APPLICATION FOR THE VARIOUS POSTS
Office of The
District Magistrate
, Cooch Behar
(Social Welfare Section)
APPLICATION FORM
Name of the Post applied for :
*
Select Post applied for
Child Welfare Officer
Counsellor
Housemother
Helper cum Night Watchman
Cook
Nurse
Ayah
Please select the post you are applying for.
Name of Applicant :
*
Father’s / Husband’s Name :
*
Communication address with Pin :
*
Permanent address with Pin :
*
Mobile No :
*
+91
Email ID :
Date of Birth :
*
Age (as on 14-12-2024):
Sex :
*
--Select Sex--
Male
Female
Transgender
Category :
*
---select category---
SC
ST
OBC-A
OBC-B
EWS(EC)
UR
UR(Ex-Serviceman in Group D Post)
Upload Caste Certificate:
(Max 100KB, pdf)
*
Note: The caste certificate file must be in PDF format and should not exceed 100 KB in size.
Educational Qualification:
*
Computer Knowledge :
*
Select
Yes
No
Special Qualification(Other than educational qualification):
Working Experience:
Experience Years
Period
Organization
Designation
Details of Work
Upload Photo :
*
(Max 30KB, JPG/PNG)
Note : The photo dimensions must be 92 x 110 pixels.
Upload Signature :
*
(Max 25KB, JPG/PNG)
Note: The signature image must have dimensions of 148 x 34 pixels
Upload Supporting Documents :
*
(Max 400KB, .pdf)
Note : Proof of age, experience certificates, computer knowledge certificates, certificates from government home inmates, and any special qualification certificates (other than educational qualifications) must be uploaded as a single PDF file
I do hereby declare that the above statements are true and correct to the best of my knowledge, and in the event of the information provided by me being found false, my candidature is liable to be cancelled.
Submit Application