 57.60 /
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
2016
RC951018NY RC951018NY RC951018NY
UNIVERSITY OF NORTH BENGAL
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45.60 /
Graduation
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Post RC951018NY
Graduation RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY /RC951018NY

RC951018NY RC951018NY
Do you belong RC951018NY
to exempted category? RC951018NY RC951018NY RC951018NY
: NO RC951018NY
Registration & NCO RC951018NY RC951018NY
No. issued by the
labour department, Govt. of W.B. :
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Able to Speak, Read & Write : BENGALI
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Your Community : RAJBANSI Religion : HINDUISM
RC951018NY
Employed inRC951018NY
any GovernmentRC951018NY
: NO RC951018NYOrganization
RC951018NYName RC951018NY
: RC951018NY RC951018NY RC951018NY
Organisation
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Have you ever been subjected to a criminal investigation as an accused involving moral turpitude? : NO
RC951018NY RC951018NY RC951018NY
Application Fees : Rs. 0.00 RC951018NY RC951018NY RC951018NY RC951018NY
Bank Charge RC951018NY RC951018NY
: Rs. 0.00
Processing Charge
RC951018NY : Rs. 20.00RC951018NY RC951018NY
RC951018NY RC951018NY Total FeesRC951018NY
paid : Rs. 20.00
RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY Transaction

RC951018NYID :RC951018NY RC951018NY
ZHD51842466519 RC951018NY
[ Online Payment RC951018NY
through Bill Desk ] RC951018NY RC951018NY
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Transaction Date RC951018NY
: 21/03/2024 14:17:06 RC951018NY RC951018NY RC951018NY
(Rupees Twenty only)
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

RC951018NY
Declaration :RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
RC951018NY
(i) RC951018NY
I possess RC951018NY
all the Essential QualificationsRC951018NY
for the post. RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
(ii) I solemnly declare that all statements made in this application form are true, complete and correct to the best of my knowledge
RC951018NY RC951018NY
and belief. RC951018NY
In the event RC951018NY
of any information being foundRC951018NY
suppressed / RC951018NY RC951018NY
false or incorrect RC951018NY
or if my ineligibility is detectedRC951018NY
before
during or after the test and medical examination, my candidature / appointment will stand cancelled and my claim to
RC951018NY RC951018NY
recruitment will stand RC951018NY
forfeited. I also RC951018NY RC951018NY
declare that I have submitted no RC951018NY
other applicationRC951018NY RC951018NY RC951018NY
form for this examination.
(iii) I have never been debarred from any examination conducted by any Service Commission / Recruitment Board of the Government
RC951018NY RC951018NY
of West Bengal. RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
(iv) I haveRC951018NY
RC951018NY not been subjected to any criminal
RC951018NY investigation involving
RC951018NY RC951018NYmoral turpitude.
RC951018NY RC951018NY RC951018NY RC951018NY
(v) I shall submit the NO Objection Certificate from the Head of the Office/ Disciplinary Authority if shortlisted for interview
(applicable
RC951018NY only for theRC951018NY
RC951018NY candidates in Government
RC951018NYservice).
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RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

Place : PUNDIBARI RC951018NY RC951018NY RC951018NY
Yours faithfully,
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY
Date : 21 Mar 2024 14:17:06
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY

RUMPA
RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY RC951018NY ADHIKARY RC951018NY RC951018NY
RC951018NY
Full signature of the candidate (only in Long Hand)
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