West Bengal Board of Primary Education

Counselling Preference

PREFERRED DISTRICT FOR COUNSELLING, RECOMMENDATION & APPOINTMENT (IF EMPANELED)*

PERSONAL DETAILS

First Name*

Middle Name

Last Name*

Father/Mother Name*

Date of Birth*

Mobile No*

Roll Number*

TET Marks*

Email*

Gender*

Category*

Sub Category

PERMANENT ADDRESS

House No

Village/Street*

Block

Post Office*

Police Station*

District*

State*

Pin Code*

POSTAL ADDRESS Same As Permanent Address

House No

Village/Street*

Block

Post Office*

Police Station*

District*

State*

Pin Code*

ACADEMIC QUALIFICATION

Name of Examination/Course	Board/University	Year	Full Marks	Marks (A)	% on A	Marks (B)

TRAINING QUALIFICATION

Course*

Appeared State*

Examining Body*

Session*

Status*

Year*

Full Marks*

Obtained Marks*

UPLOAD DOCUMENT

Candidate's Photo and Signature be of file format JPG, JPEG or PNG with size between 5 KB - 100 KB

CANDIDATE'S PHOTO *

CANDIDATE'S SIGNATURE *

The documents mentioned below should be of file format PDF, JPG, JPEG or PNG upto 1mb

TRAINING DOCUMENTS *

AADHAAR CARD IMAGE (FRONT SIDE) *

AADHAAR CARD IMAGE (BACK SIDE) *

AGE PROOF DOCUMENTS *