WEST BENGAL MINORITIES’ DEVELOPMENT AND FINANCE CORPORATION
APPLICATION FOR PRE-RECRUITMENT COACHING FOR MINORITY YOUTH FOR COMPETITIVE EXAMINATIONS.
Personal Details
Applicant name
*
:
Father's Name / Husband's Name
:
Husband's / Gurdian's Name
:
Mother's Name
:
Date of Birth
*
:
Gender
*
:
Select Gender
Male
Female
Other
Identificaiton marks
*
:
Mother Tongue
*
:
Select Mother Tongue
Bengali
English
Hindi
Urdu
Nepali
Santali
Others
Religion
*
:
Select Religion
Muslim
Christian
Sikh
Parshi
Jain
Buddhist
Address Details
Present Address
District
*
Select District
ALIPURDUAR
BANKURA
BIRBHUM
COOCHBIHAR
DAKSHIN DINAJPUR
DARJEELING
HOOGHLY
HOWRAH
JALPAIGURI
JHARGRAM
KALIMPONG
KOLKATA
MALDAH
MURSHIDABAD
NADIA
NORTH 24 PARGANAS
PASCHIM BARDHAMAN
PASCHIM MEDINIPUR
PURBA BARDHAMAN
PURBA MEDINIPUR
PURULIA
SOUTH 24 PARGANAS
UTTAR DINAJPUR
Sub Divisional Office
*
Select Sub Divisional Office
Block / Municipality Type
*
Block
Municipality ( Corporation )
Block / Municipality
*
Select Block/Municipality
Police Station
*
Post Office
*
Ward No /GP Name
*
Address
*
:
Pincode
*
Permanant Address
Same As Above
*
District
*
Select District
ALIPURDUAR
BANKURA
BIRBHUM
COOCHBIHAR
DAKSHIN DINAJPUR
DARJEELING
HOOGHLY
HOWRAH
JALPAIGURI
JHARGRAM
KALIMPONG
KOLKATA
MALDAH
MURSHIDABAD
NADIA
NORTH 24 PARGANAS
PASCHIM BARDHAMAN
PASCHIM MEDINIPUR
PURBA BARDHAMAN
PURBA MEDINIPUR
PURULIA
SOUTH 24 PARGANAS
UTTAR DINAJPUR
Sub Divisional Office
*
Select Sub Divisional Office
Block / Municipality Type
*
Block
Municipality
Block / Municipality
*
Select Block/Municipality
Police Station
*
Post Office
*
Ward No /GP Name
*
Address
*
:
Pincode
*
Contact Details
Email Address
:
Mobile No
*
:
File Attachment
EPIC/ Voter card frontpage
*
:
Max file size is 2 MB (jpg , jpeg , png)
EPIC/Voter card Backpage
*
:
Max file size is 2 MB (jpg , jpeg , png)
Highest Qualification Certificate
*
:
Max file size is 2 MB (jpg , jpeg , png)
Other Details
Ability to speak, read & write Bengali(Yes/No), Not applicable for Hill District
:
Whatsapp/Telegram/Signal No.
:
Particulars of recent Examination appeared(If any)
:
Do you have any problem in residential coaching(Yes/No), if yes please specify
:
Qualification Details
Sl. No.
Exam passed
Name of Board/ University
Stream
Year of passing
Marks obtained (in %)
1
Class XII
2
Graduation
3
Post Graduation
I am looking forward to appear following exam. - (you may click more than one)
Sl. No.
Name of Job/Service
Yes/No
1
WBCS Exam
2
Sub-Inspector of Food
3
Sub-Inspector of School
4
Sub-Inspector of Police
5
Miscellaneous Exam
6
SSC
7
CGL
8
CHSL
9
IB
10
Rilway
11
PSU
12
W.B. Judicial Service
13
W.B. Legal Service
14
W.B. Asst. Public Prosecutor
15
W.B. Forest Service
16
W.B. Audit & Accounts Service
Submit