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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 PREETAM Middle Name Last Name PAUL

Father's Name of candidate

First Name PROJJAL Middle Name Last Name PAUL

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Mother's Name of candidate

First Name INDRANI Middle Name Last Name PAUL


WB1DPU1502913026

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Gender MALE Date of Birth 14-03-2002 Category GENERAL
Area RURAL Disability Status NONE
Aadhaar No. 925319377646 Mobile No. 9563609125
Parental Annual Income (Rs.) above 500000 Actual Parental Annual Income (Rs.) 500000

N
O
Contact Details
Landline No. 03432555438 Email Id paulprojjal@gmail.com
TI
Postal Address of candidate
House No./Locality B- 92/4 KTPP TOWNSHIP
A
City/Town/Village MECHEDA Post Office KTPP
State WEST BENGAL District PURBA MEDINIPUR PIN Code 721171
C
LI

Institution Details
Institution Name RAMAKRISHNA MISSION VIDYALAYA (FOR ENG. MEDIUM)
PP

Sub Divison BARUIPUR District SOUTH 24 PARGANAS


State WEST BENGAL Area RURAL
UDISE Code 19183602505 Examination Medium State English
A

Examination Medium NCERT English Institution Type GOVT AIDED


Medium of Language portion of MAT at NCERT level English
E

Other Details
TS

Father Education Graduation Father Occupation Professional, Technical and Related Worker
Mother Education Graduation Mother Occupation Professional, Technical and Related Worker
Total Family Member 4 No of Brother 1 No of Sister 0
N

At what no. is the candidate among his/her brothers & sisters 1

Examination Marks Details [Class IX Standard]


Marks Obtain 613 Total Marks 850
Percentage 72.12%

NTSE 2018 Registration No- WB1DPU1502913026 | Application Downloaded On : 24-08-2017, 8:14:PM | page-1 of 2 | From- 111.93.170.6
To be certified by the Head of the Institution

Certified that,

1. Master Preetam Paul is a regular student of Ramakrishna Mission Vidyalaya (for Eng. Medium)
and he secured 72.12 % of marks in the class IX Annual Examination i.e when he was promoted
from class IX to X. He secured 613 marks out of 850 and his Date-of-birth is 14-03-2002.

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

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3. Master Preetam Paul belongs to GENERAL category as per original certificate issued by the

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competent authority.

4. Ramakrishna Mission Vidyalaya (for Eng. Medium) is a Recognised GOVT AIDED school.

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

O
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
TS

______________________ ________________________________________
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- WB1DPU1502913026 | Application Downloaded On : 24-08-2017, 8:14:PM | page-2 of 2 | From- 111.93.170.6

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