Paschim Banga Society for Skill Development

Application for the Post of Retainer Consultants 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 01.01.2021

Gender*

Id Type*

Id Proof Number*

Ex-Serviceman *

Persons with Disabilities *

Nationality *

Address for Communication

Present Address

House / Flat / Building / Plot / Village*

Street / Area Name*:

Post Office

Police Station

State*

District*

Subdiv*

Block / Municipality*

Pincode *

Permanent Address

Same as Present Address

House / Flat / Building / Plot / Village*

Street / Area Name*:

Post Office

Police Station

State*

District*

Subdiv*

Block / Municipality*

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*

Graduation

Stream / Specialization*

College / University Name*

CGPA / GPA / Percentage*

Year of Passing*

Post Graduation

Stream / Specialization*

College / University Name*

CGPA / GPA / Percentage*

Year of Passing*

Experience

Name of Organization*

Designation*

Date of Joining*

Date of Resigning*

Current Organization

Yes No

Supporting Documents (Only JPG/JPEG file within 20kb size)

Photograph *

Browse

Signature *

Browse

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.

Captcha*

* Captcha is not case sensitive

Note: Before submit please verify your details , once submitted you can not modify.

Utkarsh Bangla