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Department: Revenue

APPLICATION FOR TRANSFER OF ENROLLMENT TO OTHER DISTRICT


()
(Marked Fields are mandatory)
(*চিহ্নযু ক্ত তথ্যব োৰ োধ্যতোমূ লক)

Applicant’s Details (আবেদনকাৰীৰ বেৱৰণ)


*Applicant’s Name (আব দনকোৰীৰ নোম) ………………………………………..
*Applicant’s Gender ( ) Male Female
*Mobile Number (ম োইল নম্বৰ ) ………………………………………..
Qualification ( ) ………………………………………..
Grade ( ) ………………………………………..
Date Of Birth ( ) ………………………………………..
Applicant Age ( য়স ) ………………………………………..
Prominent Identification mark ………………………………………..
( )
Mail Id ( ) ………………………………………..
Pan Number ( ) ………………………………………..
Aadhar card Number ( ) ………………………………………..
Other Details ( )
*Current Employment Exchange Name and address
( য়স ম) ………………………………
* Preferred Employment Exchange Name and address
( য় য়স ম ) ………………………………
Required Employment Exchange District ( য় য় স ) ………………………………
* Date of Registration ( য় ) ………………………………
*Registration No
Institution ( ) ………………………………
N.C.O code ( ’ড ) ………………………………
Address Details ( )
*State (ৰোজ্য) ………………………….
*District(চজ্লো) ………………………….
*Sub-Division (মহকুমো) …………………………..
*Circle Office(ৰোজ্হ িক্র) ………………………….
Address ( ) …………………………..
Supporting Documents (সংলগ্ন নচথ্)
1. *Original I-Card issued by the competent authority
2. Any Other Document.
Signature of the applicant
(আব দনকোৰীৰ িোক্ষৰ)
……………~………………

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