Please enable JavaScript in your browser to complete this form.Apply for District/Block *District LevelDistrict LevelSub-Division LevelName *FirstMiddleLastGender *MaleFemaleTransgenderEducational Qualification *BBABBAMBAAdditional QualificationMCAMCAPGDCADiploma in Computer Educational Qualification *BCABCABSc (Comp. Science)MCABEBTechAdditional QualificationBBABBAMBAPGDBMYour Key Skills *Add Key Skills from your Education and Work Experience. Key Skills to be single word. Use semi colon as separator. ex: Nursing; Pharmacy; Laboratory Technician; Support Staff; Driving; Cooking; Plumbing; Java; Data-Entry; Accounts; Sales etc.Unique Identification(UID) Type *PAN CardPAN CardAdhaar CardVoter ID CardOtherUnique Identification(UID) Number *District *ALIPURDUARALIPURDUARBANKURABIRBHUMCOOCHBEHARDAKSHIN DINAJPURDARJEELINGHOOGHLYHOWRAHJALPAIGURIJHARGRAMKALIMPONGMALDAMURSHIDABADNADIANORTH 24 PARGANASPASCHIM MEDINIPURPURBA BARDHAMANPURBA MEDINIPURPURULIASOUTH 24 PARGANASUTTAR DINAJPURSub-Division *ALIPURDUARALIPURDUARBANKURA SADARBISHNUPURKHATRABOLPURRAMPURHATSURICOOCHBEHAR SADARDINHATAMATHABHANGAMEKHLIGANJTUFANGANJBALURGHATGANGARAMPURDARJEELING SADARKURSEONGMIRIKSILIGURIARAMBAGHCHANDANNAGARCHINSURAHASIRAMPURHOWRAH SADARULUBERIAJALPAIGURIMALJHARGRAMKALIMPONGCHANCHALMALDA SADARBERHAMPOREDOMKALJANGIPURKANDILALBAGKALYANIKRISHNAGAR SADARRANAGHATTEHATTABARASAT SADARBARRACKPOREBASIRHATBIDHANNAGARBONGAONASANSOLDURGAPURGHATALKHARAGPURMEDINIPURKALNAKATWABARDHAMAN SADAR NORTHBARDHAMAN SADAR SOUTHCONTAIEGRAHALDIATAMLUKPURULIA SADARJHALDAMANBAZARRAGHUNATHPURALIPORE SADARBARAIPURCANNINGDIAMOND HARBOURKAKDWIPISLAMPURRAIGANJAddress *Post Office *Police Station *PincodeState *Date of Birth *Guardian/Father’s Name *Relationship with GuardianEmail *Mobile Number *Do you have Two Wheeler ?NoNoYesDriving Licence No.Vehicle No. Upload DocumentsUpload Educational & Experienced Certificates * Click or drag files to this area to upload. You can upload up to 2 files. Upload Unique Identification Card * Click or drag a file to this area to upload. Submit