Paschim Banga Society for Skill Development

Application for the Post of Retainer Consultant at PBSSD

Application Post *

Basic information

Salutation *

First Name *

Middle Name

Last Name

Salutation *

Father's First Name *

Father's Middle Name

Father's Last Name

Salutation *

Mother's First Name *

Mother's Middle Name

Mother's Last Name

Relationship With Guardian

Guardian First Name

Guardian Middle Name

Guardian Last Name

Category*

Religion*

D.O.B*

Age As On 01.02.2024

Gender*

Id Type*

Id Proof Number*

Nationality *

Address for Communication

Present Address

House / Flat / Building / Plot / Village*

Street / Area Name*:

Post Office

Police Station

State*

District*

Pincode *

Permanent Address

Same as Present Address

House / Flat / Building / Plot / Village*

Street / Area Name*:

Post Office

Police Station

State*

District*

Pincode *

Contact Information

Mobile Number*

Alternate Mobile No

Email*

Educational Qualification

10th / Secondary

Name of the Examination*

Board*

CGPA / GPA / Percentage*

Year of Passing*

12th / Higher Secondary

Name of the Examination*

Board*

CGPA / GPA / Percentage*

Year of Passing*

Requisite Qualification

Stream / Specialization *

College/University/Institute Name*

CGPA / GPA / Percentage*

Year of Passing*

Experience

Name of Organization*

Designation*

Date of Joining*

Date of Resigning*

Current Organization*

Yes No

Supporting Documents

Photograph * (Only JPG/JPEG File within 20kb size)

Browse

Signature * (Only JPG/JPEG File within 20kb size)

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Certificates and Final Mark Sheet of related to requisite Qualification* (Only JPG/JPEG File within 100kb size)

Browse

All Experience Certificate* (Only PDF File within 300kb size)

Browse

Source of the information regarding the RC advertisement

Source of the information*

Declaration : I hereby declare that, (a) All the above information furnished by me are true, complete and correct to the best of my knowledge. (b) Original documents will be produced on demand (c) PBSSD may reject my application & candidature at any stage of recruitment procedure, if any discrepancies or ineligibility found.

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Utkarsh Bangla