Government of West Bengal

Directorate of School Education

Bikash Bhavan, 7th Floor, Saltlake City, Kolkata - 700091
State Level National Talent Search Examination, 2017
NTSE 2017 Printed Application Form
Personal Details

Profile Image

Name of candidate
First Name

Middle Name

ARKA

Last Name

GHOSH

Last Name

GHOSH

First Name

Middle Name

AJIT

KUMAR

Mother's Name of candidate

Middle Name

MALE

Date of Birth

Last Name
16-07-2000

Aadhaar No.

948524721987

Email Id

arkag30@gmail.com

WB1SJE1471769318

GENERAL

Disability Status

URBAN
200001 to 500000

Category

GHOSH

NONE

Mobile No.

8100192604

Gender
Area
Parental Annual
Income (Rs.)

JAYA

Contact Details

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Landline No.
Postal Address of candidate
House No./Locality
City/Town/Village
WEST BENGAL
State

First Name

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Father's Name of candidate

193/B BARASAT ROAD

BARRACKPORE

District

Institution Details

Post Office

NORTH TWENTY FOUR PARGANAS

PIN Code

700122

English

A
PP

ST CLARET SCHOOL
Institution Name
BARRACKPORE
BARRACKPORE
Sub Divison
District
WEST BENGAL
URBAN
State
Area
19113501704
UDISE Code
Examination Medium State
English
Examination Medium NCERT
Institution Type PRIVATE UNAIDED
English
Medium of Language portion of MAT at NCERT level

NONA CHANDAN PUKUR

TS

Other Details

Father Education
Mother Education
Total Family Member

Senior Secondary
Secondary

Father Occupation
Mother Occupation

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

Sales or Service Worker

Not Employed

No of Sister

Examination Marks Details [Class IX Standard]

Marks Obtain
Percentage

853

Total Marks

1000

85.30%

NTSE 2017 Registration No- WB1SJE1471769318 | Application Downloaded On : 12-10-2016, 3:45:PM | page-1 of 2 | From- 202.142.107.223

To be certified by the Head of the Institution

Certified that,

1. Master Arka Ghosh is a regular student of St Claret School and he secured 85.30 % of marks in
the class IX Annual Examination i.e when he was promoted from class IX to X. He secured 853
marks out of 1000 and his Date-of-birth is 16-07-2000.

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2. The Particulars given by him in the application form have been verified and found correct.
3. Master Arka Ghosh belongs to GENERAL category as per original certificate issued by the
competent authority.

4. St Claret School is a Recognised PRIVATE UNAIDED school.

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5. The candidature of the applicant may be cancelled at any stage of the examination process
without any reference if any false information is found in the filled-in application form of the said
candidate.

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Date: ____/____/________

______________________
Signature of the candidate

________________________________________
Signature of Head of Institution
Authorized Person (in case of ODL)/
Co-ordinator, Study Centre with seal

NTSE 2017 Registration No- WB1SJE1471769318 | Application Downloaded On : 12-10-2016, 3:45:PM | page-2 of 2 | From- 202.142.107.223