Address of submission of application for ART Centre is mentioned below:

The Principal,

Medical College & Hospital, Kolkata 88, College Street Kolkata 73.

Contact : Prof. K Datta -9836424144 / Dr. P Saha -9339291252

Sub:-Application for the post of

.

Paste one passport size colour photograph duly signed by the candidate

on contractual basis at

Sir,

In response to your advertisement notice no.RPC/22/18 dated 02.04.2018 For the post of

I prefer myself as a candidate. My bio-date is given below:-

Name of the Candidate:(in capital )
Fathers/Husbands Name:
Permanent Address :( including Flat No. / Block /Road /Municipality/City / Town/P.O. / P.S./District & Pin code)
Present Address :( including Flat No. / Block /Road /Municipality/City / Town/P.O. / P.S./District & Pin code)
Contact No. (Mobile +Land Line)
E-mail No.
Date of Birth: (give attested supporting documents)
Age on 1stMarch 2018
Cast:(give attested supporting documents)
Religion:
Nationality:

Sex:
Photo Identity proof(give attested supporting documents)
Education Qualification:(give attested supporting documents)
Name of the Examination	Board/Un iversity	Year of Passing	Marks obtained	Percentage of marks (%)	Grade /Division
Others Qualification:(give attested supporting documents)
Working Experience:(give attested supporting documents)

Declaration: I, here by declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief and in the event of any information being found false, my candidature is liable to be cancelled. Further, I promise to produce all the original documents before the Competent Authority when called for.

Yours faithfully,

Date:

Signature of the candidate Place:

Enclosure:

(TO BE ENCLOSED WITH THE APPLICATION FORM IN A SEPARATE SHEET) ADMIT CARD

Paste one Candidates copy pass port Staff Recruitment Examination (on contractual basis) 2018 size color

For the post of Photograph duly signed by the

At

candidate

(For office use only)

Roll No.:

Date of Examination / Interview: ----------------------------------------------------------Time of Examination/Interview: ---------------------------------------------------------Venue:

(To be filled by the candidate)

1. Name of the Candidate(in block letter):
   
   
2. Fathers /Husbands Name:
   
   
3. Address:
   
   

_

_

Signature and date with stamp of the head of the Selection Committee

ADMIT CARD (Office copy) Staff Recruitment Examination (on contractual basis) 2018 For the post of

At -------------------------------------------------------------------(For office use only) Roll No.: ------------------------------------------------------------------------Date of Examination / Interview: -----------------------------------Time of Examination/Interview: ----------------------------Venue:

(To be filled by the candidate)

1. Name of the Candidate(in block letter):
   
   
2. Fathers /Husbands Name:
   
   
3. Address:
   
   

Signature and date with stamp of the head of the Selection Committee