Government of West Bengal

Directorate of School Education

Bikash Bhavan, 7th Floor, Saltlake City, Kolkata - 700091

State Level National Talent Search Examination, 2018

NTSE 2018 Printed Application Form

Personal Details Profile Image

Name of candidate

First Name SANCHAYITA Middle Name Last Name PRODHAN

Father's Name of candidate

First Name SUDIP Middle Name Last Name PRODHAN

Mother's Name of candidate

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First Name KALPANA Middle Name Last Name PRODHAN
WB1WJN1504173805
Gender FEMALE Date of Birth 18-05-2002 Category GENERAL

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Area RURAL Disability Status NONE
Aadhaar No. Mobile No. 7063355807
Parental Annual Income (Rs.) up to 50000 Actual Parental Annual Income (Rs.) 36000

N
Contact Details

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Landline No. Email Id tatthyamitra2004@gmail.com
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Postal Address of candidate
House No./Locality VILL SAGUNA
City/Town/Village SAGUNA Post Office SAGUNA
A
State WEST BENGAL District NORTH TWENTY FOUR PARGANAS PIN Code 743273
C

Institution Details
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Institution Name KHANTURA GIRLS HIGH SCHOOL

Sub Divison BARASAT SADAR District NORTH 24 PARGANAS
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State WEST BENGAL Area RURAL

UDISE Code 19112801404 Examination Medium State Bengali
Examination Medium NCERT Bangla Institution Type GOVT SPONSORED
A

Medium of Language portion of MAT at NCERT level English

E

Other Details
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Father Education Secondary Father Occupation Farmer, Fisherman and Related Worker
Mother Education Secondary Mother Occupation Not Employed
Total Family Member 3 No of Brother 0 No of Sister 0
At what no. is the candidate among his/her brothers & sisters 1
N

Examination Marks Details [Class IX Standard]

Marks Obtain 420 Total Marks 700
Percentage 60.00%

NTSE 2018 Registration No- WB1WJN1504173805 | Application Downloaded On : 1-11-2017, 5:24:PM | page-1 of 2 | From- 117.194.26.171
 To be certified by the Head of the Institution

Certified that,

1. Miss Sanchayita Prodhan is a regular student of Khantura Girls High School and she secured
60.00 % of marks in the class IX Annual Examination i.e when she was promoted from class IX to
X. She secured 420 marks out of 700 and her Date-of-birth is 18-05-2002.

2. The Particulars given by her in the application form have been verified and found correct.

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3. Miss Sanchayita Prodhan belongs to GENERAL category as per original certificate issued by the

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competent authority.

4. Khantura Girls High School is a Recognised GOVT SPONSORED school.

N
5. The candidature of the applicant may be cancelled at any stage of the examination process

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without any reference if any false information is found in the filled-in application form of the said
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candidate.
A
C

Date: ____/____/________
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PP
A
E
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______________________ ________________________________________
N

Signature of Head of Institution

Signature of the candidate Authorized Person (in case of ODL)/
Co-ordinator, Study Centre with seal

NTSE 2018 Registration No- WB1WJN1504173805 | Application Downloaded On : 1-11-2017, 5:24:PM | page-2 of 2 | From- 117.194.26.171