OFFICE OF THE DISTRICT MAGISTRATE & DISTRICT COLLECTOR, MALDA

Online Application Form

Application for the post of *
 
Name (in Block letters) * (minimum 4 chars)
Note 1: Name as recorded in the Matriculation/Secondary Examination Certificate.
Note 2: Please do not use any prefix such as Mr. or Ms. etc.
Father's/Husband's Name * (minimum 4 chars.)
Category *
Address *
Vill./Street * (mimimum 5 chars)
P.O. * (mimimum 3 chars)
Block/ Municipality * (mimimum 3 chars)
P.S. * (mimimum 3 chars)
District * (mimimum 5 chars)
PIN Code * (only 6 digit number)
State *
Mobile No.* (only 10 digit number)
E-Mail
Date of Birth*
[Date of Birth as recorded in the Matriculation/Secondary Examination Certificate]
Age as on 01/09/2018:
Sex *
Marital Status *
Language Known: * English: Read   Write   Speak
Bengali: Read   Write   Speak
Other Language: Read   Write   Speak
Photo Upload: * (min 10 KB & 20 Kb max.) Size: Height- 128px Width-99px
Signature Upload:* (min 10 KB & 20 Kb max.) Size: Height- 50px Width-200px

Educational Qualification: * (Mention from Xth Std. and upwards)
Select Option Board/University/ Institute
Examination Passed Year of Pass Total Marks Marks Obtained
(Keep blank if
marks not available
in grade card)
CGPA/ % (e.g. 99.0) /
Grade
Xth or equiv.
XII or equiv.
Graduation
Post Graduate
Knowledge in Computer

Work Experience:
  (Please add row for entering more experience - maximum three rows)
Name of the organization Designation /
Post Held
Reason for leaving the
Job
Date of Joining
(dd/mm/yyyy)
Date of Leaving
(dd/mm/yyyy)
Total Experience
(in Months)
Delete Row
Category( Caste Certificate ): * (.pdf Only & Max file size 1MB)
Self attested Age Proof: * (.pdf Only & Max file size 1MB)
Self attested of Qualification Document in Single pdf: * (.pdf Only & Max file size 2MB)
Work Experience: * (.pdf Only & Max file size 1MB)
Details of other Experience (if any)/ Computer knowledge * (write NIL for no experience)
Security Code*
(*) - Star marked fields are essentially to be filled by the candidate.
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