Nurul Alam food inspector frome fill up

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Application for Recruitment to the post of Sub-Inspector in the Subordinate Food & Supplies Service, Grade-III, under Food & Supplies Department, Govt. of West Bengal,2018 (Advertisement No.26/2018)
REGISTRATION NO: PSCWB01958073165	PAYMENT ID: CPSC19580730193u
Enrolment No: PSC03049509 Candidate Name: NURUL ALAM Father's Name: MOTIUR RAHAMAN Mother's Name: HALEMA BIBI Place of Birth: Mukhlishpur Do you have ability to read, write and speak in Bengali: YES Whether your mother tongue is Nepali: NO State your mother tongue: Bengali Date of Birth: 15. March .1997
Sex MALE Ex-Serviceman: NO Nationality Indian Category General	Physically Challenged: NO Meritorious Sportsperson: NO Were you debarred previously by the Commission from appearing at any examination/selection ?: NO Email Id: nurul15031997@gmail.com
Address For Correspondence   Address : Vill-Mukhlishpur; Po-Edrakpur;Ps-Murarai;Dist-Birbhum;Pin-731219     State: West Bengal District : Birbhum Pin: 731219 Mobile No. 8436939121	Permanent Address   Address : Vill-Mukhlishpur; Po-Edrakpur;Ps-Murarai;Dist-Birbhum;Pin-731219     State : West Bengal District : Birbhum Pin: 731219 Mobile No. 8436939121
Academic Qualifications (Madhyamik or equivalent and onwards) Examination Examination Name Year of Passing Name of Board/Council/University Subjects Taken Division/Class/Grade Marks % Remarks Class 10th or equivalent Madhyamik 2012 WBBSE Bengali;English;History;Geography;Life Science;Physical science;Mathematics 355 50.71% Class 12th or equivalent HS 2014 WBCHSE Bengali;English;History;Geography;Philosophy 360 72% Have you at any time been employed ? NO
Ability to undertake extensive tours in rural areas of west Bengal : YES
Any other information :
Center Preference   Preference Suri

I solemnly declare that : a) I am eligible to apply for the examination as per the notification. b) All statements made in this application are true, complete and correct. c) Original documents will be produced on demand. d) I agree to take this examination on the condition that the Commission may cancel my candidature if at any stage I am found ineligible. I have obtained all my certificates (Qualification, Disability Certificate and/or Caste) within the date of submission of my application.

I have informed the Head of my Office or Department in writing that I am appling for this examination (Please click the box if you are in service of Govt. or Local or Statutory Body).  I agree that all the information provided here, are correct according to my knowledge

PLEASE REVIEW THE ABOVE DETAILS CAREFULLY FOR ANY ERRORS BEFORE CONFIRMING SUBMISSION. YOU WILL NOT BE ABLE TO MAKE ANY CHANGE AFTER CONFIRMATION OF SUBMISSION THE FORM WOULD BE CONSIDERED SUCCESSFULLY SUBMITTED ONLY AFTER PAYMENT OF EXAMINATION FEE ( IF APPLICABLE) PLEASE DOWNLOAD YOUR ADMIT CARD BEFORE EXAMINATION

Date : 02-09-2018