Councils Paschim Banga Society for Skill Development

Assessor Registration Form

Basic information

Salutation*

First Name*

Middle Name

Last Name*

Gender*

Id Type*

D.O.B*

residential address & contact information

Present Address

House / Flat / Building / Plot*

Street Name*:

Post Office

Police Station

State*

District*

Block / Municipality

Pincode *

Permanent Address

Same as Present Address

House / Flat / Building / Plot*

Street Name*:

Post Office

Police Station

State*

District*

Block / Municipality

Pincode *

Contact Information

Landline No

Mobile No*

Email*

educational qualification and industry/professional experience

Are you assessor certified :*

Yes

Highest Qualification*

Current Employement Status*

Joining Year*

Training Experience

Experience as Assessor

Year(s)*

Month(s)*

Experience as Trainer

Year(s)*

Month(s)*

Professional address

Current Employer*

State*

District*

Pincode *

Upload CV* (Please provide .pdf within 100KB)

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Sector Details

Council Type:*

Sector*

Job Role*

Declaration : I do hereby declare that the above information is true to my knowledge.

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