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Paste photo Application Form for Bana Sahayak

To, The Chief Conservator of Forests and Chairperson, Circle Engagement Board for [District______]

Sir,

As per the advertisement published by your Department in newspapers on date ______, please consider my application for post of “Bana Sahayak”.

The details of my biodata as required are as follows:

1 Name

2 Father’s / Mother’s Name 3 Date of birth (dd/mm/yyyy) 4 Whether SC/ ST/ General / OBC 5 Educational Qualification

6 Address

Police Station Post Office Block District

7 Contact Phone 8 eMail, if any

Attachments: Copy of Proof of Age Copy of Proof of Residence Copy of Educational Qualification Copy of caste certificate if any ______Signature Date:

Instructions to Applicants

1. The Application Form may be downloaded and filled or filled in the same format as indicated therein. 2. All attachments to the application should be attached firmly with the Application Form. Only self attested photocopies of the relevant documents should be attached. No Original Documents should be attached. 3. The Application Form, along with all attachments are to be put in a single envelope, sealed and submitted physically in the drop box meant for the district, on the basis of permanent residence, as listed herewith. The applications may alternatively be sent by ordinary post or courier so as to reach within the due date, but the Department shall not be responsible for any delays in delivery. No application is to be sent by Registered/ Speed Post or any means requiring acknowledgement. 4. Please note that the application process will be closed after seven (7) working days from the date of advertisement. 5. Applications shall be addressed to the Chief Conservator of Forests as per applicant’s place of residence, as per the list below: Resident of District Apply to Birbhum Chief Conservator of Forests, Paschim South East Purba Bardhaman Hooghly Chief Conservator of Forests, Conservation & Extension South 24 Chief Conservator of Forests& North FD, Sundarban Tiger Reserve Nadia Malda Chief Conservator of Forests, Uttar Dinajpur Wildlife North Dakshin Dinajpur Chief Conservator of Forests, South West Purba Medinipur Chief Conservator of Forests, Paschim Medinipur West Chief Conservator of Forests & FD, Chief Conservator of Forests, North Chief Conservator of Forests, Hills

Applications are to be dropped at the following location of drop boxes in each district:

District Address of Divisional Forest Office with drop box Birbhum o/o DFO Birbhum, Barabagan, P.O. Suri, Dist. Birbhum. Pin- 731103. Paschim Bardhaman o/o DFO , Shastri Avenue, Aranya Pally, Durgapur- 713212. Purba Bardhaman o/o DFO Burdwan, Golapbag. P.O. Rajbati. Burdwan - 713104. Howrah and Hooghly o/o DFO Howrah, Stadium Complex, 1st floor, Dalmia Park, 5 M.G. Road, Howrah – 711101. Kolkata o/o DCF URF, 10A Auckland Road, Beside Netaji Indoor Stadium, Eden Gardens, Kolkata 700021. o/o DFO 24 Parganas South, New Administrative Building, 4th floor, 12, Biplabi Kanai Bhattacharjee Sarani, South Block, , Kolkata-700027. North 24 Parganas o/o DFO 24 Parganas North, Court Complex, near Bus Stand, – 700124. Nadia and Murshidabad o/o DFO Nadia and Murshidabad, Anatheswar Road, near BSNL Nakshatra Bhawan, P.O. Krishnagar, Dist. Nadia – 741101. Malda o/o DFO Malda, Nazrul Sarani, Mukdumpur, P.O.: Malda Dist.: Malda Pin- 732103. Uttar & Dakshin Dinajpur o/o DFO , P.O. Karhahjora, Raiganj, Pin- 733130. Bankura o/o DFO Bankura North, Machantala, P.O. & Dist. Bankura, Pin- 722101. Purulia o/o DFO Purulia, Near Purulia Bus Stand, P.O. & Dist. Purulia, West . Pin- 723101. Purba Medinipur o/o DFO Purba Medinipur, Chakkamina, Dist. Purba Medinipur. Pin- 721636. Paschim Medinipur o/o DFO Medinipur, Michael Madhusudan Nagar, PO & Dist. Paschim Midnapur, Pin- 721101. Jhargram o/o DFO Jhargram, Ghoradhora, P.O.: Jhargram Dist.: Paschim Medinipur Pin- 721507. Alipurduar o/o DFD BTR East, Alipurduar Court, P.O. Alipurduar, Dist. Alipurduar. Pin- 736122. Jalpaiguri o/o DFO Jalpaiguri, Aranya Bhavan, Hakimpara, Old Court Campus Hakimpara, P.O & Dist. Jalpaiguri, Pin - 735 101. Cooch Behar o/o DFO Jaldapara WL, Nilkuthi P.O. CoochBehar Pin- 736101. Darjeeling o/o DFO Darjeeling, Barakakjhora, D.B. Giri Road, P.O. & Dist. Darjeeling: 734101. o/o DFO , Dowhill, Kurseong, Pin - 734204. o/o DFO , 148 Rashbehari Sarani, Rabindra Nagar, -734006. Kalimpong o/o DFO Kalimpong, P.O. Kalimpong, Dist. Darjeeling, Pin- 734301.