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User Account Details
User Name
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Password
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Confirm Password
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Email id
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Applicant's Mobile No.
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Contact Number
District
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--Select Item--
Alipurduar
Bankura
Birbhum
Cooch Behar
Darjeeling
Hooghly
Howrah
Jalpaiguri
Jhargram
Kalimpong
Kolkata
Malda
Murshidabad
Nadia
North 24 Parganas
North Dinajpur
Paschim Bardhaman
Paschim Medinipur
Purba Bardhaman
Purba Medinipur
Purulia
South 24 Parganas
South Dinajpur
Security Question
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-- Please Select --
What is the name of the first school?
What is your father’s middle name?
What is your favourite teacher’s name?
Who is your childhood hero?
Who is your favourite actor or singer?
Your Answer
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User Information
First Name
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Middle Name
Last Name
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Gender
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Marital Status
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Date of Birth
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Occupation
City/village
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Pin Code
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Address
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