Application No : KOL/2659/00003 Date & Time : 01/04/2019,09:01:15 PM

To The CDPO ICDS Project District Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details Anganwadi Center Name( AWCS Name ) : NETAJI SANGHA AWCS Code : 19342120419 Personal Details Worker Name : MILI GHOSH Mobile No. : 8274949918 Father's Name : LT DINESH CHANDRA TALUKDER Mother Name : GITA TALUKDER Date of Birth : 05/11/1967 Age : 51 Y. 1 M. 27 D. Marital Status : Married Husband Name : PRADIP GHOSH Address Details Address : 132 ANANDAPALLY Pincode : 700032 JADAVPUR POLICE Post Office : JADAVPUR UNIVERSITY Police Station : STATION District : KOLKATA State : Joining Details where she joined first as Anganwadi Worker Date of Joining : 14/11/1986 Experience in years : 32 Project Name : TOLLYGUNJ Name and Code of AWC : SUBHASH SANGSAD ( 19342120384 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained 1 MADHYAMIK EXAMINATION WBSE 1982 46 2 HIGHER SECONDARY WBCHSE 1984 36.5 3 PASS GRADUATE CALCUTTA UNIVERSITY 1986 40.11

Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : General : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/00003 Applicant Name : MILI GHOSH Application Date : 01/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal Application No : KOL/2659/27938 Date & Time : 04/04/2019,10:17:43 AM

To The CDPO TOLLYGUNGE ICDS Project Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details Anganwadi Center Name( AWCS Name ) : SUBHASH SAMSAD AWCS Code : 19342120309 Personal Details Worker Name : ASHA AGNES TIRKEY MINZ Mobile No. : 9748542735 Father's Name : GOBIND TIRKEY Mother Name : ANNA TIRKEY Date of Birth : 18/04/1989 Age : 29 Y. 8 M. 14 D. Marital Status : Married Husband Name : SAMUEL MINZ Address Details Address : 371 BIDHAN PALLY Pincode : 700084 Post Office : Police Station : District : KOLKATA State : WEST BENGAL Joining Details where she joined first as Anganwadi Worker Date of Joining : 02/11/2007 Experience in years : 11 Project Name : DOMJUR Name and Code of AWC : MUNSHI DANGA PURBA SARDAR PARA ( 19341081004 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained ANNUAL SECONDARY JHARKHAND ACADEMIC COUNCIL 1 2007 47.8 EXAMINATION RANCHI INDIRA GANDHI NATIONAL OPEN 2 BACHELOR OF ARTS 2012 49 UNIVERSITY JHARKHAND ACADEMIC COUNCIL 3 INTERMEDIATE EXAMINATION 2009 53 RANCHI Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : Schedule Tribe(ST) : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/27938 Applicant Name : ASHA AGNES TIRKEY MINZ Application Date : 04/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal Application No : KOL/2659/35357 Date & Time : 08/04/2019,02:50:28 PM

To The CDPO TOLLYGUNGE ICDS Project KOLKATA District Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details KISHALAYA Anganwadi Center Name( AWCS Name ) : SANGHA,DHALIPARA,CHAKDAHA,PURBO AWCS Code : 19342120420 PUTIARI,KOLKATA 700093. Personal Details Worker Name : LALITA BARATTA Mobile No. : 9007175482 TAPATI Father's Name : AKSHAYA CHAKRABORTY Mother Name : CHAKRABORTY Date of Birth : 03/05/1984 Age : 34 Y. 7 M. 29 D. Marital Status : Married Husband Name : DIBAKAR BARATTA Address Details Address : 1/1 PADMA PUKUR ROAD Pincode : 700020 Post Office : ELGIN ROAD Police Station : District : KOLKATA State : WEST BENGAL Joining Details where she joined first as Anganwadi Worker Date of Joining : 02/09/2008 Experience in years : 10 Project Name : BHOWANIPORE Name and Code of AWC : MODERN SPORTING CLUB ( 0119 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained West Bengal Board of Secondary 1 MADHYAMIK 2001 52.87 Eduction West Bengal Council of Higher 2 HIGHER SECONDARY 2003 52.5 Secondary Eduction 3 B.A HONS(BENGALI) NETAJI SUBHAS OPEN UNIVERSITY 2016 49.25 Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : General : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/35357 Applicant Name : LALITA BARATTA Application Date : 08/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal Application No : KOL/2659/36121 Date & Time : 08/04/2019,08:02:44 PM

To The CDPO TOLLYGUNGE ICDS Project KOLKATA District Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details Anganwadi Center Name( AWCS Name ) : Nabarup Milon Sangha AWCS Code : 19342120407 Personal Details Worker Name : MAMONI DOLUI Mobile No. : 7685988530 Father's Name : PRASAD DOLUI Mother Name : ANIMA DOLUI Date of Birth : 08/01/1981 Age : 37 Y. 11 M. 24 D. Marital Status : Married Husband Name : MANTU DOLUI Address Details Address : 428, MAHISHBATHAN Pincode : 700102 ELECTRONIC Post Office : KRISHNAPUR Police Station : COMPLEX District : NORTH 24 PARGANAS State : WEST BENGAL Joining Details where she joined first as Anganwadi Worker Date of Joining : 30/01/2004 Experience in years : 14.9 Project Name : SHYAMPUR-II ICDS PROJECT Name and Code of AWC : VILL SIMULIA ( 19341170218 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained West Bengal Board of Secondary 1 MADHYAMIK 1999 36.78 Eduction Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : Schedule Caste(SC) : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/36121 Applicant Name : MAMONI DOLUI Application Date : 08/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal Application No : KOL/2659/36517 Date & Time : 09/04/2019,11:14:54 AM

To The CDPO TOLLYGUNGE ICDS Project KOLKATA District Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details Anganwadi Center Name( AWCS Name ) : YOUTH ORGANISATION AWCS Code : 19342120302 Personal Details Worker Name : CHAITALI MITRA Mobile No. : 8240424725 Father's Name : HARIDAS MITRA Mother Name : SIPRA MITRA Date of Birth : 10/04/1985 Age : 33 Y. 8 M. 22 D. Marital Status : Married Husband Name : MINTOO GHOSH Address Details Address : 51, KHANPUR SAHID NAGAR Pincode : 700047 Post Office : Police Station : NETAJI NAGAR District : KOLKATA State : WEST BENGAL Joining Details where she joined first as Anganwadi Worker Date of Joining : 19/09/2006 Experience in years : 12.3 Project Name : SURI - II Name and Code of AWC : KEOUBONA - II ( 19334230213 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained 1 MADHYAMIK EXAMINATION WBBSE 2001 55 2 HIGHER SECONDARY EXAMINATION WBCHSE 2004 47 3 BA SANSKRIT HONOURS BURDWAN UNIVERSITY 2007 49 4 MA BURDWAN UNIVERSITY 2009 45 Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : Schedule Caste(SC) : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/36517 Applicant Name : CHAITALI MITRA Application Date : 09/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal Application No : KOL/2659/39101 Date & Time : 10/04/2019,06:50:06 PM

To The CDPO TOLLYGUNGE ICDS Project KOLKATA District Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details MILONI CLUB, 4 RAJENDRA PRASAD Anganwadi Center Name( AWCS Name ) : AWCS Code : 19342120120 COLONY,KOLKATA 700033. Personal Details Worker Name : MIRA ROY Mobile No. : 9830628933 Father's Name : LATE KRISHNA GOPAL ROY Mother Name : LATE GITA ROY Date of Birth : 11/10/1964 Age : 54 Y. 2 M. 21 D. Marital Status : Single Address Details Address : 74P/2 SULTAN ALAM ROAD Pincode : 700033 Post Office : TOLLYGUNGE Police Station : District : KOLKATA State : WEST BENGAL Joining Details where she joined first as Anganwadi Worker Date of Joining : 12/11/1984 Experience in years : 34 Project Name : Name and Code of AWC : SANGHATI PATHAGAR NANDIBAGAN KOLKATA 700078 ( 19342060404 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained 1 BACHELOR OF ARTS 1990 30 West Bengal Council of Higher 2 HIGHER SECONDARY EXAMINATION 1985 39.2 Secondary Eduction West Bengal Board of Secondary 3 MADHYAMIK PARIKSHA 1982 43.2 Eduction Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : OBC-B : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/39101 Applicant Name : MIRA ROY Application Date : 10/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal Application No : KOL/2659/39360 Date & Time : 10/04/2019,11:36:56 PM

To The CDPO TOLLYGUNGE ICDS Project KOLKATA District Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details KHANPUR RECREATION CLUB, 16 KHANPUR Anganwadi Center Name( AWCS Name ) : AWCS Code : 19342120214 ROAD, KOLKATA 700040. Personal Details Worker Name : SAYANTANI CHAKRABORTY Mobile No. : 8697931174 LATE BANI Father's Name : ANIL BIKASH CHAKRABORTY Mother Name : CHAKRABORTY Date of Birth : 21/09/1977 Age : 41 Y. 3 M. 11 D. Marital Status : Married Husband Name : SANJIB BANERJEE Address Details 8/31/2, FLAT A/1, K. P. ROY LANE, SAHIDNAGAR, Address : GANGULY PUKUR, , KOLKATA, WEST Pincode : 700078 BENGAL - 700078 Post Office : HALTU Police Station : District : KOLKATA State : WEST BENGAL Joining Details where she joined first as Anganwadi Worker Date of Joining : 14/04/2007 Experience in years : 11.7 Project Name : URBAN ICDS PROJECT Name and Code of AWC : NAWJAWAN COMMITTEE ( 19337460219 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained West Bengal Council of Higher 1 HIGHER SECONDARY 1996 40.6 Secondary Eduction West Bengal Board of Secondary 2 MADHYAMIK 1994 54.77 Eduction

Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : General : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/39360 Applicant Name : SAYANTANI CHAKRABORTY Application Date : 10/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal Application No : KOL/2659/40718 Date & Time : 12/04/2019,12:21:00 PM

To The CDPO TOLLYGUNGE ICDS Project KOLKATA District Subject : Prayer for consideration of sponsoring name for recruitment of Supervisors Sir / Madam, In response to your notice this is to request you that I have attained eligibility for candidature to recruitment for Supervisor under ICDS Scheme.My personal details along with certificates are attached for kind consideration.

ICDS Centre Details ASHOKE CHAKRA CLUB, 107/E ASHOKE Anganwadi Center Name( AWCS Name ) : AWCS Code : 19342120209 NAGAR KOLKATA 700040. Personal Details Worker Name : SUPARNA CHAKRABORTY DUTTA Mobile No. : 9038791035 LATE MAYA RANI Father's Name : LATE MANORANJAN DUTTA Mother Name : DUTTA Date of Birth : 07/10/1968 Age : 50 Y. 2 M. 25 D. Marital Status : Married Husband Name : MALAY CHAKRABORTY Address Details 4/186 GANDHI COLONY. REGENT Address : Pincode : 700092 ESTATE.KOLKATA-700092 NETAJI NAGAR Post Office : REGENT ESTATE Police Station : POLICE STATION District : KOLKATA State : WEST BENGAL Joining Details where she joined first as Anganwadi Worker Date of Joining : 02/03/1992 Experience in years : 27 Project Name : DHAKURIA URBAN PROJECT Name and Code of AWC : DHAKURIA URBAN PROJECT ( 19342060212 ) Education Details Sl. No. Examination passed Name of Board/ University Year of Passing Marks obtained WEST BENGAL BOARD OF 1 MADHYAMIK EXAM 1986 39.22 SECONDARY EDUCATION

Disability Status Details Wheather person with disability : No Miscellaneous Details Meritorious Sports Caste : General : No Personality Particulars furnished above are true to the best of my knowledge and I do hereby undertake that if any of the information furnished is found incorrect,my candidature may be rejected. May I be allowed to appear the examination for recruitment of Supervisors under ICDS Documents in hard copies to be submitted with the signed copy of system generated online application is given below

1) Age Proof - Madhyamik or equivalent certificate. 2) Id proof stating residential address. 3) Caste Certificate details for SC/ST/OBC A/OBC B. 4) Document for Meritorious Sport Personality (If yes). 5) Proof of Educational Qualification Details and Examination Passed Mark sheet. 6) Certificate from CDPO of first Project Stating date of joining. 7) Disability Certificate and ID card details for person with disability candidate.

Applicant's Signature & Date ------For Official Use only Application Id : KOL/2659/40718 Applicant Name : SUPARNA CHAKRABORTY DUTTA Application Date : 12/04/2019 Hard Copy received Date : ______Hard Copy received Time : CDPO Signature with Seal