APPLICATION FORMAT In Pdf 1 
APPLICATION FOR RECRUITMENT OF STAFF IN W.B., 2014
Emp. Notification No. WB/01/14
POST APPLIED FOR ……………………………………...…
POST CODE ………………
Pasted one recent Passport size photo without attested
To
The Examination Controller
Janswartha, MKC
Dept. of Public Right
Candidate’s Left Thumb Impression
Sir
I beg to apply for the post of …………………………………………………. in your
Organization for which I submitting my particulars as per prescribed format, given below: 1. Full Name (In Block Letter)
2. Father/Husband/Mother
3. Date of Birth
,
6. Whether belong to GEN SC
4. Gender M F ,
ST OBC
,
5. Nationality INDIAN OTHER
7. Permanent Address
Pin
Mobile no.
8. Whether Physically Handicapped Yes No
9. Last Educational Qualification :
Qualification
Board/Council
/University
Year
Total Marks
Percentage of
Marks
10.Have you any knowledge in computer Yes No 11.Have you any experience Yes No
12. Are you a Govt. Employee Yes No (if yes, give details)____________________________
I, hereby declare that, all statements made in this application are true, complete and correct to the best of my knowledge and belief and in the event of any information being found false, my candidature is liable to be cancelled.
Yours faithfully
Date :
(Candidate’s full signature)
Office use only
h
Received by __________________________ Verified by _______________________
Signature of E.C. _____________________ Enrollment No. ___________________
Form status : PASS
CANCEL
Reason _______________________________________
Bring Examination Fees
All caste Rs.200/Caste PH & ST Rs.100/-
ENTRY CARD
Staff Recruiting Examination, 2014
West Bengal Div.
For Office Use only:Enrollment No.
Date of verification
Time of verification
Venue of verification
Pasted one recent Passport size photo without attested :
:
:
:
NOTE:
i. Bring all original documents at the time of verification. ii.Bring Examination Fees at the time of Clearance.
Full signature of Candidate
To be filled by the candidate in BLOCK Letters:1.
Emp. Notification No. WB/01/14
POST APPLIED FOR ……………………………………...…
POST CODE ………………
Pasted one recent Passport size photo without attested
To
The Examination Controller
Janswartha, MKC
Dept. of Public Right
Candidate’s Left Thumb Impression
Sir
I beg to apply for the post of …………………………………………………. in your
Organization for which I submitting my particulars as per prescribed format, given below: 1. Full Name (In Block Letter)
2. Father/Husband/Mother
3. Date of Birth
,
6. Whether belong to GEN SC
4. Gender M F ,
ST OBC
,
5. Nationality INDIAN OTHER
7. Permanent Address
Pin
Mobile no.
8. Whether Physically Handicapped Yes No
9. Last Educational Qualification :
Qualification
Board/Council
/University
Year
Total Marks
Percentage of
Marks
10.Have you any knowledge in computer Yes No 11.Have you any experience Yes No
12. Are you a Govt. Employee Yes No (if yes, give details)____________________________
I, hereby declare that, all statements made in this application are true, complete and correct to the best of my knowledge and belief and in the event of any information being found false, my candidature is liable to be cancelled.
Yours faithfully
Date :
(Candidate’s full signature)
Office use only
h
Received by __________________________ Verified by _______________________
Signature of E.C. _____________________ Enrollment No. ___________________
Form status : PASS
CANCEL
Reason _______________________________________
Bring Examination Fees
All caste Rs.200/Caste PH & ST Rs.100/-
ENTRY CARD
Staff Recruiting Examination, 2014
West Bengal Div.
For Office Use only:Enrollment No.
Date of verification
Time of verification
Venue of verification
Pasted one recent Passport size photo without attested :
:
:
:
NOTE:
i. Bring all original documents at the time of verification. ii.Bring Examination Fees at the time of Clearance.
Full signature of Candidate
To be filled by the candidate in BLOCK Letters:1.