1. Name : Madhab mandal 2. Father’s name : Biswanath Mondal 3. Date of Birth(in figures) : 12/05/1992 4. Sex(Male/Female) : Male 5. Caste : Hindu 6. Category(SC/ST/OBC/Gen) : General 7. Mother Tongue : Bengali 8. Languege Known : Bengali(Read,Write,Speek) Hindi(Speek) English(Read,Write,Speek-Beginner) 9. Full Address : Vill+P.o+P.s-- Md. Bazar, Dist.- Birbhum Pin.- 731127, West Bengal, India. 10. State of Domicile : West Bengal. 11. Mobile No. : Airtel.-9831671577, Uninor-9126513292 12. Academic Qualification : Name of The Exam. Board/University Year of passing Tottal Marks Marks Obtained % Of Marks Madhyamik W.B.B.S.E 2007 800 472 59 Higher Secoundry W.B.C.H.S.E 2009 500 243 46 B.A Burdwan University Appear B.C.A P.T.U(Brainware,Kolkata) Appear 1st Sem. 13. Extra Qualification : Computer- Computer Operator(MS Office/Basic Internet/Media Player Working/D.T.P/Softwear Instalation Working) “ I do hereby declare that the facts and information given by me in the above application are true complete and correct to the best of my knowledge and belief. In the event of any discrepency in the particulars being detected at any stage, my candidature/Service may be cancelled/terminated without any notice.” Date : 04/11/2010 Signature of the Candidate Place : Md. Bazar,Birbhum. Madhab Mandal.