Office of The District Magistrate Jalapiguri

REGISTRATION FORM

Reference: Advertisement vide Memo No. 436/Estt/DL&LRO/JAL/24 , Dated: 06/12/2024 [For the Post of Data Entry Operator]

*District :	Jalpaiguri
	( Only The Candidates of Jalpaiguri District are Allowed to Apply for This Post )
*Full Name of the Candidate:
	( Put name leaving one space between first name, middle name & last name )
*Sex :	Male Female
*Date of Birth :	Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  Month: January February March April May June July August September October November December   Year: 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
*Caste :	General SC ST OBC-A OBC-B
*EPIC No. :
*AADHAAR No. :
*E-mail ID :
*Mobile No. :
*Password :
	( Put any Password at your choice and use atleast 6 charecters )
*Re Enter Password :
*Enter Varification Code :
Your Varification Code ->

	Fields Marked as * are Mandetory Fields