:: West Bengal SC ST & OBC Development and Finance Corporation ::

Course Details

Course Applied^*

District^*

Training Provider^*

Name of the Location^*

Personal Details

Applicant's Name ^*

Name of Father / Mother / Guardian / Spouse ^*

Relationship with Applicant^*

Gender^*

Date of Birth^*

Mobile No. ^*

Alternate Mobile No.

Email^*

Caste^*

Subcaste^*

CASTE CERTIFICATE NO.^*

AADHAAR NO.^*

Contact Details

RURAL/URBAN ^*

Locality/Road

House No.

District ^*

Block / Municipality ^*

GRAM PANCHAYAT/WARD NO.^*

Village/Ward^*

Post Office ^*

Police Station ^*

PIN ^*

Other Details

EDUCATIONAL QUALIFICATION

ANNUAL FAMILY INCOME (Rs.)^*

Instructions

Please bring following documents during counseling/selection:
1. A printed copy of Application Form
2. Original and photocopy of Aadhaar Card
3. Original and photocopy of Caste Certificate
4. Original family income certificate
5. 2 copies of colour passport size photographs

Security Code ^*

I do solemnly declare that all the particulars given above are true. I shall abide by the guidelines of the Backward Classes Welfare and Tribal Development Department, Government of West Bengal.