MSC Application Form Kmdasdfgh

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MUNICIPAL SERVICE COMMISSION

149, A.J.C. Bose Road, Kolkata-700 014

Application Form For Recruitment to the post of


.. under the Kolkata Metropolitan Development Authority
TO BE FILLED UP BY
THE CANDIDATE

FOR OFFICE USE


Paste a passport
size recent
Photograph of
the Candidate
duly signed by
him/her on the
front side of the
photograph.

Application No :
Name of United Bank of
India Branch where fee/
and processing charge
deposited in account
No.0088050006798
AmountDate..

Roll No. :

Spl Attention :
Fee /charges be
deposited
In UBI account No.
0088050006798
otherwise
application may
not be entertained

Transaction ID No.
...............
1. NAME OF THE POST APPLIED FOR

2. Advertisement No.

: _____________________________________________

: 5 of 2013

3. Name of the Candidate (In Capital letters) : _________________________________________


4. Sex (Male/ Female)
5. Fathers/Husbands Name
6. Nationality
7. Date of Birth(In Christian era)
8. Age (as on 01.01.2013)
9. Address for Communication
(PIN CODE must be mentioned)

: _________________________________________
: _________________________________________
: _________________________________________
: _________________________________________
: _________________________________________
: _________________________________________
_________________________________________
__________________________________________
________________ Pin

10. (i)Do you belong to S.C./S.T./O.B.C.-A/O.B.C.-B


of West Bengal ? (State Yes or No)
: _________________________________________
(ii)If yes, specify the Category
(Put tick mark in appropriate box)

SC

ST

OBC-A

OBC-B

(iii) Mention the name of sub-caste/Tribe/Community : _____________________________


(As the case may be)
11. Whether Physically Handicapped [State Yes or No] : _____________________________
12. If yes, specify the Category

: _________________________________________
Contd.P/2

13. Whether belongs to Ex. Serviceman [State Yes or No] : __________________________


14. Educational Qualifications (Madhyamik examination onwards)
Name of the
Examination

Year of
Passing

Division/
Class

Percentage
of marks
obtained

Subjects taken

Board/University

15. If employed previously or at present, the details thereof :


Name of the
Organisation (s)

Position/Designation
held

Nature of
duty (ies)

Period of Service
From
To

16. List of attested documents enclosed : (i)_______________________ (ii)___________________


(iii)_______________________(iv)__________________
(v) _______________________(vi)__________________
DECLARATION

I solemnly declare that (a) All statements made in this application are true, complete and correct (b) Original
documents will be produced on demand (c) I agree to undergo the selection process on the condition that the
Commission may cancel my candidature if I am found ineligible at any stage and (d) I have submitted no other
application for the concerned post.
** I have informed the head of my Office or Department .in writing that I am applying for this post (**Strike off this
sentence if the candidate is not in service of Government or Local or Statutory Body).

Place :
Date :

Signature of the Candidate in full

Bank Branch Copy

Bank Challan Form


(For General / OBC candidates)

Bank Challan Form


(For General / OBC candidates)

UNITED BANK OF INDIA

UNITED BANK OF INDIA

Name : Municipal Service Commission


Account No.0088050006798
Home Branch : Entally (0088)
MSC Advertisement No. 5 of 2013 for recruitment to the post of
..
under Kolkata Metropolitan Development Authority.

Name : Municipal Service Commission


Account No.0088050006798
Home Branch : Entally (0088)
MSC Advertisement No. 5 of 2013 for recruitment to the post of
..
under Kolkata Metropolitan Development Authority.

UBI Branch where deposited .Date...

UBI Branch where deposited .Date..

Applicants Name

Applicants Name

Fathers /Husbands Name

Fathers /Husbands Name

Date of birth..

Date of birth.

Category [ General / OBC(A) / OBC (B) ]

Category [ General / OBC(A) / OBC (B) ]

Application fee

Rs.150.00

Application fee..

Rs.150.00

Processing charge.

Rs. 50.00

Processing charge..

Rs. 50.00

Service charge for bank..


Rs. 20.00
Total Rs. 220.00
(Rupees two hundred twenty) only

Service charge for bank..


Rs. 20.00
Total
Rs .220.00
(Rupees two hundred twenty) only

_________________
Transaction ID to be
noted by receiving official

_________________
Transaction ID to be
noted by receiving official

___________________
Bank seal

__________________
Signature of depositor

____________________
Signature of receiving official

MSCS Copy

Applicants Copy

___________________
Bank seal

_________________
Signature of depositor

_________________
Signature of receiving official

Bank Challan Form


(For General / OBC candidates)
UNITED BANK OF INDIA
Name : Municipal Service Commission
Account No.0088050006798
Home Branch : Entally (0088)
MSC Advertisement No. 5 of 2013 for recruitment to the post of
..
under Kolkata Metropolitan Development Authority.
UBI Branch where deposited .Date..
Applicants Name
Fathers /Husbands Name
Date of birth.
Category [ General / OBC(A) / OBC (B) ]
Application fee..

Rs.150.00

Processing charge..

Rs. 50.00

Service charge for bank..


Rs. 20.00
Total
Rs .220.00
(Rupees two hundred twenty) only

____________________
Transaction ID to be
noted by receiving official

_______________
Bank seal

___________________
Signature of depositor

____________________
Signature of receiving official

MSCs Copy

Applicants Copy

Bank Branch Copy

Bank Challan Form


(For S.C / S.T candidates only)

Bank Challan Form


(For S.C / S.T/ candidates only)

UNITED BANK OF INDIA

UNITED BANK OF INDIA

Bank Challan Form


(For S.C / S.T candidates only)
UNITED BANK OF INDIA

Name : Municipal Service Commission


Account No.0088050006798
Home Branch : Entally (0088)
MSC Advertisement No. 5 of 2013 for recruitment to the post of
..
under Kolkata Metropolitan Development Authority.

Name : Municipal Service Commission


Account No.0088050006798
Home Branch : Entally (0088)
MSC Advertisement No. 5 of 2013 for recruitment to the post of
..
under Kolkata Metropolitan Development Authority.

Name : Municipal Service Commission


Account No.0088050006798
Home Branch : Entally (0088)
MSC Advertisement No. 5 of 2013 for recruitment to the post of
..
under Kolkata Metropolitan Development Authority.

UBI Branch where deposited Date..

UBI Branch where deposited .Date..

UBI Branch where deposited .Date..

Applicants Name

Applicants Name

Applicants Name

Fathers /Husbands Name

Fathers /Husbands Name

Fathers /Husbands Name

Date of birth.

Date of birth.

Date of birth.

Category [ SC/ ST / PH ]..

Category [ SC/ ST/ PH].

Category [ SC / ST/ PH].

Application fee

Application fee.

Application fee...

Processing charge..

NIL
Rs. 50.00

Service charge for bank.


Rs. 20.00
Total Rs. 70.00
(Rupees seventy) only

________________
Transaction ID to be
noted by receiving official

___________________
Bank seal

_______________
Signature of depositor

____________________
Signature of receiving official

Processing charge..

NIL
Rs. 50.00

Service charge for bank..


Rs. 20.00
Total Rs. 70.00
(Rupees seventy) only

______________
Transaction ID to be
noted by receiving official

___________________
Bank seal

______________
Signature of depositor

_____________________
Signature of receiving official

Processing charge..

NIL
Rs. 50.00

Service charge for bank.


Rs. 20.00
Total
Rs. 70.00
(Rupees seventy) only

_____________
Transaction ID to be
noted by receiving official

_______________
Bank seal

_______________
Signature of depositor

______________________
Signature of receiving official

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