Registration Form

WEST BENGAL POLICE DIRECTORATE

APPLICATION FORM FOR THE POST OF DATA ENTRY OPERATOR
IN WBPD, WEST BENGAL ON CONTRACTUAL BASIS

(To be filled up in English Block Letter only)

Applicant's Name:

Gender:

Date of Birth:

Age as on 01.10.2018:

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Nationality:

Email ID(if any):

Tel No. (with STD Code):

Mobile No.

Guardian's Name:

Address of Correspondence:

State:

District:

Pincode:

Police Station:

Post Office:

Tick if Correspondence address and Permanent Adress are same

Address of Permanent:

State:

District:

Pincode:

Police Station:

Post Office:

QUALIFICATION DETAILS (AS ON 01/10/2017):

Exam Passed

Board/University

Year of Passing

Result

Action

CERTIFICATE IN COMPUTER APPLICATIONS:

CERTIFICATE COURSE NAME

INSTITUTION

DURATION

GRADE/PERCENTAGE

Action

WORKING EXPERIENCE:

NAME OF THE COMPANY

FROM DATE

TO DATE

NATURE OF JOB

Action

Declaration: I hereby declare that all the information given by me in this application is true and correct to the best of my knowledge and belief. I also note that if any of the above statements are found to be incorrect of false or any information particulars have been suppressed or omitted in this form, I am liable to be disqualified for the requested test or if selected my appointment will be cancelled without any compensation in lieu of notice.

Place

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