Cyber Orientation Training

Applicant Details (আবেদনকারীর বিবরণ)

Applicant's Mobile No *
(আবেদনকারীর মোবাইল নম্বর) :

Name of the Applicant *
(আবেদন কারীর নাম) :

Father's / Mother's Name *
(পিতা / মাতার নাম):

Gender *
(লিঙ্গ ) :

Male ( পুরুষ ) Female ( মহিলা )

Date of Birth *
(জন্ম তারিখ) :

Applicant's E-mail ID
(ই-মেইল) *:

Educational Qualification :

Sl No.	Exam Passed	Name of Board/ University	Year of Passing	Course Name	Percentage of Marks
1.	Secondary or its EQUIVALENT ( মাধ্যমিক / সমতুল্য )
2.	Higher Secondary or its Equivalent ( উচ্চ মাধ্যমিক / সমতুল্য )
3.	Graduation ( স্নাতক )
4.	Post Graduation ( স্নাতকোত্তর )
5.	Others ( অন্যান্য )

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Address *
(ঠিকানা) :

District * (জেলা) :

Rural / Urban *:

Block Municipality

Block/Municipality Name *
(ব্লক/পৌরসভা নাম) :

GP/Ward (গ্রাম পঞ্চায়েত/ওয়ার্ড) :

Police Station (থানা) * :

Pin * (পিন) :

I do hereby declare that the information provided by me in the above application is true, complete and correct to the best of my knowledge.
I am fully agreed to be loyal to the terms and condition mentioned above.

Application for Cyber Orientation Training 2025

organised by Cyber Security of Excellence under IT Department, Govt. of West Bengal

Last date of filling application 15th December, 2024

Applicant Details (আবেদনকারীর বিবরণ)

Permanent Address (স্থায়ী ঠিকানা)

Declaration By The Candidate