Applicant Basic Information

Salutation First Name Middle Name Last Name

Mr. Rajan NA Kamti
Date of Birth Age Gender Date of Application
29-JULY-2007 16 Male 7-MARCH-2024
E-mail
Mobile No Aadhaar Card No
[email protected]
8101631449 912464747580
om

Permanent Address of Applicant

Country State District Sub-division

India West Bengal Darjeeling Siliguri
Block/Municipality/Municipal Block/Municipality/Municipal
Rural or Urban Village or Ward
Corporation Corporation Name
R Tomba
B Matigara

.0
Police Station Post Office Address Line 1 Address Line 2
Matigara Matigara SO Kholai baktari Bhuta khet near Anil store
t2
Pin Code
734010
ic
Present Address of Applicant
tr

Same Address As
Country State District
is

Permanent Address of
India West Bengal Darjeeling
Applicant
D

Block or Municipality or Block or Municipality or

Sub Division Rural or Urban
Corporation Corporation Name
Siliguri R
e-

B Matigara
Village or Ward Name Police station Post Office Address Line 1
Tomba Matigara Matigara SO Kholai baktari
Address Line 2 PIN Code
Bhuta khet near Anil store 734010

Parent or Husband details

Parent or Husband Salutation First Name Middle Name

Father Mr. Babusaheb NA
Details of Parents Business or
Last Name Occupation
Service
Kamti Driver
NA

Applicant Place of Birth

Same Address As
State selected Country State
Permanent Address of
West Bengal India West Bengal
Applicant

Generated on : 2024-03-07T[Link].610

P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
maintained by TATA Consultancy Services Ltd.
Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen
 Block or Municipality or
District Sub Division Rural or Urban
Corporation
Darjeeling Siliguri R
B
Block or Municipality or
Village or Ward Name Police station Post Office
Corporation Name
Tomba Matigara Matigara SO
Matigara
Address Line 1 Address Line 2 PIN Code
Kholai baktari Bhuta khet near Anil store 734010

Education Detail of Applicant

Name of Institution Class From Class To From Year To Year

Particulars of stay of last 15 years

.0
Block
Block or
or Muni
Muni cipali
Rural cipali ty or
t2
Villag Polic Addr
Sub e or Post Addr Hous
Coun Distri or ty or Muni e ess PIN From To
State Divisi Ward Offic ess e
try ct Urba Muni cipal Stati Line Code Date Date
on Nam e Line Type
n cipal Corp on 2
e 1
ic
Corp orati
orati on
on Nam
e
tr
is

Other Details
D

Applicants Details of Business Duration of Stay in West

Native State Native District
or service Bengal
West Bengal Darjeeling
e-

NA 15
Whether Applicant or Parents
Possess Any Immovable Whether Applicant Migrated
Property Like House etc. in Immovable Property Details from Any Other State or Reason for Application
West Bengal or in Any Other NA Country Other
State NO
NO
Other Reason for Application
Certificate need for applying
ews certificate

Generated on : 2024-03-07T[Link].683

P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
maintained by TATA Consultancy Services Ltd.
Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen