PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
WEST BENGAL POLICE RECRUITMENT BOARD
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
APPLICATION FORM FOR THE POST OF CONSTABLES IN WBP 2024
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
563D098D2A85BDED5F635102E992AB298475330DDB8CE65D4C569F585504A374
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
31218612MC040514A
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Application PC040514NS
Sl. No. 31218612
PC040514NS
To PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
The Chairman
PC040514NS
West BengalPC040514NS PC040514NS
Police Recruitment Board PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
POLICE RECORDS BHAVAN, ARAKSHA BHAVAN, BLOCK -DJ , SECTOR -II,
SALTLAKE, KOLKATA-700091
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Sir,
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
I hereby apply for the post of Constables in WBP 2024. Necessary particulars are furnished below:-
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Post applied for : Constables in WBP 2024
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Name in FullPC040514NS PC040514NS
PC040514NS : PROVAT DAS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Gender : Male Category : SC EWS: Not Applicable Date of Birth : 14/05/2004
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Father's Name : ADHIR DAS Mother's Name : JHARNA DAS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Marital Status : Un-Married Husband Name :
PC040514NS PC040514NS
Ex-ServiceMen/ HG in PC040514NS PC040514NS
: Not Applicable PC040514NS
Service PC040514NS
Experience Details : YearPC040514NS
Month PC040514NS
Days PC040514NS
WBP/NVF in WBP / CV/VPV 00 00 00
PC040514NS
in WBP PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
MSP
PC040514NS : No Area PC040514NS
PC040514NS PC040514NS : PC040514NS PC040514NSDiscipline :
PC040514NS PC040514NS PC040514NS
Date From : Date To :
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Mobile : 7586049514 Email :
[email protected] PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Complete Mailing Address :
CHAR SATPOTA
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PO : HALDIPARA
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
POLICE STATION : Hanskhali
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
DISTRICT : NADIA PIN : 741502
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
STATE : WEST BENGAL
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
NEAREST RAILWAY STATION : BAGULA (BGL)
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Permanent Address :
CHAR SATPOTA
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PO : HALDIPARA
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
POLICE STATION : Hanskhali
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
DISTRICT : NADIA PIN : 741502
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
STATE : WEST BENGAL
PC040514NS PC040514NS PC040514NS PC040514NS
NEAREST RAILWAY STATIONPC040514NS
: BAGULA (BGL)PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS Page
PC040514NS
1 of 2
563D098D2A85BDED5F635102E992AB298475330DDB8CE65D4C569F585504A374
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS
Application Sl. No. 31218612PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
31218612MC040514B
Name : PROVAT DAS 563D098D2A85BDED5F635102E992AB298475330DDB8CE65D4C569F585504A374
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Educational Qualification : Class X Pass : Yes
PC040514NS
Name ofPC040514NS
Examination PC040514NS PC040514NS
Year of Passing (YYYY) PC040514NS
Name of thePC040514NS
Board / Council PC040514NS
/ University PC040514NS
Marks % /PC040514NS
Grade
Madhyamik 2020 WEST BENGAL BOARD OF SECONDARY EDUCATION
(Class X) PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS 47.00 / B+
PC040514NS PC040514NS
Higher Secondary (10+2) 2022 WEST BENGAL COUNCIL OF HIGHER SECONDARY 64.00 / B+
EDUCATION PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Graduation /
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Post Graduation /
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Do you belong to exempted category? : NO Registration & NCO No. issued by the
labour department, Govt. of W.B. :
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Able to Speak,
PC040514NS Read & Write PC040514NS
PC040514NS : BENGALI
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Your Community : Religion : HINDUISM
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Employed in any Government : NO Organization Name :
OrganisationPC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS
Have you ever been subjected to a criminal investigation as an accused involving moral turpitude? : NO
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Application Fees : Rs. 0.00 Bank Charge : Rs. 0.00
PC040514NS PC040514NS PC040514NS
Processing Charge : Rs. 20.00 PC040514NS PC040514NS
Total FeesPC040514NS
paid PC040514NS PC040514NS PC040514NS
: Rs. 20.00
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Transaction ID : 19457083628 [ Online Payment through HDFC PayU ]
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Transaction Date : 21/03/2024 18:16:07
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
(Rupees PC040514NS PC040514NS PC040514NS PC040514NS
Twenty only)
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Declaration :
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
(i) I possess all the Essential Qualifications for the post.
PC040514NS PC040514NS
(ii) I solemnly declare thatPC040514NS PC040514NS
all statements made PC040514NS
in this application form arePC040514NS
true, complete PC040514NS PC040514NS
and correct to the PC040514NS
best of my knowledge
and belief. In the event of any information being found suppressed / false or incorrect or if my ineligibility is detected before
PC040514NS
duringPC040514NS PC040514NS
or after the test and medicalPC040514NS PC040514NS
examination, my candidaturePC040514NS
/ appointmentPC040514NS PC040514NS
will stand cancelled PC040514NS
and my claim to
recruitment will stand forfeited. I also declare that I have submitted no other application form for this examination.
PC040514NS
(iii) I have PC040514NS PC040514NS
never been debarred PC040514NS
from any examination PC040514NS
conducted PC040514NS
by any Service CommissionPC040514NS PC040514NS
/ Recruitment Board PC040514NS
of the Government
of West Bengal.
PC040514NS
(iv) I have PC040514NS PC040514NS
not been subjected PC040514NS
to any criminal PC040514NS
investigation involving PC040514NS PC040514NS PC040514NS PC040514NS
moral turpitude.
(v) I shallPC040514NS
PC040514NS submit the NOPC040514NS
Objection Certificate from thePC040514NS
PC040514NS Head of the Office/ Disciplinary
PC040514NS Authority if shortlisted
PC040514NS PC040514NS for interview
PC040514NS
(applicable only for the candidates in Government service).
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Place : CHAR SATPOTA Yours faithfully,
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
Date : 21 Mar 2024 18:16:07
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PROVAT DAS
Full signature
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS of the candidate
PC040514NS (only inPC040514NS
PC040514NS Long Hand) PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS
PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS PC040514NS Page
PC040514NS
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563D098D2A85BDED5F635102E992AB298475330DDB8CE65D4C569F585504A374
