Data Qualification

BIO-DATA

NAME : RAHUL MODAK

FATHER NAME : KRISHNA KANTA MODAK

MOTHER NAME : SWAPNA MODAK

DATE OF BIRTH : 23/11/1996

QUALIFICATION : HS PASS

EXTRA QUALIFICATION : CITA

NATIONALITY : INDIAN

RELAGION :HINDU

CASTE : OBC-B

SEX : MALE

MARITEAL STATUS : UNMARRIED

BLOOD GROUP : B+

MOBILE NO : 801-***-****

Email Id : *************@*****.***

ADDRESS/-

VILL+PO :RUERKUTHI

P.S- :DINHATA

DIST. :COOCHBEHAR

PIN NO : 736134

BLOCK : DINHATA - I

STATE : WEST BENGAL

DATE:

PLACE:

SIGNATURE OF CANDIDATE

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