DM OFFICE: JALPAIGURI : RURAL LIBRARIAN RECRUITMENT
Recruitment Notice No. Published Date-
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(Check Post Name & carefully before starting)
1. Applicant's Personal Details   All Fields are Mandatory !!
NAME OF THE APPLICANT
FATHER'S/ HUSBAND NAME
MOTHER'S NAME
ARE YOU MARRIED GENDER
CASTE: CASTE CERTIFICATE NO.:
CATEGORY: (NA: Not Applicable)
PHYSICALLY CHALLENGED MINORITY
NATIONALITY RELIGION
DATE OF BIRTH
Day Month Year
AGE AS ON
2. Permanent Address
House No /Street P.O. Ward No.
Village / Town Block/Municipality PS
District State PIN
3. Communication Address
Check if Communication Address same as Permanent address
House No /Street P.O. Ward No.
Village / Town Block/Municipality PS
District State PIN
PRIMARY MOBILE NO.(WITHOUT DND) AADHAAR
ALTERNATE MOBILE NO. EMAIL ID.
4. Essential Qualification and Others
Examination Passed

(Use Abbreviation)

 Year of Passing Subjects

(Excluding Optional :: Use Abbreviation)

 Board/ University/ Institutions

(Use Abbreviation)

 Exam Type Total Marks

(Exl. Optional)

 Marks Obtained

(Exl. Optional)

 % of Marks
Madhyamik (10th) No need to mention subject
HS (10+2)
4. Computer Qualification
Examination Passed

(Use Abbreviation)

 Board/ Name of the Institutions

(Use Abbreviation)

 Year of Passing Course duration
5. Experience Details
Sl No Name of the Employer

(Institution/ Dept. Name :: Use Abbreviation)

 Institution Status (Govt/Pvt) Designation

(Use Abbreviation)

 Dt. of Joining

(DD/MM/YYYY)

 Dt. of Leaving

(DD/MM/YYYY)

 Total Months
1
Till Date
2
Till Date
6. Declaration & CAPTCHA Security