Applicant Basic Information
Salutation First Name Middle Name Last Name
Mr. KURBAN NA SHAIKH
Date of Birth Age Gender Date of Application
5-JUNE-1995 30 Male 6-AUGUST-2025
Mobile No E-mail Aadhaar Card No
8250205437
[email protected] 929604006824
Permanent Address of Applicant
Country State District Sub-division
India West Bengal Murshidabad Jangipur
Block/Municipality/Municipal Block/Municipality/Municipal
Rural or Urban Village or Ward
Corporation Corporation Name
R Bahara
B Raghunathganj - II
Police Station Post Office Address Line 1 Address Line 2
.0
Raghunathganj Kalabagh BO t2Vill-bahara NA
Pin Code
742213
ic
Present Address of Applicant
Same Address As
tr
Country State District
Permanent Address of
India West Bengal Murshidabad
is
Applicant
Block or Municipality or Block or Municipality or
Sub Division Rural or Urban
D
Corporation Corporation Name
Jangipur R
B Raghunathganj - II
e-
Village or Ward Name Police station Post Office Address Line 1
Bahara Raghunathganj Kalabagh BO Vill-bahara
Address Line 2 PIN Code
NA 742213
Parent or Husband details
Parent or Husband Salutation First Name Middle Name
Father Mr. ABOL NA
Details of Parents Business or
Last Name Occupation
Service
HOSSAIN Farmer
NA
Applicant Place of Birth
Same Address As
State selected Country State
Permanent Address of
West Bengal India West Bengal
Applicant
Generated on : 2025-08-06T11:08:28.705
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
Murshidabad Jangipur R
B
Block or Municipality or
Village or Ward Name Police station Post Office
Corporation Name
Bahara Raghunathganj Kalabagh BO
Raghunathganj - II
Address Line 1 Address Line 2 PIN Code
Vill-bahara NA 742213
Education Detail of Applicant
Name of Institution Class From Class To From Year To Year
Gobindapur high V X 2009 2013
school
.0
Particulars of stay of last 15 years
Block
t2
Block or
or Muni
Muni cipali Villag
ic
Rural cipali ty or 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
tr
e 1
Corp orati
orati on
is
on Nam
e
D
Ragh
West Murs Ragh Kala Vill- 1995 2025
Jangi unat Baha 7422
India Beng hidab R B unat bagh baha -06-0 -08-0 Own
pur hganj ra 13
e-
al ad hganj BO ra 5 4
- II
Other Details
Applicants Details of Business Duration of Stay in West
Native State Native District
or service Bengal
West bengal Murshidaabad
Tailor 30
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
Permanent Indian resident
Generated on : 2025-08-06T11:08:28.748
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
