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West Bengal Joint Entrance Examinations Board

WBJEEB - Joint Entrance for Post Basic Nursing course (JEPBN) 2024
Confirmation Page

Personal Details
Application Number 24210002811 Candidate Name ANITA BISWAS
Father Name SHIBENDRA NATH BISWAS Mother Name ASHA BISWAS
Gender Female Date of Birth 06-03-1990
Nationality Indian Domicile West Bengal
Religion HINDUISM Category OBC - B

Sub Category List


Person with Disability No
Other Informations
Present employer West Bengal State Govt
Qualification Details
General Nursing and Midwifery (GNM) Details
Passing Status Passed
Passing/Appearing Year 2011
Affiliated by Indian Nursing Counsil Yes
Institute Pincode 732101
Exam Center List
State Name. Exam Center Name Exam Center Choice No.
West Bengal Kolkata - Salt Lake/New Town 1
Present Employment Details
Do you have any experience ? Yes
SNo. 1
Name of Last/Current Organization and Address MALDA MEDICAL COLLEGE AND HOSPITAL MALDA -732101
Post Held STAFF NURSE GR-II
Date of First Joining in Service 25/02/2013
Contact Details
Correspondence Address
Premises No./Village Name D/O- SHIBENDRA NATH BISWAS, VILL-KENDUA,
Sub Locality/Colony/Police Station(Optional) PS.-HABIBPUR
Locality/City/Town/Village/Post Office P O BULBULCHANDI
Country India
State West Bengal
District MALDA
Pin Code 732122
Mobile Number 985****414
Email Id rit*******************com
Agree to Use for send Updates/Notifications Yes
Agree to Use for send Updates/Notifications Yes
Permanent Address
Premises No./Village Name D/O- SHIBENDRA NATH BISWAS, VILL-KENDUA,
Sub Locality/Colony/Police Station(Optional) PS.-HABIBPUR
Locality/City/Town/Village/Post Office P O BULBULCHANDI
Country India
State West Bengal
District MALDA
Pin Code 732122
Fee Payment Details
Registration Fee
Transaction Number Transaction Amount Transaction Date
19760504074 3000 29/04/2024 12:17:45
Registration Details
Activity Date & Time IP Address
Registration Form Submission Apr 29 2024 11:53AM 59.97.158.190
Application Form Submission Apr 29 2024 12:17PM 59.97.158.190
Uploded Documents
Photograph
Signature
Declaration

Application Number: 24210002811 Generated On: 29-04-2024 12:20:02 PM Page No. 1


West Bengal Joint Entrance Examinations Board
WBJEEB - Joint Entrance for Post Basic Nursing course (JEPBN) 2024
Confirmation Page

I do hereby declare that I have filled up this online application after carefully reading the Information Bulletin and fully understanding the provisions/
procedures mentioned therein. I further declare that all the particulars given by me in this application are true and correct to the best of my knowledge and
belief. I agree that my Result may be withheld/ not declared/ my candidature may automatically stand canceled, In case it is found at any point of time in
future that false information has been furnished in this application. I shall abide by these terms and conditions as well as those laid down in the Information
Bulletin, Public Notices and Advisories issued by WBJEEB regarding this exam from time to time.

Instructions:

1. Candidate is requested to retain the printout of confirmation page for future reference.
2. The candidate is requested to keep the registered mobile number and email ID active for important updates and notifications.
3. Kindly visit the website https://wbjeeb.nic.in regularly for further updates and notifications.

Signature of Candidate
(ANITA BISWAS)

Application Number: 24210002811 Generated On: 29-04-2024 12:20:02 PM Page No. 2

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