Service Description
Application Form
Apply For Service
Application Form
Name of the Candidate
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Guardian
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Father
Husband
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Father’s / Husband’s Name
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Date of Birth
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Age as on 01.01.2020
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Gender
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Male
Female
Others
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Caste
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Please Select
General
SC
ST
OBC
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Present Occupation
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Permanent Address
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Present postal address
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Mobile Number
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E-Mail
Name of the Post applied for
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COUNSELOR
CHILD WELFARE OFFICER/ CASE WORKER / PROBATION OFFICER
MANAGER / CO- ORDINATOR
SOCIAL WORKER-CUM-EARLY CHILDHOOD EDUCATOR
NURSE
DOCTOR
AYAH
CHOWKIDAAR
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Nationality
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Note:- Candidate Photo and Signature should be in JPEG format
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Applied To
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Please Select
24 PARAGANAS NORTH
24 PARAGANAS SOUTH
Alipurduar
BANKURA
BIRBHUM
COOCHBEHAR
DARJEELING
DINAJPUR DAKSHIN
DINAJPUR UTTAR
HOOGHLY
HOWRAH
JALPAIGURI
Jhargram
KALIMPONG
KOLKATA
MALDAH
MEDINIPUR EAST
MEDINIPUR WEST
MURSHIDABAD
NADIA
PASCHIM BARDHAMAN
PURBA BARDHAMAN
PURULIA
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Candidate Photo
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Work Experience
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Fresher
Experienced
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Signature of candidate
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Educational Qualification
Qualification
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Sl No.
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Name of the Examination
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Name of the Institute/Board from which Exam. passed
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Year of Pass
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(%) of Marks obtained
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Grade/Division
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Sl No.
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Name of the Examination
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Name of the Institute/Board from which Exam. passed
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Year of Pass
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(%) of Marks obtained
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Grade/Division
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Experience
Experience
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Organisation/ Course
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Time length of Experience (in month)
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Nature of Job/ experience
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Remarks
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Organisation/ Course
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Time length of Experience (in month)
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Nature of Job/ experience
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Remarks
Other Qualification
Other Qualification
Course
Board / Organization
Year Of Passing & Duration
Course Content
Remarks
Course
Board / Organization
Year Of Passing & Duration
Course Content
Remarks
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